Hand Campbell, Clipsham Kim, Rees Jonathan L, Carr Andrew J
Nuffield Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Oxford, United Kingdom.
J Shoulder Elbow Surg. 2008 Mar-Apr;17(2):231-6. doi: 10.1016/j.jse.2007.05.009. Epub 2007 Nov 12.
Two-hundred and sixty-nine shoulders in 223 patients with a diagnosis of primary frozen shoulder were studied. The main outcome measure was the Oxford shoulder score. The mean follow-up from symptom onset was 4.4 years (range, 2-20 years). The mean age at symptom onset was 53.4 years; with women affected more commonly than men (1.6:1.0). Twenty percent of patients reported bilateral symptoms, but there were no recurrent cases. In the long term, 59% of patients had normal or near normal shoulders and 41% reported some ongoing symptoms. The majority of these persistent symptoms were mild (94%), with pain being the most common complaint. Only 6% had severe symptoms with pain and functional loss. Those with the most severe symptoms at condition onset had the worst long-term prognosis, P < .001.
对223例诊断为原发性肩周炎患者的269个肩部进行了研究。主要结局指标是牛津肩部评分。从症状出现开始的平均随访时间为4.4年（范围2 - 20年）。症状出现时的平均年龄为53.4岁；女性比男性更常见（1.6:1.0）。20%的患者报告有双侧症状，但无复发病例。从长期来看，59%的患者肩部正常或接近正常，41%报告有一些持续症状。这些持续症状大多较轻（94%），疼痛是最常见的主诉。只有6%有严重症状伴疼痛和功能丧失。发病时症状最严重的患者长期预后最差，P < 0.001。
