Baslund B, Thomsen B S, Jensen E M
Reumatologisk afdeling, Bispebjerg Hospital, København.
Ugeskr Laeger. 1991 Jan 14;153(3):170-3.
Humero-scapular periarthrosis (PH) is defined as an idiopathic painful condition in the shoulder with simultaneous limitation of active and passive movements in all directions. The condition is characterized by three phases: a painful period, a period dominated by stiffness and a period of recovery. PH is commonest between the ages of 40 and 60 years and the cumulated risk is estimated to be 2%. The incidence is higher in diabetics. The cause of PH is unknown and knowledge of the pathogenesis is very limited. Histological examination shows inflammation and fibrosis. Association with other pathological conditions of the upper limb or medical conditions, except diabetes mellitus, has not been documented with certainty. The average duration is 30 months but recovery without functional defects is common. Treatment is symptomatic and consists primarily of analgesics and rest during the painful phase. Local injections of steroids may be of effect. Exercises may be employed once the pain is under control and these have the object of improving mobility and increasing muscular strength.
肩峰下撞击综合征（PH）被定义为一种肩部特发性疼痛病症，伴有各个方向主动和被动活动同时受限。该病症具有三个阶段：疼痛期、以僵硬为主的时期和恢复期。PH在40至60岁之间最为常见，累积风险估计为2%。糖尿病患者的发病率更高。PH的病因不明，发病机制的相关知识非常有限。组织学检查显示有炎症和纤维化。除糖尿病外，与上肢其他病理状况或内科疾病的关联尚未得到确切证实。平均病程为30个月，但无功能缺陷的恢复很常见。治疗以对症治疗为主，主要包括在疼痛期使用镇痛药和休息。局部注射类固醇可能有效。一旦疼痛得到控制，可进行锻炼，目的是改善活动度和增强肌肉力量。
