Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
Am J Sports Med. 2010 Nov;38(11):2346-56. doi: 10.1177/0363546509348048. Epub 2010 Jan 28.
Adhesive capsulitis is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Variable nomenclature, inconsistent reporting of disease staging, and a multitude of different treatments have created a confusing and contradictory body of literature about this condition. Our purpose is to review the evidence for both nonsurgical and surgical management of adhesive capsulitis with an emphasis on level I and II studies when available. Significant deficits in the literature include a paucity of randomized controlled trials, failure to report response to treatment in a stage-based fashion, and an incomplete understanding of the disease's natural course. Recognition that the clinical stages reflect a progression in the underlying pathological changes should guide future treatments.
粘连性肩关节囊炎的特征是疼痛，逐渐丧失主动和被动盂肱关节活动度，这是由于盂肱关节囊的进行性纤维化和最终挛缩所致。由于存在不同的命名、疾病分期报告不一致，以及多种不同的治疗方法，导致有关这种疾病的文献资料非常混乱和相互矛盾。我们的目的是回顾粘连性肩关节囊炎的非手术和手术治疗的证据，重点是在有条件的情况下使用 I 级和 II 级研究。文献中的主要缺陷包括缺乏随机对照试验，未能按分期报告治疗反应，以及对疾病自然病程的理解不完整。认识到临床分期反映了潜在病理变化的进展，应该指导未来的治疗。
