Uhthoff H K, Sarkar K
University of Ottawa, Ontario, Canada.
Curr Opin Rheumatol. 1991 Apr;3(2):240-6. doi: 10.1097/00002281-199104000-00006.
Shoulder pain has become one of the commonest clinical problems in modern North American society. The pathogenetic mechanisms vary widely, and often times, speculations about the underlying pathology have not been substantiated by investigative studies. In the past year, progress in our knowledge about shoulder pain has not been significant. We discuss the topic by dividing shoulder pain into four categories: 1) shoulder pain of local origin; 2) pain referred to the shoulder; 3) shoulder and neck pain; and 4) shoulder pain and reflex sympathetic dystrophy. It appears that a thorough history taking, an understanding of the psychosocial background of the patient, and a complete physical are equally important in the clinical evaluation of painful shoulders.
肩部疼痛已成为现代北美社会最常见的临床问题之一。其发病机制多种多样，而且很多时候，关于潜在病理的推测尚未得到调查研究的证实。在过去一年里，我们对肩部疼痛的认识进展不大。我们将肩部疼痛分为四类来讨论这个话题：1）局部起源的肩部疼痛；2）牵涉至肩部的疼痛；3）肩部和颈部疼痛；4）肩部疼痛与反射性交感神经营养不良。在对疼痛肩部进行临床评估时，详尽的病史采集、对患者心理社会背景的了解以及全面的体格检查似乎同样重要。
