Smith C R, Binder A I, Paice E W
Department of Rheumatology, Whittington Hospital, London.
Br J Rheumatol. 1990 Oct;29(5):386-8. doi: 10.1093/rheumatology/29.5.386.
We describe three patients who presented with pain and restriction of movement at the shoulder suggestive of capsulitis, but proved to have lesions of the mid-shaft of the humerus. It is important to be aware of the possibility of this cause of a 'frozen shoulder', since radiographs of the shoulder are usually cropped at the mid-humerus and lesions at this level may easily be missed. A radiograph of the entire humerus, or an isotope bone scan, may be more useful than repeated shoulder radiographs in patients whose shoulder symptoms do not respond to standard treatment.
我们描述了三名患者，他们表现出肩部疼痛和活动受限，提示为肩周炎，但经证实患有肱骨干中段病变。认识到这种导致“冻结肩”的原因的可能性很重要，因为肩部X线片通常在肱骨干中段裁剪，这个水平的病变很容易被漏诊。对于肩部症状对标准治疗无反应的患者，全肱骨X线片或同位素骨扫描可能比反复进行肩部X线片更有用。
