Morén-Hybbinette I, Moritz U, Scherstén B
Acta Med Scand. 1987;221(1):73-82. doi: 10.1111/j.0954-6820.1987.tb01247.x.
Sixty diabetic patients with shoulder pain were followed in order to trace the natural history of the disease. The triad of painful shoulder, hand syndrome and restricted hip joint mobility was strongly correlated to the duration of diabetes and retinopathy. Painful shoulder with restricted mobility (58%) and tendinitis (28%) predominated. Hand syndrome was found in 62% and restricted hip joint mobility in 42%. Ninety percent of painful shoulders with restricted mobility had difficulties in the activities of daily living in the acute phase. There was functional limitation of shoulder mobility in 17% of painful shoulders with restricted mobility at the end of the study. The duration of diabetes and the duration of shoulder symptoms were correlated. In 25%, working capacity was affected by the painful shoulder. A serious risk of developing shoulder symptoms persisting for more than 2 years was associated with insulin treatment, diabetes lasting more than 10 years, proliferative retinopathy and painful shoulder with restricted mobility.
对60例患有肩部疼痛的糖尿病患者进行了随访，以追踪该病的自然病程。肩部疼痛、手部综合征和髋关节活动受限这三者与糖尿病病程和视网膜病变密切相关。以活动受限的肩部疼痛（58%）和肌腱炎（28%）最为常见。62%的患者出现手部综合征，42%的患者存在髋关节活动受限。90%活动受限的疼痛肩部在急性期日常生活活动存在困难。研究结束时，17%活动受限的疼痛肩部存在肩部活动功能受限。糖尿病病程与肩部症状持续时间相关。25%的患者工作能力受到疼痛肩部的影响。胰岛素治疗、糖尿病病程超过10年、增殖性视网膜病变以及活动受限的疼痛肩部与出现持续超过2年的肩部症状的严重风险相关。
