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肩周炎:治疗选择的系统评价

Frozen shoulder: A systematic review of therapeutic options.

作者信息

Uppal Harpal Singh, Evans Jonathan Peter, Smith Christopher

机构信息

Harpal Singh Uppal, Jonathan Peter Evans, Christopher Smith, Shoulder Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, EX2 5DW Exeter, United Kingdom.

出版信息

World J Orthop. 2015 Mar 18;6(2):263-8. doi: 10.5312/wjo.v6.i2.263.

Abstract

Frozen shoulder is a common disease which causes significant morbidity. Despite over a hundred years of treating this condition the definition, diagnosis, pathology and most efficacious treatments are still largely unclear. This systematic review of current treatments for frozen shoulder reviews the evidence base behind physiotherapy, both oral and intra articular steroid, hydrodilatation, manipulation under anaesthesia and arthroscopic capsular release. Key areas in which future research could be directed are identified, in particular with regard to the increasing role of arthroscopic capsular release as a treatment.

摘要

肩周炎是一种常见疾病,会导致严重的发病率。尽管对这种疾病的治疗已有一百多年,但定义、诊断、病理及最有效的治疗方法仍很大程度上不明确。本对肩周炎当前治疗方法的系统评价回顾了物理治疗、口服及关节内注射类固醇、液压扩张、麻醉下手法治疗和关节镜下关节囊松解术背后的证据基础。确定了未来研究可针对的关键领域,特别是关于关节镜下关节囊松解术作为一种治疗方法的作用日益增加的情况。

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