Miller Abigail R, Arnot Dean, Wake Melissa
Monash School of Medicine, Monash University, Clayton, Victoria, Australia.
Harp Family Medical Centre, Kew East, Victoria, Australia.
BMJ Case Rep. 2015 Nov 12;2015:bcr2015210523. doi: 10.1136/bcr-2015-210523.
Adhesive capsulitis of the shoulder (frozen shoulder) is a common disease characterised by spontaneous onset of pain and restriction of movement, followed by 'thawing', with complete or near-complete resolution. Adhesive capsulitis of the hip has been reported in around a dozen patients. This report describes an otherwise-healthy middle-aged woman with apparent sequential resolving adhesive capsulitis of all four ball-and-socket joints over a 9-year period, initially affecting each hip and then each shoulder sequentially. The likely hip diagnosis became clear only retrospectively with development of the second frozen shoulder, 5 years after the first pain. All joints subsequently resolved within the expected timeframe and the patient remains healthy, other than having mild hypertension. This case illustrates that, when hip precedes shoulder involvement, there is the potential for the frozen hip to receive alternate diagnoses for which invasive open hip surgery could unnecessarily be recommended.
肩部黏连性关节囊炎（肩周炎）是一种常见疾病，其特征为疼痛和活动受限自发出现，随后是“解冻期”，可完全或近乎完全缓解。髋关节黏连性关节囊炎在大约十几例患者中已有报道。本报告描述了一名原本健康的中年女性，在9年时间里，其四个球窝关节均出现了明显的依次缓解的黏连性关节囊炎，最初先累及双侧髋关节，随后依次累及双侧肩部。仅在首次疼痛出现5年后第二个肩周炎发生时，通过回顾才明确了可能的髋关节诊断。除轻度高血压外，所有关节随后均在预期时间内缓解，患者仍保持健康。该病例表明，当髋关节受累先于肩部时，冻结髋有可能被误诊，进而不必要地建议进行侵入性开放性髋关节手术。
