Hedtmann A, Fett H
Orthopädische Universitätsklinik, St.-Josef-Hospital.
Z Orthop Ihre Grenzgeb. 1989 Nov-Dec;127(6):643-9. doi: 10.1055/s-2008-1040306.
1266 cases of Periarthropathia humeroscapularis (PHS) were analyzed according to their clinical and sonographic findings. We found in 32.8% a PHS simplex (simple tendinitis), in 12.6% a PHS adhäsiva (stiff and painful shoulder with intact cuff), in 17% a PHS calcarea (calcareous tendinitis) and in 33.3% a PHS destructiva (rotator cuff lesions). Isolated tendinitis of long head of biceps was rare (0.7%). Frozen shoulder (adhaesive capsulitis) was differentiated from PHS adhäsiva and accounted of 1.9%. 33.3% of frozen shoulder patients suffered from type I Diabetes mellitus. Women were more affected by PHS calcarea and Frozen Shoulder. The average age of patients with PHS adhäsiva and PHS destructiva was definitely higher than that of PHS simplex cases. PHS adhäsiva and Frozen Shoulder had an even distribution of affected sides, whereas the right side was favoured from 1.7:1 (PHS calcarea and PHS destructiva) to 3.5:1 (isolated bicipital tendinitis). Cases of rotator cuff tears were stiff in 33.7%, and had active limited motion (pseudoparalysis) in 28.5%.
根据临床和超声检查结果对1266例肩胛肱骨周围病（PHS）患者进行了分析。我们发现，单纯性PHS（单纯性肌腱炎）占32.8%，粘连性PHS（肩袖完整的僵硬疼痛性肩部）占12.6%，钙化性PHS（钙化性肌腱炎）占17%，破坏性PHS（肩袖损伤）占33.3%。肱二头肌长头孤立性肌腱炎很少见（0.7%）。冻结肩（粘连性关节囊炎）与粘连性PHS相鉴别，占1.9%。33.3%的冻结肩患者患有I型糖尿病。女性受钙化性PHS和冻结肩的影响更大。粘连性PHS和破坏性PHS患者的平均年龄肯定高于单纯性PHS患者。粘连性PHS和冻结肩两侧受累分布均匀，而右侧受累更常见，钙化性PHS和破坏性PHS为1.7:1，孤立性肱二头肌肌腱炎为3.5:1。33.7%的肩袖撕裂病例存在僵硬，28.5%存在主动活动受限（假性麻痹）。
