Riley D, Lang A E, Blair R D, Birnbaum A, Reid B
Movement Disorders Clinic, Toronto Western Hospital, Canada.
J Neurol Neurosurg Psychiatry. 1989 Jan;52(1):63-6. doi: 10.1136/jnnp.52.1.63.
The frequency of shoulder disturbances, particularly frozen shoulder, has not been assessed previously in Parkinson's disease. In a survey of 150 patients compared with 60 matched control subjects a significantly higher incidence of both a history of shoulder complaints (43% vs. 23%) and frozen shoulder (12.7% vs. 1.7%) was found in the Parkinson's disease population. Those developing a frozen shoulder had initial disease symptoms indicative of akinesia twice as frequently as tremor while the ratio was reversed in those without frozen shoulder. In at least 8% of the patients frozen shoulder was the first symptom of disease, occurring 0-2 years prior to the onset of more commonly recognised features. Parkinson's disease should be added to the list of causes of frozen shoulder, and clinicians must be aware that the latter is often the presenting symptom of Parkinson's disease.
帕金森病患者肩部疾病，尤其是肩周炎的发生率此前尚未得到评估。在一项针对150名患者并与60名匹配的对照受试者进行的调查中，发现帕金森病患者群体中肩部疼痛病史（43% 对 23%）和肩周炎（12.7% 对 1.7%）的发生率显著更高。发生肩周炎的患者最初的疾病症状表现为运动不能的频率是震颤的两倍，而在未患肩周炎的患者中这一比例则相反。至少8%的患者肩周炎是疾病的首发症状，在更常见的症状出现前0至2年发生。帕金森病应被列入肩周炎的病因清单，临床医生必须意识到肩周炎常常是帕金森病的首发症状。
