Vastamäki Heidi, Ristolainen Leena, Vastamäki Martti
ORTON Foundation and ORTON Orthopaedic Hospital, Helsinki, Finland.
J Int Med Res. 2016 Dec;44(6):1191-1199. doi: 10.1177/0300060516675112. Epub 2016 Nov 18.
Objective To determine whether frozen shoulder heals equally well in patients with and without diabetes and whether dependency on insulin affects the outcome. Methods We retrospectively examined 178 patients with idiopathic frozen shoulder; 27 patients had diabetes. We evaluated range of motion, pain, and functional results. The mean follow-up was 9.7 years (SD, 7.1 years). Results In the presence of frozen shoulder, range of motion did not differ between patients with and without diabetes. At follow-up, range of motion in all directions of both the affected and unaffected shoulders of patients with diabetes was inferior to that of patients without diabetes. Among patients with diabetes, range of motion of the once-frozen shoulder reached the level of the unaffected shoulder. Patients with and without diabetes experienced similar pain except during exertion. The Constant-Murley score was not significantly different between the two groups, and insulin dependency did not lead to worse outcomes. Conclusion Frozen shoulder heals well in patients with diabetes.
目的 确定糖尿病患者和非糖尿病患者的肩周炎愈合情况是否相同，以及胰岛素依赖是否会影响预后。方法 我们回顾性研究了178例特发性肩周炎患者；其中27例患有糖尿病。我们评估了活动范围、疼痛和功能结果。平均随访时间为9.7年（标准差7.1年）。结果 存在肩周炎时，糖尿病患者和非糖尿病患者的活动范围没有差异。随访时，糖尿病患者患侧和未患侧肩部各个方向的活动范围均低于非糖尿病患者。在糖尿病患者中，曾经患过肩周炎的肩部活动范围达到了未患侧肩部的水平。糖尿病患者和非糖尿病患者除了在用力时疼痛相似。两组之间的Constant-Murley评分没有显著差异，胰岛素依赖也不会导致更差的预后。结论 糖尿病患者的肩周炎愈合良好。
