Candela V, Giannicola G, Passaretti D, Venditto T, Gumina S
Department of Orthopaedics and Traumatology, Shoulder and Elbow Unit, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.
Physical Medicine and Rehabilitation Unit, Sapienza University of Rome, Rome, Italy.
Musculoskelet Surg. 2017 Dec;101(Suppl 2):153-158. doi: 10.1007/s12306-017-0488-6. Epub 2017 Jul 29.
Papers regarding adhesive capsulitis (AC) of the shoulder focused on etiology, epidemiology, diagnosis, and treatment; until now, information on shoulder pain characteristics is still scarce. Our aim was to analyze pain intensity and distribution in patients with AC.
The study group was composed of 278 (133M-145F) consecutive patients with AC. After diagnosis, shoulder pain distribution was assessed through an upper limb pain map and pain intensity through a visual analog scale. Patients were distinguished on the basis of gender, age, time elapsed from onset of symptoms, and severity of functional limitation. Data were submitted to statistical analysis.
Intensity of shoulder pain caused by AC was higher in females (p < 0.05); it did not vary with the side and between patient younger and older than 55 years. Patients whose pain arose from more than 3 months suffered a lower intensity of shoulder pain. Furthermore, pain intensity was higher in the most severe form of AC (active forward flexion < 60°) (p < 0.05). Pain was localized predominantly on the anterior aspect of the shoulder (dermatomes C5-C6) and rarely extended beyond the distal third of the arm. No differences were found in pain distribution between male and female, between patients with pain from less or more than 3 months and between different levels of AC severity (p > 0.05).
Shoulder pain due to AC may be influenced by gender and severity of functional limitation. AC pain distribution principally involves anterior aspect of the shoulder with downward extension of the arm until its distal third.
Level IV.
关于肩周炎（AC）的论文主要聚焦于病因、流行病学、诊断和治疗；到目前为止，关于肩部疼痛特征的信息仍然匮乏。我们的目的是分析肩周炎患者的疼痛强度和分布情况。
研究组由278例（133例男性 - 145例女性）连续的肩周炎患者组成。诊断后，通过上肢疼痛图谱评估肩部疼痛分布，并通过视觉模拟量表评估疼痛强度。根据性别、年龄、症状出现后的时间以及功能受限的严重程度对患者进行区分。数据进行统计学分析。
AC引起的肩部疼痛强度在女性中更高（p < 0.05）；在患侧以及年龄小于和大于55岁的患者之间没有差异。疼痛出现超过3个月的患者肩部疼痛强度较低。此外，在最严重形式的AC（主动前屈 < 60°）中疼痛强度更高（p < 0.05）。疼痛主要局限于肩部前方（C5 - C6皮节），很少延伸至手臂远端三分之一以外。在男性和女性之间、疼痛出现时间少于和多于3个月的患者之间以及不同AC严重程度水平之间，疼痛分布没有差异（p > 0.05）。
AC引起的肩部疼痛可能受性别和功能受限严重程度的影响。AC疼痛分布主要累及肩部前方，并向下延伸至手臂直至其远端三分之一。
四级。
