Xiao Ryan C, DeAngelis Joseph P, Smith Christopher C, Ramappa Arun J
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. Address correspondence to: Arun J. Ramappa, MD, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215; e-mail:
J Surg Orthop Adv. 2017;26(4):193-199.
Patients commonly present with shoulder complaints to the primary care and orthopaedic setting. The differential includes rotator cuff tears, subacromial impingement, osteoarthritis, and adhesive capsulitis, also known as frozen shoulder. Despite the prevalence of adhesive capsulitis, it is commonly misdiagnosed and management remains unclear. This article reviews the presentation of adhesive capsulitis, presents an overview of the pathophysiology of this poorly understood disease, and evaluates nonoperative treatment options for adhesive capsulitis. (Journal of Surgical Orthopaedic Advances 26(4):193-199, 2017).
患者通常会因肩部问题前往初级保健机构和骨科就诊。鉴别诊断包括肩袖撕裂、肩峰下撞击症、骨关节炎以及粘连性关节囊炎，也称为肩周炎。尽管粘连性关节囊炎很常见，但它常常被误诊，治疗方法也尚不明确。本文回顾了粘连性关节囊炎的临床表现，概述了这种了解甚少的疾病的病理生理学，并评估了粘连性关节囊炎的非手术治疗方案。（《外科骨科进展杂志》2017年第26卷第4期：193 - 199页）
