Bak Klaus, Isaksson Frederikke
Ugeskr Laeger. 2019 Feb 11;181(7).
Frozen shoulder, or adhesive capsulitis, is a painful inflammatory disorder with an unknown pathogenesis characterised by progressive fibrosis of the capsule. Frozen shoulder presents clinically with intense pain at rest and passive restricted motion. In general, treatment modalities seem to relieve pain and improve the range of movement, but no single treatment modality has been shown to affect the long-term outcome. Initially, a non-operative approach is traditionally recommended. Oral or intraarticular injection of cortisone relieves short-term pain. In refractory cases, arthroscopic capsular release is suggested.
肩周炎,即粘连性关节囊炎,是一种病因不明的疼痛性炎症性疾病,其特征为关节囊进行性纤维化。肩周炎临床上表现为静息时剧痛和被动活动受限。一般来说,治疗方法似乎能缓解疼痛并改善活动范围,但尚无单一治疗方法被证明能影响长期疗效。最初,传统上推荐采用非手术方法。口服或关节内注射可的松可缓解短期疼痛。对于难治性病例,建议进行关节镜下关节囊松解术。