Chard M D, Sattelle L M, Hazleman B L
Rheumatology Research Unit, Addenbrooke's Hospital, Cambridge.
Br J Rheumatol. 1988 Oct;27(5):385-9. doi: 10.1093/rheumatology/27.5.385.
Rotator cuff tendinitis is believed to resolve in the majority but the long-term outcome has not been well documented. This review of 137 patients treated conservatively found active tendinitis in 35 individuals at a mean of 19 months after presentation. In addition, 40 patients had residual pain and eight developed pain due to another cause. Early presentation and a history of overuse unrelated to occupation distinguished the 54 who had resolved from those with active tendinitis (p less than 0.01). Dominant arm involvement was associated with a poorer prognosis (p less than 0.05). Functional impairment occurred in 29 patients, two having lost employment. The sizeable proportion of patients with chronic tendinitis resistant to conservative treatment suggests that rotator cuff tendinitis is not an early self-limiting condition and improvement in management is required.
肩袖肌腱炎被认为在大多数情况下会痊愈，但长期结果尚无充分记录。对137例接受保守治疗的患者进行的这项回顾性研究发现，在就诊后平均19个月时，35例患者存在活动性肌腱炎。此外，40例患者有残留疼痛，8例因其他原因出现疼痛。早期就诊以及与职业无关的过度使用史，将54例已痊愈的患者与仍有活动性肌腱炎的患者区分开来（p<0.01）。优势侧手臂受累与预后较差相关（p<0.05）。29例患者出现功能障碍，其中2例失去工作。相当一部分慢性肌腱炎患者对保守治疗有抵抗性，这表明肩袖肌腱炎并非早期自限性疾病，需要改进治疗方法。
