van Laack W, Hennes A, Refisch A
Klinikum Aachen, Abteilung Orthopädie.
Z Orthop Ihre Grenzgeb. 1987 Nov-Dec;125(6):669-73. doi: 10.1055/s-2008-1039708.
"Humeroscapular periarthritis" (HPA) was first described by Duplay in 1872 and is to be understood as a syndrome whose typical symptoms are pain and partial or total stiffness of the shoulder ("ankylosing" HPA). This term includes all regressive and reactive affections occurring in the region of the shoulder joint proper (Refish and van Laack, 1985), and has meanwhile become a synonym for painful shoulder stiffness, a term which covers many different processes which are not covered in detail here. Today, however, thanks to refined clinical and radiological examination methods, it is often possible to detect objectively at least some of the changes and to gain insights into the pathophysiological processes. The goal of treatment of HPA is to restore the function of the shoulder joint and eliminate the pain. To this end, various forms of treatment are fundamentally available: 1) conservative treatment, with medication and physiotherapy; 2) surgical treatment; and 3) mobilization under anesthetic, with which, comparatively speaking, results have been best.
“肩周炎”（HPA）最早由杜普雷于1872年描述，应理解为一种典型症状为肩部疼痛和部分或完全僵硬（“强直性”肩周炎）的综合征。该术语包括发生在肩关节本身区域的所有退行性和反应性病变（雷菲什和范·拉克，1985年），同时已成为肩部疼痛僵硬的同义词，这一术语涵盖了许多不同的过程，在此不做详细阐述。然而如今，得益于精细的临床和放射学检查方法，通常至少能够客观地检测到一些变化，并深入了解病理生理过程。肩周炎的治疗目标是恢复肩关节功能并消除疼痛。为此，基本上有多种治疗方式：1）保守治疗，包括药物治疗和物理治疗；2）手术治疗；3）麻醉下活动，相对而言，这种方法效果最佳。
