Chard M D, Hazleman B L
Rheumatology Research Unit, Addenbrooke's Hospital, Cambridge.
Ann Rheum Dis. 1987 Sep;46(9):684-7. doi: 10.1136/ard.46.9.684.
One hundred acute geriatric inpatients were assessed to investigate the prevalence of shoulder disorders; 21 had symptoms due to shoulder disease. Conditions included supraspinatus tendinitis (five), chronic rotator cuff rupture (seven), frozen shoulder (two), glenohumeral osteoarthritis (two), apatite related shoulder arthritis (one), stroke related shoulder disease (six). (Some patients had more than one shoulder condition.) The last group included painful stiff shoulders (three), glenohumeral subluxation (two), and acute shoulder-hand syndrome (one). Patients with rotator cuff rupture had bilateral disease. Only three patients had sought medical attention for their symptoms. The common occurrence of these conditions has possible implications for rehabilitation, and medical awareness is required as few may volunteer symptoms. A community based study is needed to assess the prevalence in the elderly population.
对100名老年急性住院患者进行了评估,以调查肩部疾病的患病率;21名患者有肩部疾病引起的症状。疾病包括冈上肌腱炎(5例)、慢性肩袖破裂(7例)、肩周炎(2例)、盂肱关节炎(2例)、磷灰石相关性肩关节关节炎(1例)、中风相关性肩部疾病(6例)。(一些患者有不止一种肩部疾病。)最后一组包括疼痛性肩部僵硬(3例)、盂肱关节半脱位(2例)和急性肩手综合征(1例)。肩袖破裂患者为双侧疾病。只有3名患者因症状寻求过医疗帮助。这些疾病的常见发生可能对康复有影响,而且由于很少有人主动诉说症状,因此需要提高医疗意识。需要进行一项基于社区的研究来评估老年人群中的患病率。