Pimenta Madalena, Vassalou Evangelia E, Cardoso-Marinho Beatriz, Klontzas Michail E, Dimitri-Pinheiro Sofia, Karantanas Apostolos H
Department of Radiology, Armed Forces Hospital, D. Pedro V Universitary Clinical Centre, Porto, Portugal.
Hospital Cuf Porto, Porto, Portugal.
Mediterr J Rheumatol. 2023 Mar 31;34(1):7-15. doi: 10.31138/mjr.34.1.7. eCollection 2023 Mar.
Adhesive capsulitis is a common disorder of the glenohumeral joint. Delayed diagnosis is the result of overlapping signs and symptoms with other disorders affecting the shoulder. Typically, the disease shows gradual progression of pain and loss of the range of motion. The hallmark of the physical examination is limitation of both passive and active motion without any associated degenerative changes on plain radiographs. Conservative and/or surgical treatments have shown conflicting results. Poor outcome may be related to co-morbid factors mainly including prolonged immobilization, rotator cuff pathology and diabetes mellitus among others. This review will present the current literature data on the natural history and pathophysiology of the disease, and will highlight the role of imaging in the prompt and accurate diagnosis as well as in the imaged-guided treatment with emphasis on ultrasonography.
粘连性肩关节囊炎是一种常见的盂肱关节疾病。诊断延迟是由于其体征和症状与影响肩部的其他疾病重叠所致。通常，该病表现为疼痛逐渐加重和活动范围丧失。体格检查的标志是被动和主动活动均受限，而X线平片上无任何相关的退行性改变。保守治疗和/或手术治疗的结果存在争议。预后不佳可能与合并症因素有关，主要包括长期制动、肩袖病变和糖尿病等。本综述将介绍有关该病自然史和病理生理学的当前文献数据，并强调影像学在快速准确诊断以及影像引导治疗中的作用，重点是超声检查。
