Wilkinson Michael S, Obst Steven J
School of Health, Medical, and Applied Sciences, Central Queensland University, Cairns, QLD, Australia.
School of Health, Medical, and Applied Sciences, Central Queensland University, Bundaberg, QLD, Australia.
Shoulder Elbow. 2025 Mar 13:17585732251324656. doi: 10.1177/17585732251324656.
The aim of this review is to outline the clinical presentation of patients with shoulder girdle neoplasm to help differentiate it from frozen shoulder contracture syndrome (FSCS) as well as quantify misdiagnosis rates in the literature.
Four electronic databases were searched (Embase, Medline, PUBMED and Scopus) for cohort studies of patients with shoulder girdle neoplasm with or without misdiagnosis as FSCS in line with the PRISMA-ScR guidelines for scoping reviews.
The initial search yielded 2462 studies, 10 of which were included in the final review. The most common symptom of patients with shoulder girdle neoplasm was shoulder pain (62%) followed by swelling/mass/deformity (34%) and local/bony tenderness (13%). In patients with neoplasm initially misdiagnosed as FSCS the main complaints were shoulder pain and subjective stiffness/loss of range of motion (73% each). Misdiagnosis rates ranged from 10% to 50% and resulted in diagnostic delays of up to 30 months.
Key clinical features of bone and soft tissue tumours such as local bony tenderness and careful observation for swelling/mass/deformity should be included in the physical examination to help differentiate between the two pathologies and help guide the choice of initial imaging for the primary contact clinician.
本综述的目的是概述肩胛带肿瘤患者的临床表现，以帮助将其与冻结肩挛缩综合征（FSCS）相鉴别，并量化文献中的误诊率。
根据PRISMA-ScR范围综述指南，检索了四个电子数据库（Embase、Medline、PUBMED和Scopus），以查找肩胛带肿瘤患者是否被误诊为FSCS的队列研究。
初步检索得到2462项研究，其中10项纳入最终综述。肩胛带肿瘤患者最常见的症状是肩部疼痛（62%），其次是肿胀/肿块/畸形（34%）和局部/骨压痛（13%）。最初被误诊为FSCS的肿瘤患者的主要主诉是肩部疼痛和主观僵硬/活动范围丧失（各占73%）。误诊率在10%至50%之间，导致诊断延迟长达30个月。
体格检查应包括骨和软组织肿瘤的关键临床特征，如局部骨压痛，并仔细观察肿胀/肿块/畸形，以帮助区分这两种病理情况，并指导初级接诊医生选择初始影像学检查。
