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关节造影辅助关节内注射类固醇治疗粘连性关节囊炎。

Arthrography-assisted intra-articular injection of steroids in treatment of adhesive capsulitis.

作者信息

Weiss J J, Ting Y M

出版信息

Arch Phys Med Rehabil. 1978 Jun;59(6):285-7.

PMID:666560
Abstract

Following shoulder arthrography to establish the diagnosis of adhesive capsulitis, we injected steroids via the in situ arthrogram needle. Subsequent intraarticular steroids, if needed, were given at the outpatient clinic using landmarks established at the time of arthrography. Out of 18 patients treated, function sufficient to permit resumption of usual work and self-care activities returned to 16. In 11 patients, recovery was associated with painless total shoulder movement gather than a return to glenohumeral motion. This therapy appears perferable to other forms of intraarticular injection and is an alternative to surgery when physical therapy has failed.

摘要

在通过肩关节造影确诊粘连性关节囊炎后,我们经原位关节造影针注射了类固醇。如有需要,后续的关节内类固醇注射在门诊进行,使用造影时确定的体表标志。在接受治疗的18例患者中,16例恢复了足以使其恢复日常工作和自我护理活动的功能。在11例患者中,恢复与无痛的全肩关节活动有关,而非单纯恢复盂肱关节活动。这种治疗方法似乎比其他形式的关节内注射更可取,并且在物理治疗失败时可作为手术的替代方法。

相似文献

1
Arthrography-assisted intra-articular injection of steroids in treatment of adhesive capsulitis.关节造影辅助关节内注射类固醇治疗粘连性关节囊炎。
Arch Phys Med Rehabil. 1978 Jun;59(6):285-7.
2
Accuracy of intra-articular injection of the glenohumeral joint: a modified anterior approach.肩关节腔内注射的准确性:改良的前入路方法。
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Optimal dose of intra-articular corticosteroids for adhesive capsulitis: a randomized, triple-blind, placebo-controlled trial.关节内皮质类固醇治疗粘连性囊炎的最佳剂量:一项随机、三盲、安慰剂对照试验。
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Intra-articular steroids in the treatment of rotator cuff tear: reappraisal by arthrography.关节内注射类固醇治疗肩袖撕裂:关节造影再评估
Arch Phys Med Rehabil. 1981 Nov;62(11):555-7.
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Adhesive capsulitis of the shoulder: the rate of manipulation following distension arthrogram.肩关节粘连性关节囊炎:关节造影扩张术后手法治疗率
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[Arthrography in the diagnosis and treatment of idiopathic adhesive capsulitis].[关节造影术在特发性粘连性关节囊炎诊断与治疗中的应用]
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[Utility of joint distension during arthrography in treatment of adhesive capsulitis of the shoulder in a study of 20 patients].
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引用本文的文献

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Lack of effect of corticosteroid injection at the shoulder joint on blood glucose levels in diabetic patients.肩关节注射皮质类固醇对糖尿病患者血糖水平无影响。
Clin Rheumatol. 2007 Apr;26(4):566-8. doi: 10.1007/s10067-006-0353-8. Epub 2006 Jun 29.
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Update on identification of pathogenic crystals in joint fluid.关节液中致病性晶体鉴定的最新进展。
Curr Rheumatol Rep. 2004 Jun;6(3):217-20. doi: 10.1007/s11926-004-0071-7.
3
Corticosteroid injections for shoulder pain.用于肩部疼痛的皮质类固醇注射
Cochrane Database Syst Rev. 2003;2003(1):CD004016. doi: 10.1002/14651858.CD004016.
4
Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms.肩部症状患者中类固醇注射准确性与临床结果的比较。
Ann Rheum Dis. 1997 Jan;56(1):59-63. doi: 10.1136/ard.56.1.59.
5
[The post-traumatic frozen shoulder].
Unfallchirurgie. 1982 Oct;8(5):294-306. doi: 10.1007/BF02585689.
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Frozen shoulder (adhesive capsulitis).肩周炎(粘连性关节囊炎)。
J R Soc Med. 1982 Sep;75(9):688-9. doi: 10.1177/014107688207500902.
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Frozen shoulder: an arthrographic and radionuclear scan assessment.肩周炎:关节造影及放射性核素扫描评估
Ann Rheum Dis. 1984 Jun;43(3):365-9. doi: 10.1136/ard.43.3.365.
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Painful shoulder syndromes: diagnosis and management.肩部疼痛综合征:诊断与管理
J Gen Intern Med. 1992 May-Jun;7(3):328-39. doi: 10.1007/BF02598093.