Binder A I, Bulgen D Y, Hazleman B L, Roberts S
Ann Rheum Dis. 1984 Jun;43(3):361-4. doi: 10.1136/ard.43.3.361.
As the natural history of frozen shoulder is poorly documented, a prospective study of 40 patients followed up for 40-48 months (mean 44 months) is described. The range of movement was significantly less than age- and sex-matched controls. Objective restriction was severe in five patients and mild in a further 11. Patients were often unaware that shoulder range was impaired. Dominant arm involvement, manual labour, and mobilisation physiotherapy were associated with a less satisfactory outcome. We conclude that, while objective restriction persists, there is little functional impairment in the late stage of frozen shoulder.
由于肩周炎的自然病史记录较少,本文描述了一项对40例患者进行的前瞻性研究,随访时间为40 - 48个月(平均44个月)。患者的活动范围明显小于年龄和性别匹配的对照组。5例患者存在严重的客观活动受限,另有11例为轻度受限。患者往往未意识到肩部活动范围受损。优势侧手臂受累、体力劳动和运动理疗与较差的预后相关。我们得出结论,虽然客观活动受限持续存在,但肩周炎晚期的功能损害较小。