Keilholz L, Seegenschmiedt M H, Kutzki D, Sauer R
Strahlentherapeutische Klinik, Universität Erlangen-Nürnberg.
Strahlenther Onkol. 1995 Jul;171(7):379-84.
Radiation treatment for patients with acute or subacute tendonitis or bursitis of the shoulder once commonplace has been mostly supplanted by antiinflammatory drug treatment.
106 patients with clinically evident disease of PHS were treated between January 1987 and May 1991. 73/106 patients had a continuous follow-up. 16/73 patients showed typical symptoms on both shoulders: therefore a total of 89 shoulders were examined in this investigation. A daily dose of 0.5 Gy was given for 3 times a week and a total dose of 3.0 Gy. After 8 weeks a second treatment course was performed. In follow-up the subjective (pain) and objective (limitation of abduction) symptoms were classified in 3 grade scales.
A marked pain reduction and an improved mobility (abduction of at least 20 degrees more than before radiation) could be observed in 72/89 shoulders (81%). 44/89 shoulders (49%) showed an excellent response and were completely free of pain and impairment of motion.
Radiotherapy of acute or subacute Periarthritis humeroscapularis is a very effective treatment if radiation starts within the first year of symptoms and if it is supported by physiotherapy.
曾经常用于治疗肩部急性或亚急性肌腱炎或滑囊炎患者的放射治疗，如今大多已被抗炎药物治疗所取代。
1987年1月至1991年5月期间，对106例有明显肩周炎临床症状的患者进行了治疗。106例患者中有73例得到持续随访。73例患者中有16例双肩出现典型症状：因此本研究共检查了89个肩部。每周3次，每次给予0.5 Gy的剂量，总剂量为3.0 Gy。8周后进行第二个疗程的治疗。在随访中，主观（疼痛）和客观（外展受限）症状按3级量表进行分类。
89个肩部中有72个（81%）观察到疼痛明显减轻，活动度改善（外展比放疗前至少增加20度）。89个肩部中有44个（49%）反应极佳，完全无痛且无活动障碍。
如果在症状出现的第一年内开始放疗并辅以物理治疗，急性或亚急性肩周炎的放射治疗是一种非常有效的治疗方法。
