Campbell C C, Koris M J
Brigham Orthopedic Associates, Brigham and Women's Hospital, Boston, MA 02115, USA.
Clin Orthop Relat Res. 1996 Jan(322):140-5.
A protocol including physical examination, plain radiography, and shoulder arthrography was designed to study prospectively the causes of shoulder pain in patients with cervical spinal cord injury. Twenty-four patients (30 shoulders) were studied and subdivided into acute and chronic groups. The causes of shoulder pain in the acute group of 11 patients (15 shoulders) included capsular contracture or capsulitis or both in 6 shoulders; rotator cuff tears in 4; anterior instability in 2; and rotator cuff impingement, osteoarthritis with osteonecrosis, and osteoarthritis in 1 each. Of 13 patients (15 shoulders) assigned to the chronic group, the diagnoses included anterior instability in 5 shoulders; multidirectional instability in 3; capsular contracture or capsulitis or both in 3; and Charcot arthropathy, rotator cuff tear, rotator cuff impingement, and scapular pain in 1 each. To prevent and treat shoulder pain, therapeutic protocols for these patients must be individualized after a correct diagnosis is made.
设计了一项包括体格检查、X线平片和肩关节造影的方案，对颈脊髓损伤患者肩部疼痛的原因进行前瞻性研究。研究了24例患者（30个肩部），并将其分为急性组和慢性组。11例患者（15个肩部）的急性组肩部疼痛原因包括：6个肩部存在关节囊挛缩或囊炎或两者皆有；4个存在肩袖撕裂；2个存在前方不稳定；1个存在肩袖撞击、骨关节炎伴骨坏死、骨关节炎。在分配到慢性组的13例患者（15个肩部）中，诊断包括：5个肩部存在前方不稳定；3个存在多方向不稳定；3个存在关节囊挛缩或囊炎或两者皆有；1个存在夏科关节病、肩袖撕裂、肩袖撞击和肩胛疼痛。为预防和治疗肩部疼痛，这些患者的治疗方案必须在做出正确诊断后个体化。
