["原发性"肩关节僵硬：病程及治疗比较]
["Primary" shoulder stiffness: illness duration and therapeutic comparison].
作者信息
Wallny T, Melzer C, Wagner U, Wirth C J, Schmitt O
机构信息
Orthopädische Universitätsklinik Bonn.
出版信息
Z Orthop Ihre Grenzgeb. 1997 May-Jun;135(3):222-7. doi: 10.1055/s-2008-1039584.
AIMS
Etiology, natural history and therapy of the frozen shoulder still remains obscure. Therefore observation of natural history is of interest.
METHOD
In a retrospective study 140 patients with different therapies were followed-up.
RESULTS
28 (20%) patients were not considered as healed because of persisting complaints during the whole follow-up period with an average duration of 49 months. Mobilisation under anaesthesia (27 patients) showed an less improval in range of motion with a shortening of complaint period.
CONCLUSION
The existence of a subgroup of patients with no response on regular therapy is assumed.
目的
肩周炎的病因、自然病程及治疗方法仍不明确。因此，对其自然病程的观察具有重要意义。
方法
在一项回顾性研究中，对140例接受不同治疗的患者进行了随访。
结果
28例（20%）患者在平均49个月的整个随访期内持续存在症状，未被视为治愈。麻醉下手法松解（27例患者）在改善活动范围方面效果较差，但症状持续时间缩短。
结论
推测存在一组对常规治疗无反应的患者亚组。
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