Pearsall A W, Speer K P
Department of Orthopaedic Surgery, University of South Alabama, Mobile 36617, USA.
Med Sci Sports Exerc. 1998 Apr;30(4 Suppl):S33-9. doi: 10.1097/00005768-199804001-00006.
The term "frozen shoulder" has been used to describe an array of clinical conditions. The authors consider a patient as meeting the criteria of primary or secondary frozen shoulder syndrome if he/she has a clinical history of worsening painful shoulder motion loss of at least 1 month duration and a physical examination documenting painful restricted shoulder motion. In the evaluation of the patient with suspected FSS, initial screening shoulder radiographs are required to exclude other conditions. The physical examination of the frozen shoulder patient should include observation, cervical examination, assessment of range of motion, and the use of provocative testing. The treatment of the patient with FSS should include preventative education, various medications including NSAIDS and oral corticosteroids, physical therapy, and finally, for the patient with refractory symptoms, surgical intervention. For those patients necessitating surgical intervention, the authors recommend a selective arthroscopic capsular release.
“冻结肩”一词已被用于描述一系列临床病症。如果患者有至少持续1个月的肩部疼痛且活动度逐渐恶化的临床病史，以及体格检查记录有肩部疼痛且活动受限，则作者认为该患者符合原发性或继发性冻结肩综合征的标准。在评估疑似冻结肩综合征的患者时，需要进行初步的肩部X线筛查以排除其他病症。冻结肩患者的体格检查应包括观察、颈椎检查、活动度评估以及激发试验。冻结肩综合征患者的治疗应包括预防性教育、各种药物治疗（包括非甾体抗炎药和口服皮质类固醇）、物理治疗，最后，对于症状难治的患者，进行手术干预。对于那些需要手术干预的患者，作者推荐选择性关节镜下关节囊松解术。
