PDF(Pubmed)
Abstract：
Frozen shoulder (FS) is a common condition affecting the population between the ages of 30 and 60; the causative agent is idiopathic, sedentary lifestyle, post-traumatic, or secondary to any pathological conditions. The pathology of FS is characterized by cytokine-mediated synovial inflammation with fibroblastic proliferation. The clinical features of FS vary depending on the phase in which the individual is present. The common clinical features are pain, and reduction in the range of motion in the capsular pattern. The available treatment options are medical therapy such as corticosteroid injection, physical therapy, joint mobilization, joint mobilization under anesthesia, and mirror therapy. When all the conservative methods fail then surgical procedures are used which include the surgical release of the restriction formed in the capsule. In conclusion, steroid injection along with physical therapy shows significant improvement in the range of motion and reduction in pain in the shoulder.
摘要：
冻结的肩膀（FS）是影响30至60岁人群的常见疾病；病原体是特发性的，久坐的生活方式，创伤后,或继发于任何病理状况。FS的病理学特征在于具有成纤维细胞增殖的细胞因子介导的滑膜炎症。FS的临床特征根据个体存在的阶段而变化。常见的临床特征是疼痛，以及胶囊图案中运动范围的减小。可用的治疗选择是药物治疗，如皮质类固醇注射，物理治疗,联合动员,麻醉下关节动员，和镜像疗法。当所有保守方法都失败时,则使用外科手术,其包括在胶囊中形成的限制的手术释放。总之,类固醇注射和物理治疗显示出运动范围的显着改善和肩部疼痛的减少。
