您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报 (医学版) ›› 2024, Vol. 62 ›› Issue (10): 36-41.doi: 10.6040/j.issn.1671-7554.0.2024.0673

• 骨科加速康复外科专题 • 上一篇    

粘连性肩关节囊炎的诊治进展

王呈,吴云鹏,马小远,赵登科   

  1. 山东大学齐鲁医院骨科, 山东 济南 250012
  • 发布日期:2024-10-12
  • 通讯作者: 王呈. E-mail:wch4201@126.com

Advances in the diagnosis and treatment of adhesive capsulitis of the shoulder

WANG Cheng, WU Yunpeng, MA Xiaoyuan, ZHAO Dengke   

  1. Department of Orthopaedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2024-10-12

摘要: 粘连性肩关节囊炎在中老年人群中发病率较高,在慢性肩关节疼痛病因中具有较高的比例。一个半世纪以来,人们对粘连性肩关节囊炎的发病特点、病理进程等方面的认识逐渐深化,但该疾病的根本病因和最佳治疗方案尚不明确。论文基于近20年的重要文献对粘连性肩关节囊炎的流行病学特点、病理发病机制、治疗进展等进行了综述总结,系统性地向临床医师、理疗康复师以及从事相关基础研究的科研工作者介绍该疾病的知识体系并提供了循证医学证据作为参考。

关键词: 肩关节, 冻结肩, 粘连性肩关节囊炎, 保守治疗, 关节镜

Abstract: Adhesive capsulitis of the shoulder is highly prevalent among middle-aged and elderly populations, accounting for a significant proportion of chronic shoulder pain cases. Over the past century and a half, our understanding of the diseases characteristics, pathological progression, and clinical manifestations has deepened. However, the root cause and optimal treatment approach for adhesive capsulitis remain unclear. This article provides a comprehensive review of the epidemiological features, pathogenesis, and treatment advances of adhesive capsulitis based on key literature from the past two decades. It aims to offer a systematic overview for clinicians, physical therapists, and researchers engaged in related basic studies, with evidence-based insights to inform clinical practice and research directions.

Key words: Shoulder joint, Frozen shoulder, Adhesive capsulitis of the shoulder, Conservative treatment, Arthroscope

中图分类号: 

  • R686
[1] Jacobs JJ, King TRW, Klippel JH, et al. Beyond the decade: strategic priorities to reduce the burden of musculoskeletal disease[J]. J Bone Joint Surg Am, 2013, 95(17): 1251-1256.
[2] Urwin M, Symmons D, Allison T, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation[J]. Ann Rheu Dis, 1998, 57(11): 649-655.
[3] Bridgman JF. Periarthritis of the shoulder and diabetes mellitus[J]. Ann Rheu Dis, 1972, 31(1): 69-71.
[4] Hand C, Clipsham K, Rees JL, et al. Long-term outcome of frozen shoulder[J]. J Shoulder Elbow Surg, 2008, 17(2): 231-236.
[5] Chanbler A, Carr A. The role of surgery in frozen shoulder[J]. J Bone Joint Surg Br, 2003, 85(6): 789-795.
[6] Bunker TD. Time for a new name for “frozen shoulder”[J]. Br Med J(Clin Res Ed.), 1985, 290(6477): 1233-1234.
[7] Arkkila PE, Kantola IM, Viikari JS, et al. Shoulder capsulitis in type I and II diabetic patients: association with diabetic complications and related diseases[J]. Ann Rheu Dis, 1996, 55(12): 907-914.
[8] Riley D, Lang AE, Blair RD, et al. Frozen shoulder and other shoulder disturbances in Parkinsons disease[J]. J Neurol Neurosurg Psychiatry, 1989, 52(1): 63-66.
[9] Lv X, Hu Z, Lling F, et al. Causal relationship between ischemic stroke and its subtypes and frozen shoulder: a two-sample Mendelian randomization analysis[J]. Front Neurol, 2023, 14: 1178051. doi:10.3389/fneur.2023.1178051.
[10] Petchkrua W, Harris SA. Shoulder pain as an unusual presentation of pneumonia in a stroke patient: a case report[J]. Arch Phys Med Rehabil, 2000, 81(6): 827-829.
[11] Gordon J, MacNeill H, Oh PI, et al. Quantifying the occurrence of shoulder pain after cardiac surgery in a cardiac rehabilitation population[J]. Physiother Can, 2020, 72(4): 339-347.
[12] Ryan V, Brown H, Minns Lowe CJ, et al. The pathophysiology associated with primary(idiopathic)frozen shoulder: a systematic review[J]. BMC Musculoskelet Disord, 2016, 17(1): 340.
[13] Tamai K, Hamada J, Nagase Y, et al. Frozen shoulder. An overview of pathology and biology with hopes to novel drug therapies[J]. Mod Rheumatol, 2024, 34(3): 439-443.
[14] Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease[J]. J Bone Joint Surg Br, 1995, 77(5): 677-683.
[15] Millar NL, Meakins A, Struyf F, et al. Frozen shoulder[J]. Nat Rev Dis Primers, 2022, 8(1): 59.
[16] Jump CM, Duke K, Malik RA, et al. Frozen Shoulder: a systematic review of cellular, molecular, and metabolic findings[J]. JBJS Rev, 2021, 9(1): e19.00153.
[17] De Baets L, Matheve T, Traxler J, et al. Pain-related beliefs are associated with arm function in persons with frozen shoulder[J]. Shoulder Elbow, 2020, 12(6): 432-440.
[18] Dias R, Cutts S, Massoud S. Frozen shoulder[J]. BMJ, 2005, 331(7530): 1453-1456.
[19] Roberts S,Dearne R,Keen S, et al. Routine x-rays for suspected frozen shoulder offer little over diagnosis based on history and clinical examination alone[J]. Musculoskelet Care, 2019, 17(2): 288-292.
[20] 李喜, 李慎义, 张轶, 等.肌骨超声在肩周炎的诊断研究进展[J].实用医学杂志, 2022, 38(7): 913-916. LI Xi, LI Shenyi, ZHANG Yi, et al. Progress in the diagnosis of scapulohumeral periarthritis by musculoskeletal ultrasound[J]. The Journal of Practical Medicine, 2022, 38(7): 913-916.
[21] Fields BKK, Skalski MR, Patel DB, et al. Adhesive capsulitis: review of imaging findings, pathophysiology, clinical presentation, and treatment options[J]. Skeletal Radiol, 2019, 48(8): 1171-1184.
[22] Dyer BP, Burton C, Rathod-Mistery T, et al. Diabetes as a prognostic factor in frozen shoulder: a systematic review[J]. Arch Rehabil Res Clin Transl, 2021, 3(3): 100141.
[23] Favejee MM, Huisstede BMA, Koes BW. Frozen shoulder: the effectiveness of conservative and surgical interventions: systematic review[J]. Br J Sports Med, 2011, 45(1): 49-56.
[24] Cho CH, Bae KC, Kim DH. Treatment Strategy for Frozen Shoulder[J]. Clin Orthop Surg, 2019, 11(3): 249-257.
[25] Chan HBY, Pua PY, How CH. Physical therapy in the management of frozen shoulder[J]. Singapore Med J, 2017, 58(12): 685-689.
[26] Noten S, Meeus M, Stassijns G, et al. Efficacy of different types of mobilization techniques in patients with primary adhesive capsulitis of the shoulder: a systematic review[J]. Arch Phys Med Rehabil, 2016, 97(5): 815-825.
[27] Van Der Windt DA, Van Der Heijden GJ, Scholten RJ, et al. The efficacy of non-steroidal anti-inflammatory drugs(NSAIDS)for shoulder complaints. A systematic review[J]. J Clin Epidemiol, 1995, 48(5): 691-704.
[28] Buchbinder R, Hoving JL, Green S, et al. Short course prednisolone for adhesive capsulitis(frozen shoulder or stiff painful shoulder): a randomised, double blind, placebo controlled trial[J]. Ann Rheu Dis, 2004, 63(11): 1460-1469.
[29] Buchbinder R, Green S, Youd JM, et al. Oral steroids for adhesive capsulitis[J]. Cochrane Database of Syst Rev, 2006(4): CD006189. doi:10.1002/14651858.cd006189.
[30] Kitridis D, Tsikopoulos K, Bisbinas I, et al. Efficacy of pharmacological therapies for adhesive capsulitis of the shoulder: a systematic review and network meta-analysis[J]. Am J Sports Med, 2019, 47(14): 3552-3560.
[31] Shah N, Lewis M. Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections[J]. Br J Gen Pract, 2007, 57(541): 662-667.
[32] Mertens MG, Meeus M, Verborgt O, et al. An overview of effective and potential new conservative interventions in patients with frozen shoulder[J]. Rheumatol Int, 2022, 42(6): 925-936.
[33] Brue S, Valentin A, Forssblad M, et al. Idiopathic adhesive capsulitis of the shoulder: a review[J]. Knee Surg Sports Traumatol Arthrosc, 2007, 15(8): 1048-1054.
[34] Carette S, Moffet H, Tardif J, et al. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial[J]. Arthritis Rheum, 2003, 48(3): 829-838.
[35] Itoi E, Arce G, Bain GI, et al. Shoulder stiffness: current concepts and concerns[J]. Arthroscopy, 2016, 32(7): 1402-1414.
[36] Buchbinder R, Green S, Youd JM, et al. Arthrographic distension for adhesive capsulitis(frozen shoulder)[J]. Cochrane Database Syst Rev, 2008(1): CD007005. doi:10.1002/14651858.cd007005.
[37] Jump CM, Waghmare A, Mati W, et al. The impact of suprascapular nerve interventions in patients with frozen shoulder: a systematic review and meta-analysis[J]. JBJS Rev, 2021, 9(12). doi:10.2106/jbjs.rvw.21.00042.
[38] Jsin TK, Sharma NK. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review[J]. J Back Musculoskelet Rehabil, 2014, 27(3): 247-273.
[39] Brealey S, Northgraves M, Kottam L, et al. Surgical treatments compared with early structured physiotherapy in secondary care for adults with primary frozen shoulder: the UK FROST three-arm RCT[J]. Health Technol Assess Winch Engl, 2020, 24(71): 1-162.
[40] Hasegawa A, Mihata T, Fukunishi K, et al. Does the timing of surgical intervention impact the clinical outcomes and overall duration of symptoms in frozen shoulder?[J]. J Shoulder Elbow Surg, 2021, 30(4): 836-843.
[41] Redler LH, Dennis ER. Treatment of Adhesive Capsulitis of the Shoulder[J]. J Am Acad Orthop Surg, 2019, 27(12): e544-e554.
[42] Le Lievre HMJ, Murrell GAC. Long-term outcomes after arthroscopic capsular release for idiopathic adhesive capsulitis[J]. J Bone Joint Surg, 2012, 94(13): 1208-1216.
[43] Nicholson GP. Arthroscopic capsular release for stiff shoulders: effect of etiology on outcomes[J]. Arthroscopy, 2003, 19(1): 40-49.
[1] 吴刚, 王世隆, 段笑然, 汪洋, 张洪川. 外侧入路关节镜辅助微创距下关节融合[J]. 山东大学学报 (医学版), 2020, 1(8): 107-114.
[2] 晏涛,张俊阳,郜玉忠. 髋关节镜下治疗低位髂前下棘撞击1例报告[J]. 山东大学学报 (医学版), 2019, 57(5): 121-124.
[3] 肖笠, 徐静, 冯江学. 膝关节镜下前交叉韧带解剖 单束和前内束单束重建的疗效比较[J]. 山东大学学报(医学版), 2014, 52(S2): 85-87.
[4] 高根平, 黄均雄. 人工肱骨头置换术治疗老年 肱骨近端四部分骨折临床观察[J]. 山东大学学报(医学版), 2014, 52(S2): 48-49.
[5] 刘绍群, 曹奕鸥. 手术治疗老年消化性溃疡穿孔的临床疗效[J]. 山东大学学报(医学版), 2014, 52(S1): 71-72.
[6] 王金广1,王莹2. 肩关节脱位并肘关节退变屈曲畸形手法复位1例[J]. 山东大学学报(医学版), 2013, 51(3): 111-112.
[7] 曹伟,辛涛,刘威,张永超. 桥小脑角区肿瘤术后隐匿性脑脊液漏临床分析[J]. 山东大学学报(医学版), 2013, 51(12): 78-81.
[8] 闫新峰,张明,贺业腾,白正武,王呈. 节镜下松解治疗膝关节僵硬52例报告[J]. 山东大学学报(医学版), 2006, 44(12): 1294-1296.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!