BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 肩关节僵硬
  • 肩关节主动活动范围减少
  • 肩关节被动活动范围减少
  • 喙突疼痛试验阳性
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其他诊断因素

  • 存在危险因素
  • 肩部疼痛
  • 诱发性试验无法排除的诊断
  • 椎间孔挤压试验阴性（排除颈椎神经根病变）
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危险因素

  • 年龄40-70岁
  • 糖尿病
  • 曾患粘连性关节囊炎
  • 肩部疼痛及制动
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诊断性检查

首要检查

  • X光平片
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需要考虑的检查

  • MRI/核磁共振肩关节造影
  • CT关节造影
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治疗流程

急性

全部患者

贡献者

作者 查看所有

Matthew T. Provencher MD, CAPT MC USNR

Complex Shoulder Knee and Sports Surgery

The Steadman Clinic

Steadman Philippon Research Institute

Vail

CO

利益冲突披露
MTP is a consultant for Arthrex and JRF. MTP receives royalties from Arthrex.
Lance LeClere MD, LCDR MC USN

Staff Surgeon

Team Physician

Orthopaedic Sports Medicine and Shoulder Surgery

Naval Health Clinic

US Naval Academy

Annapolis

MD

利益冲突披露
LL declares that he has no competing interests.
Jennifer Smith MD, LCDR MC USN

Staff Surgeon

Orthopaedic Surgery

Naval Health Clinic New England

Newport

RI

利益冲突披露
JS declares that she has no competing interests.

同行评议专家 查看所有

Orthopedic Surgeon

Cincinnati Sports Medicine Research and Education Foundation

Cincinnati

OH

利益冲突披露
MB declares that he has no competing interests.

Co-Director of Orthopedic Sports and Shoulder Service

Department of Orthopedic Surgery

Naval Medical Center San Diego

San Diego

CA

利益冲突披露
DS declares that he has no competing interests.

Consultant Orthopaedic Surgeon

Guy's and St Thomas’ Hospital NHS Foundation Trust

London

UK

利益冲突披露
SC declares that he has no competing interests.

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