Frozen shoulder: a consensus definition
Frozen shoulder: a consensus definition
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DOI：
10.1016/j.jse.2010.07.008
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发表时间：
2011-03-01
影响因子：
3
通讯作者：
Rokito, Andrew
中科院分区：
文献类型：
--
作者：
Zuckerman, Joseph D.;Rokito, Andrew
简介：肩周炎是骨科医生和其他治疗肌肉骨骼问题的内科医生常见的诊断。然而，对于这种常见的疾病没有标准的定义和分类。材料和方法：我们询问了211名美国肩肘外科的临床医生成员，回顾了我们提出的FS的定义，并将其分为原发类型和继发类型。继发性FS可进一步分为内在型、外部型和全身型。调查要求通过类比量表回答5个具体问题(1个，强烈不同意；5个，强烈同意)。结果：共收到190份回复(90%)。82%的人同意FS的拟议定义。85%的人同意应将FS分为小学和中学两种类型。66%的人同意将继发性FS细分为内在、外在和全身型。84%的人同意存在原发性或特发性FS的临床实体。85%的人同意，获得FS的一致定义和分类是一项值得努力的努力。讨论：通过肩部专家的共识，制定FS的标准定义和分类可以获得显著的好处，这为所有治疗这种疾病的肌肉骨骼专家可能接受提供了坚实的基础。证据水平：基础科学调查研究。(C)2011年《肩肘外科杂志》董事会成员。
Introduction: Frozen shoulder (FS) is a common diagnosis treated by orthopaedic surgeons and other physicians caring for musculoskeletal problems. However, there is no standard definition and classification for this common condition.Materials and methods: We asked 211 clinician members of the American Shoulder and Elbow Surgeons to review our proposed definition of FS and its classification into primary and secondary types. Secondary FS was further divided into intrinsic, extrinsic, and systemic types. The survey required responses to 5 specific questions via an analog scale (1, strongly disagree; 5, strongly agree). Agreement was defined as a 4 or 5 on the analog scale.Results: We received 190 responses (90%). Eighty-two percent agreed with the proposed definition of FS. Eighty-five percent agreed that FS should be divided into primary and secondary types. Sixty-six percent agreed with subdivision of secondary FS into intrinsic, extrinsic, and systemic types. Eighty-four percent agreed that there was a clinical entity of primary or idiopathic FS. Eighty-five percent agreed that obtaining a consensus definition and classification of FS was a worthwhile endeavor.Discussion: Significant benefits can be gained from the development of a standard definition and classification of FS, achieved through a consensus of shoulder specialists, that provides a strong foundation for potential acceptance by all musculoskeletal specialists who treat this condition.Level of evidence: Basic Science Survey Study. (C) 2011 Journal of Shoulder and Elbow Surgery Board of Trustees.