Conservative Treatment and Rotator Cuff Tear Progression
Conservative Treatment and Rotator Cuff Tear Progression
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DOI：
10.1159/000328910
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发表时间：
2012-01-01
期刊：
影响因子：
--
通讯作者：
Denaro, Vincenzo
中科院分区：
文献类型：
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作者：
Longo, Umile Giuseppe;Franceschi, Francesco;Denaro, Vincenzo
对于肩袖撕裂患者的最佳治疗方法尚无明确的共识。没有随机对照研究比较手术与保守治疗的结果。保守治疗的成功率从33%到92%不等。尽管目前的证据不足以对肩袖撕裂的保守治疗得出明确的结论，但对此类患者通常建议采用非手术治疗。预后因素似乎是临床表现，症状持续时间和撕裂大小。保守治疗的最佳方案尚未确定。物理治疗包括伸展和强化练习。锻炼方案的特点没有标准化。在临床实践中，关节内注射通常用于治疗肩痛。肩痛患者的全身药物治疗包括非甾体抗炎药。最近，环氧合酶-2-选择性抑制剂已被引入用于肩痛的管理。到目前为止，很少有随机对照试验是关于肩袖撕裂的保守治疗，因此需要进一步的研究来阐明它在这类患者中的作用。版权所有（C）2012 S. Karger AG，巴塞尔
There is no definite consensus on the best management for patients with rotator cuff tears. No randomized controlled studies have compared the outcome of surgical versus conservative treatment. The described successful rate of conservative treatment varies widely, from 33 to 92%. Even though current evidence is not sufficient to allow definitive conclusions on conservative treatment of rotator cuff tears, non-operative management is often recommended in such patients. Prognostic factors seem to be clinical presentation, duration of symptoms and tear size. The best programme for conservative treatment is not defined. Physical therapy consists of stretching and strengthening exercises. The characteristics of exercise programmes are not standardized. In clinical practice, intraarticular injections are commonly used for treatment of shoulder pain. Systemic pharmacotherapy for patients with shoulder pain consists of non-steroidal anti-inflammatory drugs. Recently, cyclo-oxygenase-2-selective inhibitors have been introduced for management of shoulder pain. To date, few randomized controlled trials are available on conservative management of rotator cuff tears, and therefore further studies are required to clarify its role in such patients. Copyright (C) 2012 S. Karger AG, Basel