Long-term outcome of frozen shoulder
Long-term outcome of frozen shoulder
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DOI：
10.1016/j.jse.2007.05.009
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发表时间：
2008-03-01
影响因子：
3
通讯作者：
Carr, Andrew J.
中科院分区：
文献类型：
--
作者：
Hand, Campbell;Clipsham, Kim;Carr, Andrew J.
对223例原发性冻结肩患者的269个肩关节进行了研究。主要的结局指标是牛津肩关节评分。症状发作后的平均随访时间为4.4年（范围：2-20年）。症状发作时的平均年龄为53.4岁;女性比男性更常见（1.6：1.0）。20%的患者报告双侧症状，但没有复发病例。从长期来看，59%的患者肩部正常或接近正常，41%的患者报告了一些持续的症状，这些持续症状中的大多数是轻度的（94%），疼痛是最常见的主诉。只有6%的人有严重的症状，包括疼痛和功能丧失。发病时症状最严重者的长期预后最差，P <0.001。
Two-hundred and sixty-nine shoulders in 223 patients with a diagnosis of primary frozen shoulder were studied. The main outcome measure was the Oxford shoulder score. The mean follow-up from symptom onset was 4.4 years (range, 2-20 years). The mean age at symptom onset was 53.4 years; with women affected more commonly than men (1.6: 1.0). Twenty percent of patients reported bilateral symptoms, but there were no recurrent cases. In the long term, 59% of patients had normal or near normal shoulders and 41% reported some ongoing symptoms, The majority of these persistent symptoms were mild (94%), with pain being the most common complaint. Only 6% had severe symptoms with pain and functional loss. Those with the most severe symptoms at condition onset had the worst long-term prognosis, P < .001.