The clinical picture of the painful diabetic shoulder--natural history, social consequences and analysis of concomitant hand syndrome.
The clinical picture of the painful diabetic shoulder--natural history, social consequences and analysis of concomitant hand syndrome.
复制标题
糖尿病肩部疼痛的临床表现——自然史、社会后果和伴随手综合症的分析。
作者：
I. Morén;U. Moritz;B. Scherstén
为了追踪该疾病的自然病程，我们对 60 名患有肩痛的糖尿病患者进行了跟踪调查。肩痛、手综合症和髋关节活动受限三联征与糖尿病和视网膜病变的持续时间密切相关。主要是肩部疼痛、活动受限（58%）和肌腱炎（28%）。 62% 的人患有手部综合症，42% 的人患有髋关节活动受限。百分之九十的肩膀疼痛且活动受限的人在急性期的日常生活活动都有困难。在研究结束时，17% 的肩部疼痛且活动受限的患者存在肩部活动功能受限。糖尿病病程与肩部症状的持续时间相关。 25% 的人因肩膀疼痛而影响工作能力。出现持续超过 2 年肩部症状的严重风险与胰岛素治疗、持续超过 10 年的糖尿病、增殖性视网膜病变和活动受限的肩部疼痛有关。
Sixty diabetic patients with shoulder pain were followed in order to trace the natural history of the disease. The triad of painful shoulder, hand syndrome and restricted hip joint mobility was strongly correlated to the duration of diabetes and retinopathy. Painful shoulder with restricted mobility (58%) and tendinitis (28%) predominated. Hand syndrome was found in 62% and restricted hip joint mobility in 42%. Ninety percent of painful shoulders with restricted mobility had difficulties in the activities of daily living in the acute phase. There was functional limitation of shoulder mobility in 17% of painful shoulders with restricted mobility at the end of the study. The duration of diabetes and the duration of shoulder symptoms were correlated. In 25%, working capacity was affected by the painful shoulder. A serious risk of developing shoulder symptoms persisting for more than 2 years was associated with insulin treatment, diabetes lasting more than 10 years, proliferative retinopathy and painful shoulder with restricted mobility.