肩関節周囲炎
WordNet
- relating to the shoulder blade and upper arm bone
UpToDate Contents
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English Journal
- [Analysis of the scapulo-humeral rhythm for periarthritis scapulohumeralis].
- Eto M.SourceDepartment of Orthopaedic Surgery, Nagasaki University School of Medicine.
- Nihon Seikeigeka Gakkai zasshi.Nihon Seikeigeka Gakkai Zasshi.1991 Sep;65(9):693-707.
- To clarify the scapulo-humeral rhythm in twenty-five patients with periarthritis scapulo-humeralis, the movements of the scapula and the humerus during arm elevation were measured and analysed using a fluoroscope and a computer, and the rhythm of five patient with rotator cuff tear was compared with
- PMID 1960471
- Double-blind comparison of piroxicam and indomethacin in the treatment of cervicobrachial syndrome and periarthritis scapulohumeralis (stiff shoulder).
- Yamamoto M, Sugano T, Kashiwazaki S, Kageyama T, Mizushima Y, Kameyama M.AbstractIn a 14-day double-blind multicenter trial the efficacy and safety of piroxicam was compared with that of indomethacin among patients with extra-articular rheumatic conditions marked by cervicobrachial pain. The drugs were found to have comparable overall efficacy, with over 75% of the patients in both drug groups experiencing some improvement. Piroxicam appeared to provide somewhat better results in the subpopulation with cervicobrachial syndrome, while indomethacin was marginally better among patients with periarthritis scapulohumeralis. There was a trend toward better relief of nighttime pain with piroxicam in the cervicobrachial syndrome group at week 2. Fewer adverse reactions were observed with piroxicam, and the number of patients discontinued for side effects was also lower for piroxicam (4.1%) than for indomethacin (9.5%).
- European journal of rheumatology and inflammation.Eur J Rheumatol Inflamm.1983;6(3):266-73.
- In a 14-day double-blind multicenter trial the efficacy and safety of piroxicam was compared with that of indomethacin among patients with extra-articular rheumatic conditions marked by cervicobrachial pain. The drugs were found to have comparable overall efficacy, with over 75% of the patients in b
- PMID 6391931
- [Periarthritis scapulohumeralis].
- BUYSE K.
- Belgisch tijdschrift voor geneeskunde.Belg Tijdschr Geneesk.1951 Mar 1;7(5):193-9.
- PMID 14820744
Japanese Journal
- 水谷 一裕
- 東邦医学会雑誌 = Journal of Medical Society of Toho University 59(3), 119-122, 2012-05-00
- … (3) evaluation of the clinical effectiveness of low-level laser therapy for pain in patients with periarthritis scapulohumeralis (items evaluated were range of motion ofthe involved shoulder and concomi-tant serum prostaglandin E2 levels before and after irradiation); …
- NAID 120005306346
- 関節内注射の中断を防ぐための工夫 (第23回日本臨床整形外科学会学術集会)
- 経験と考察 胸郭出口症候群における肩関節周囲炎と上腕骨外側上顆炎の合併
Related Links
- 1. Nihon Rinsho. 2014 Oct;72(10):1745-9. [Periarthritis scapulohumeralis]. [Article in Japanese] Enomoto M. Periarthritis scapulohumeralis, also known as frozen shoulder, is a common disease in which the patient has a painful and ...
- We examined the relationship between effusion of MRI findings and the clinical symptoms. Materials and methods: We examined MRI findings in patients with periarthritis scapulohumeralis. We excluded cuff tears, calcified tendinitis ...
★リンクテーブル★
[★]
- 英
- scapulohumeral periarthritis, periarthritis of the shoulder
- ラ
- periarthritis scapulohumeralis
- 同
- 五十肩 frozen shoulder
概念
- 40-60歳に好発する肩の疼痛と可動制限。3つの病期を経て1年程度の経過治癒する。
病因
病期
- 凍結進行期 freezing phase：疼痛と可動制限の進行
- 凍結期 frozen phase：可動域制限
- 解凍期 thawing phase：
症状
- 凍結進行期：初発症状は肩関節の疼痛である。次第に動作時痛、安静時痛、夜間痛が出現してくる。また次第に肩関節の拘縮(肩関節可動制限)を来す。
- 凍結期：肩関節の拘縮の完成。疼痛は軽快。
治療
- 鎮痛消炎剤、筋弛緩剤、関節内ステロイドホルモン注射
- [疼痛が強い場合]関節腔拡張術：関節腔内に局所麻酔などを注入して癒着・閉塞した健康か滑液包を開通させる (SOR.378)
- 温熱療法：
- 運動療法：
- 手術療法：[難治例に対して]満身麻酔下に徒手整復術や鏡視下関節包切離術 (SOR.378)
病期に応じた治療
- 凍結進行期：[疼痛の緩和]上肢の安静、消炎鎮痛薬の内服、ヒアルロン酸の関節内注入
- 凍結期：[関節可動域の再獲得]リハビリテーション
- 解凍期：
予後