Diagnosis and differentiated treatment of shoulder pain

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Shoulder pain is a common complaint with which patients seek an appointment with neurologist. It can be the result of traumatic impact, inadequate daily exertion, or a consequence of chronic diseases. Current article discusses the main causes of shoulder pain, methods of its diagnosis and modern approaches to differentiated treatment.

全文:

受限制的访问

作者简介

Olga Kurushina

Volgograd State Medical University of the Ministry of Healthcare of Russia

编辑信件的主要联系方式.
Email: ovkurushina@mail.ru
ORCID iD: 0000-0003-4364-0123
SPIN 代码: 4571-5646

MD, Dr. Sci. (Medicine), associate professor, head of the Department of neurology, neurosurgery, medical genetics

俄罗斯联邦, Volgograd

Alexander Barulin

Volgograd State Medical University of the Ministry of Healthcare of Russia

Email: barulin23@mail.ru
ORCID iD: 0000-0001-7264-3580
SPIN 代码: 6234-6783

MD, Dr. Sci. (Medicine), associate professor, head of the Department of neurology, psychiatry, manual medicine and medical rehabilitation of the Institute of Continuous Medical and Pharmaceutical Education

俄罗斯联邦, Volgograd

Alexander Vorobyov

Volgograd State Medical University of the Ministry of Healthcare of Russia

Email: cosAAV@mail.ru
ORCID iD: 0000-0001-5100-8369
SPIN 代码: 3441-7771

MD, Dr. Sci. (Medicine), professor, head of the Department of operative surgery and topographic anatomy

俄罗斯联邦, Volgograd

Dmitry Nezhinsky

Volgograd State Medical University of the Ministry of Healthcare of Russia

Email: dmitrynezhinsky@yandex.ru
ORCID iD: 0009-0005-9406-1895
SPIN 代码: 6276-0338

MD, assistant at the Department of neurology, neurosurgery, medical genetics

俄罗斯联邦, Volgograd

参考

  1. Lucas J, van Doorn P, Hegedus E, Lewis J, van der Windt D. A systematic review of the global prevalence and incidence of shoulder pain. BMC Musculoskelet Disord. 2022;23(1):1073. PMID: 36476476. PMCID: PMC9730650. https://doi.org/10.1186/s12891-022-05973-8
  2. Широков В.А. Боль в плече: патогенез, диагностика, лечение. 2-е изд., перераб. и доп. М.: МЕДпресс-информ. 2012; 240 с. [Shirokov VA. Shoulder pain: Pathogenesis, diagnostics, treatment. 2nd edition, revised and enlarged. Moscow: MEDpress-inform. 2012; 240 pp. (In Russ.)]. ISBN: 978-5-98322-858-0.
  3. Ponnappan RK, Khan M, Matzon JL, Sheikh ES, Tucker BS, Pepe MD et al. Clinical differentiation of upper extremity pain etiologies. J Am Acad Orthop Surg. 2015;23(8):492–500. PMID: 26116851. https://doi.org/10.5435/JAAOS-D-11-00086
  4. Эйсмонт О.Л. Адгезивный капсулит плечевого сустава. Новости хирургии. 2021;29(4):470–479. [Eismont OL. Adhesive capsulitis of the shoulder joint. Novosti khirurgii = Surgery News. 2021;29(4):470–479 (In Russ.)]. EDN: RKVADN. https://doi.org/10.18484/2305-0047.2021.4.470
  5. Butt NI, Ghoauri MSA, Waris U, Sabeh D, Qaisar F, Imran A. Prevalence of adhesive capsulitis in patients with type 2 diabetes mellitus: A single-center cross-sectional study from Pakistan. Cureus. 2024;16(10):e70675. PMID: 39493160. PMCID: PMC11530257. https://doi.org/10.7759/cureus.70675
  6. Максимова Н.В., Амосова М.В., Цветкова Е.С., Чуброва Н.А., Мельниченко Г.А. Адгезивный капсулит плечевого сустава («замороженное плечо») у пациентов с сахарным диабетом. Сахарный диабет. 2014;(4):16–24. [Maximova NV, Amosova MV, Tsvetkova ES, Chubrova NA, Melnichenko GA. Adhesive capsulitis of the shoulder joint (“frozen shoulder”) in patients with diabetes mellitus. Sakharnyy diabet = Diabetes Mellitus. 2014;(4):16–24 (In Russ.)]. EDN: THXEGP. https://doi.org/10.14341/DM2014416-24
  7. Нестеренко В.А., Каратеев А.Е., Архипов С.В., Макаров М.А., Макаров С.А., Бялик Е.И. с соавт. Варианты импинджмент-синдрома области плечевого сустава. Научно-практическая ревматология. 2023;61(1):120–128. [Nesterenko VA, Karateev AE, Arkhipov SV, Makarov MA, Makarov SA, Bialik EI et al. Variants of impingement syndrome of the shoulder joint. Nauchno-prakticheskaya revmatologiya = Scientific and Practical Rheumatology. 2023;61(1):120–128 (In Russ.)]. EDN: VOOSRR. https://doi.org/10.47360/1995-4484-2023-120-128
  8. Самарцев И.Н., Живолупов С.А., Емелин А.Ю., Рашидов Н.А., Бардаков С.Н. Современные представления о дифференциальной диагностике и лечении пациентов с болью в области плеча. РМЖ. 2017;25(9):564–571. [Samartsev IN, Zhivolupov SA, Emelin AYu, Rashidov NA, Bardakov SN. Modern concepts of differential diagnosis and treatment of patients with shoulder pain. Russkiy meditsinskiy zhurnal = Russian Medical Journal. 2017;25(9):564–571 (In Russ.)]. EDN: ZIEGUV.
  9. Michener LA, Heitzman J, Abbruzzese LD, Bondoc SL, Bowne K, Henning PT et al. Physical therapist management of glenohumeral joint osteoarthritis: A clinical practice guideline from the American Physical Therapy Association. Phys Ther. 2023;103(6):pzad041. PMID: 37115808. PMCID: PMC10256270. https://doi.org/10.1093/ptj/pzad041
  10. Урясьев О.М., Заигрова Н.К. Остеоартрит: патогенез, диагностика, лечение. Земский врач. 2016;(1–2):29–30. [Uryasev OM, Zaigrova NK. Osteoarthritis: Pathogenesis, diagnostics, therapy. Zemskiy vrach = Zemstvo Doctor. 2016;(1–2):29–30 (In Russ.)]. EDN: VWGTPB.
  11. [Sorensen AKB, Rasmussen JV, Olsen BS. Osteoarthritis of the shoulder, the elbow and the acromioclavicular joint. Ugeskr Laeger. 2020;182(42):V05200301 (In Danish)]. PMID: 33046190.
  12. Pojskic M, Bisson E, Oertel J, Takami T, Zygourakis C, Costa F. Lumbar disc herniation: Epidemiology, clinical and radiologic diagnosis WFNS spine committee recommendations. World Neurosurg X. 2024;22:100279. PMID: 38440379. PMCID: PMC10911853. https://doi.org/10.1016/j.wnsx.2024.100279
  13. Гришина Д.А., Супонева Н.А., Белова Н.В., Грозова Д.А. Брахиалгия: возможные причины болевого синдрома (обзор литературы). Нервно-мышечные болезни. 2019;(3):12–21. [Grishina DA, Suponeva NA, Belova NV, Grozova DA. Brachialgia: Possible causes of pain (literature review). Nervno-myshechnye bolezni = Neuromuscular Diseases. 2019;(3):12–21 (In Russ.)]. EDN: IFRCST. https://doi.org/10.17650/2222-8721-2019-9-3-12-21
  14. Черноволенко Е.П., Курушина О.В., Барулин А.Е. Нарушения миофасциальных взаимоотношений при синдроме ночной дизестезии рук. Российский журнал боли. 2013;(1):46–47. [Chernovolenko EP, Kurushina OV, Barulin AE. Myofascial relationship disorders in hand nocturnal dysesthesia syndrome. Rossiyskiy zhurnal boli = Russian Journal of Pain. 2013;(1):46–47 (In Russ.)]. EDN: RBXGTN.
  15. Сагдиев Р.Х., Дыдыкин С.С., Шапкин А.Г., Суфианов Р.А., Люлин С.В., Борзунов Д.Ю., Суфианов А.А. Эффективность невролиза плечевого сплетения под видеоэндоскопической ассистенцией при лечении брахиоплексопатий у взрослых. Гений ортопедии. 2023;29(1):7–11. [Sagdiev RH, Dydykin SS, Shapkin AG, Sufianov RA, Lyulin SV, Borzunov DYu, Sufianov AA. The effectiveness of endoscopic brachial plexus neurolysis in the treatment of brachial plexus palsy in adults. Genij ortopedii = Orthopaedic Genius. 2023;29(1):7–11 (In Russ.)]. EDN: AGNBKO. https://doi.org/10.18019/1028-4427-2023-29-1-7-11
  16. Reece CL, Varacallo MA, Dulebohn SC, Susmarski AJ. Suprascapular nerve injury. 2024. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 32644577.
  17. Архипов С.В., Лычагин А.В., Дрогин А.Р., Ключевский И.Н., Муханов В.В., Явлиева Р.Х. Туннельный синдром, (нейропатия) надлопаточного нерва. Кафедра травматологии и ортопедии. 2018;(2):87–98. [Arkhipov SV, Lychagin AV, Drogin AR, Kliuchevsky IN, Mukhanov VV, Yavlieva RCh. Impingement syndrome of the suprascapular nerve. Kafedra travmatologii i ortopedii = Department of Traumatology and Orthopedics. 2018;(2):87–98 (In Russ.)]. EDN: VMVPAU. https://doi.org/10.17238/issn2226-2016.2018.2.87-97
  18. Anwer S, Alghadir A. Incidence, prevalence, and risk factors of hemiplegic shoulder pain: A systematic review. Int J Environ Res Public Health. 2020;17(14):4962. PMID: 32660109. PMCID: PMC7400080. https://doi.org/10.3390/ijerph17144962
  19. Ансаров Х.Ш., Курушина О.В., Барулин А.Е., Куракова Е.А., Гордеева И.Е. Постинсультные артропатии, клиника, особенности лечения. Лекарственный вестник. 2017;11(1):28–31. [Ansarov HSh, Kurushina OV, Barulin AE, Kurakova EA, Gordeeva IE. Post-stroke arthropathies, clinical features, treatment features. Lekarstvennyy vestnik = Medicinal Bulletin. 2017;11(1):28–31 (In Russ.)]. EDN: WFSEJD.
  20. Мельникова Е.А., Морозов К.В., Рудь И.М. Боль в плече после инсульта: теоретические и практические аспекты диагностики, лечения и реабилитации. Доктор.Ру. 2018;(9):23–30. [Melnikova EA, Morozov KV, Rud IM. Post-stroke pain in shoulder: theoretical and practical aspects of diagnostics, therapy and rehabilitation. Doctor.Ru. 2018;(9):23–30 (In Russ.)]. EDN: VMCTDM. https://doi.org/10.31550/1727-2378-2018-153-9-23-30
  21. Дамулин И.В., Галаева А.А. Комплексный регионарный болевой синдром. Российский медицинский журнал. 2018;24(2):104–108. [Damulin IV, Galaeva AA. The complex regional pain syndrome. Rossiiskiy meditsinskiy zhurnal = Medical Journal of the Russian Federation, Russian journal. 2018;24(2):104–108 (In Russ.)]. https://doi.org/10.18821/0869-2106-2018-24-2-104-108
  22. Harden RN, Oaklander AL, Burton AW, Perez RS, Richardson K, Swan M et al.; Reflex Sympathetic Dystrophy Syndrome Association. Complex regional pain syndrome: Practical diagnostic and treatment guidelines, 4th edition. Pain Med. 2013;14(2):180–229. PMID: 23331950. https://doi.org/10.1111/pme.12033
  23. Lafrance S, Charron M, Dube MO, Desmeules F, Roy JS, Juul-Kristensen B et al. The efficacy of exercise therapy for rotator cuff-related shoulder pain according to the FITT principle: A systematic review with meta-analyses. J Orthop Sports Phys Ther. 2024;54(8):499–512. PMID: 38848304. https://doi.org/10.2519/jospt.2024.12453
  24. Weng Q, Goh SL, Wu J, Persson MSM, Wei J, Sarmanova A et al. Comparative efficacy of exercise therapy and oral non-steroidal anti-inflammatory drugs and paracetamol for knee or hip osteoarthritis: A network meta-analysis of randomised controlled trials. Br J Sports Med. 2023;57(15):990–96. PMID: 36593092. PMCID: PMC10423468. https://doi.org/10.1136/bjsports-2022-105898
  25. Coxib and traditional NSAID Trialists’ (CNT) Collaboration; Bhala N, Emberson J, Merhi A, Abramson S, Arber N, Baron JA et al. Vascular and upper gastrointestinal effects of NSAIDs: Meta-analysis of individual participant data. Lancet. 2013;382(9894):769–79. PMID: 23726390. PMCID: PMC3778977. https://doi.org/10.1016/s0140-6736(13)60900-9
  26. Ziradkar R, Best TM, Quintero D, Paultre K. Nonsteroidal anti-inflammatory and corticosteroid injections for shoulder impingement syndrome: A systematic review and meta-analysis. Sports Health. 2023;15(4):579–91. PMID: 35897160. PMCID: PMC10293554. https://doi.org/10.1177/19417381221108726
  27. Ансаров Х.Ш., Курушина О.В., Барулин А.Е., Гордеева И.Е. Основные методы лечения постинсультных болевых синдромов. Лекарственный вестник. 2016;10(1):30–34. [Ansarov HSh, Kurushina OV, Barulin AE, Gordeeva IE. Basic methods of treatment of post-stroke pain syndromes. Lekarstvennyy vestnik = Medicinal Bulletin. 2016;10(1):30–34 (In Russ.)]. EDN: WZUBLF
  28. Dube MO, Lafrance S, Charron M, Mekouar M, Desmeules F, McCreesh K et al. FITT Odyssey: A scoping review of exercise programs for managing rotator cuff-related shoulder pain. J Orthop Sports Phys Ther. 2024;54(8):513–29. PMID: 38832666. https://doi.org/10.2519/jospt.2024.12452

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Bionika Media, 2025