Donuk omuz: Tanı-tedavi
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Date
2014-01-22
Authors
Şahin, Namıl
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
Donuk omuz sık karşılaşılan ve ağrı, eklem kapsülünde fibrozis ve kontraktürle omuz ekleminin aktif ve pasif harekelerinde kayıp ile karak terize bir hastalıktır. Kapsüler kontraktürün histolojik ve makroskopik özellikleri aydınlatılmış fakat altta yatan patolojik süreç tam olarak anlaşılamamıştır. Predispozan bir faktör olmadan oluşabileceği gibi, diyabet başta olmak üzere sistemik hastalıklarla veya omuz çevresi hastalılarına sekonder olarak ta gelişebilir. Tanıda hikaye ve fizik muayene yeterlidir. Ağrının karakteristik özelliği ve omuz ekleminde dış rotasyon kısıtlılığının görülmesi ile tanı konur. Görüntüleme yöntemleri yetersiz kalmakla beraber son yıllarda MR görüntülerinde tanıyı doğrulayacak kriterler tanımlanmıştır. Hastaların çoğu aktif- pasif germe egzersizlerinden fayda görmekle beraber 6 ay süre ile konservatif tedaviye yanıt vermeyen hastalarda genel anestezi altında manüplasyon, artroskopik – açık gevşetme ameliyatları uygulanmaktadır.
Frozen shoulder is a common disease characterized with pain, fibrosis and contracture at the joint capsule and loss of active and passive movements of the shoulder joint. Even though the capsular contracture is histologically and macroscopically enlightened, pathological background of the syndrome could not be understood clearly. Frozen shoulder might be seen without observing any predispositional factor or can primarily be diagnosed on people with systemic diseases such as diabetes mellitus or secondarily who suffered shoulder related symp toms before. Physical control and patients background information check is enough during the examination. It is diagnosed with the charac teristic feature of pain and the external rotation limitation of the shoulder joint. Although imagining methods remain incapable, in recent years the criteria on MRI are defined to confirm the diagnosis. Most patients benefit from active- passive stretching exercises, though the patients who did not go through conservative treatment for six months need to be treated surgically as manipulation under anesthesia and arthroscopic – open surgical release.
Frozen shoulder is a common disease characterized with pain, fibrosis and contracture at the joint capsule and loss of active and passive movements of the shoulder joint. Even though the capsular contracture is histologically and macroscopically enlightened, pathological background of the syndrome could not be understood clearly. Frozen shoulder might be seen without observing any predispositional factor or can primarily be diagnosed on people with systemic diseases such as diabetes mellitus or secondarily who suffered shoulder related symp toms before. Physical control and patients background information check is enough during the examination. It is diagnosed with the charac teristic feature of pain and the external rotation limitation of the shoulder joint. Although imagining methods remain incapable, in recent years the criteria on MRI are defined to confirm the diagnosis. Most patients benefit from active- passive stretching exercises, though the patients who did not go through conservative treatment for six months need to be treated surgically as manipulation under anesthesia and arthroscopic – open surgical release.
Description
Keywords
Donuk omuz, Manüplasyon, Adesiv kapsulit, Interskalen anestezi, Frozen shoulder, Manipulation, Adhesive capsulitis, Interscalene anesthesia
Citation
Atıcı, T. vd. (2013). "Donuk omuz: Tanı-tedavi". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 39(3), 211-218.