粘连性肩关节囊炎（adhesive capsulitis）.docVIP

粘连性肩关节囊炎（adhesive capsulitis） adhesive capsulitis Disease overview: Periarthritis of shoulder, referred to as frozen shoulder, also known as frozen shoulder, adhesive synovitis, Fifty shoulder.. Refers to shoulder pain and limited motion, but no structural changes in the lesions. The symptoms progress slowly, develop to a certain extent and gradually disappear gradually, and finally recover completely. Pathological description: [] the main pathological pathological changes in joint capsule composed of fibers on the antecedents of the inflammatory process with unknown causes, gradually involving the joint capsule, synovial membrane, covering the shoulder muscles, fascia, tendon, and subacromial bursa. In the early stage, the contracture of joint capsule and the decrease of joint space, the degeneration of collagen fiber, the increase of blood vessel and the thickening of cyst wall, and the fibrosis of synovial tissue lead to the loss of elasticity and contraction of the tissue. A tear of adhesions (resulting in pain) when the head of the humerus is abduction or rotation. In the latter part of the coracohumeral ligament thickening, supraspinatus, muscle contracture, tension, fibrosis, pulled the humeral head, the shoulder is further restricted, capsular contracture by humeral head, synovial thickening, synovial recess is packing; subacromial bursa wall thickening, sac was filled with dense adhesions, will the rotator cuff tied on the shoulder. In severe cases, the tendon of the two biceps tendon also produces pathological changes. It is manifested by the adhesion of tendon to the tendon sheath, and even the rupture of the two tendon of the spontaneous humeral head, and its broken end is often fixed on the humerus itself. In general, if the longer course, all around the joint capsule tissue eventually all involved, followed by the slow progress, the severity of a variety of organizations and inconsistent, and the process is reversible, therefore, the range and degree o