nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2017-1-4-10nnp-690Research ArticleLECTURESЛЕКЦИЯScapulohumeral periarthritisПлечелопаточный периартрозИсайкинА. И.IsaikinA. I.

Кафедра нервных болезней и нейрохирургии и Клиника нервных болезней им. А.Я. Кожевникова

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery and A.Ya. Kozhevnikov Clinic of Nervous System Diseases

11, Rossolimo St., Moscow 119021

alexisa68@mail.ruИвановаМ. А.IvanovaM. A.

Кафедра нервных болезней и нейрохирургии

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Moscow 119021

ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России, Москва, РоссияРоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaRussian Federation20172703201791410Copyright © Isaikin A.I., Ivanova M.A., 20172017Исайкин А.И., Иванова М.А.Isaikin A.I., Ivanova M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/690

Periarthritis of the shoulder joint is the most common cause of humeroscapular pain. The term “scapulohumeral periarthritis” encompasses injuries of both the muscles and the joint capsule proper. It is more justified to differentiate periarticular lesions from rotator cuff pathology and injury of the capsule proper (frozen shoulder) in daily clinical practice. The diagnosis is generally based on clinical data. Medical therapy is effective in the vast majority of cases; surgery is performed as specially indicated. The best results are yielded by combination treatment for scapulohumeral periarthrosis, which encompasses pharmacotherapy (nonsteroidal anti-inflammatory drugs, periarticular injection of glucocorticoids and local anesthetics) and non-pharmacological therapies (manual therapy with high-amplitude joint mobilization, post-isometric relaxation, and active exercises).

Наиболее частой причиной боли в плечелопаточной области является периартроз плечевого сустава. Термин «плечелопаточный периартроз» объединяет поражения как мышц, так и собственно капсулы сустава. В повседневной клинической практике более обосновано разграничение периартикулярных поражений на патологию вращающей манжеты (rotator cuff pathology) и поражение собственно капсулы (frozen shoulder). Диагноз ставится на основании клинических данных. В подавляющем большинстве случаев эффективна консервативная терапия, по особым показаниям выполняют хирургическое вмешательство. Лучшие результаты дает комплексное лечение, включающее фармакотерапию (нестероидные противовоспалительные препараты, периартикулярное введение глюкокортикоидов и местных анестетиков) и немедикаментозные методы (мануальная терапия с высокоамплитудной мобилизацией сустава, постизометрическая релаксация, активная гимнастика).

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The authors declare that there are no conflicts of interest present.