肩袖钙化性肌腱病的临床特征:范围综述

Federico Guido, Davide Venturin, Andrea De Santis, G. Giovannico, F. Brindisino
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摘要

本综述的主要目的是突出肩袖钙化性肌腱病(RCCT)患者的临床特征,以确定和绘制该病症的临床标准,从而能够在进行影像学检查之前对该病症做出假设。我们查阅了截至 2023 年 1 月的四个数据库。所获得的结果按照 PRISMA-ScR 进行报告,并将乔安娜-布里格斯研究所审稿人手册作为进行综述的指南。没有时间和地域限制。共发现 851 条记录,其中 50 项研究符合纳入标准。患有 RCCT 的受试者大多报告了夜间自发的急性剧烈疼痛。症状多为单侧。受试者多为女性,年龄在 30 至 60 岁之间。据报告,受试者的主动和被动活动范围均有缺陷,主要表现为外展和前屈。内分泌和代谢紊乱被描述为合并症,尤其是糖尿病和甲状腺疾病。在此次范围界定审查中,发现了最相关的 RCCT 临床特征。这些可预测肩关节 RCCT 的临床标准对于帮助所有临床医生及早、准确地怀疑这种肌肉骨骼疾病至关重要,从而可提供适当、及时的诊断途径。III.
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Clinical features in rotator cuff calcific tendinopathy: A scoping review
The main goal of this scoping review is to highlight the clinical features of subjects with rotator cuff calcific tendinopathy (RCCT), in order to identify and map this condition clinical criteria, and thus to be able to hypothesize such pathology before imaging investigations. Four databases were consulted up to January 2023. The obtained results were reported following the PRISMA-ScR and the Joanna Briggs Institute reviewer's manual was used as guideline for conducting the review. No time and geographical restrictions were applied. A total of 851 records have been identified, with 50 studies meeting the inclusion criteria. Subjects with RCCT mostly reported nightly, acute and severe pain with spontaneous onset. Symptoms were mostly unilateral. Subjects were mostly women aged between 30 and 60. Deficit in active and passive range of motion was reported, mainly during abduction and forward flexion. Endocrine and metabolic disorders were described as comorbidity, in particular diabetes and thyroid disorders. In this scoping review, the most relevant RCCT clinical features were detected. These clinical criteria, predictive for shoulder RCCT, can be crucial to help all clinicians suspect this musculoskeletal disease early and with certainty, thus allowing for an appropriate and prompt diagnosis path. III.
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