Frozen Shoulder

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Techniques in Vascular and Interventional Radiology Pub Date : 2023-03-01 DOI:10.1016/j.tvir.2022.100882

Ana María Fernández Martínez MD, PhD, David Romero Alonso, Sebastian Baldi, Oscar Balboa Arregui, Maria Teresa Cuesta Marcos

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引用次数: 0

Abstract

Adhesive capsulitis (AC) develops spontaneously without a known cause and is a common cause of painful shoulder. The natural history of AC can last until 36 months and it is classically considered a self-limiting entity, however there is a high rate of refractory cases to conventional treatment with residual deficits during years. There is no consensus on the therapeutic guidelines to be followed in patients with AC. Several authors have pointed out the relevance of hypervascularization of the capsule in the pathophysiology of AC, that is why the objective of transarterial embolization (TAE) is to decrease the abnormal vascularization responsible for the inflammatory-fibrotic state that occurs in AC. TAE has now emerged as a therapeutic option in refractory patients. We describe the most important technical aspects of TAE and review the current literature on arterial embolization as a treatment for AC.

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冻结肩

粘连性囊炎(AC)自发发展，没有一个已知的原因，是常见的原因，疼痛的肩膀。AC的自然病程可以持续到36个月，通常被认为是一种自限性的疾病，然而，在多年的时间里，传统治疗的难治性病例的残留缺陷率很高。对于AC患者应遵循的治疗指南尚未达成共识。几位作者指出了AC病理生理学中胶囊血管扩张的相关性，这就是为什么经动脉栓塞(TAE)的目的是减少导致AC炎症-纤维化状态的异常血管扩张。TAE现在已成为难治性患者的治疗选择。我们描述了TAE最重要的技术方面，并回顾了动脉栓塞作为AC治疗的当前文献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.