[Conservative treatment of the painful shoulder. Review of the literature].
Painful shoulder is due to several diseases. The most frequent presentation is the so-called shoulder periarthritis. This entity includes lesions and functional disturbances of paraarticular tissues: tendons, ligaments, synovial bursae. The review of the studies concerning the treatment is disappointing because a too low quality in term of definition of the pathologies studied, heterogeneity of the populations and lack of long term evaluations. Anti-inflammatory drugs seem to have a poor efficacy. In contrast, the corticosteroids injections are useful, with an increase of efficacy when made under control of ultrasonography or fluoroscopy. Rehabilitation could be useful but data are too preliminary to permit conclusions. Finally, no study was found to help us to evaluate the interest of an association of different therapeutical methods.
Hauzeur
J Ph
JP
Service de Rhumatologie, CHU Sart-Tilman, Liège.
D006801:Humans; D010489:Periarthritis / Q000150:complications / Q000628:therapy*; D012785:Shoulder Joint; D020069:Shoulder Pain / Q000209:etiology