Ellen M I, Gilhool J J, Rogers D P
Department of Physical Medicine and Rehabilitation, Hospital of the University of Pennsylvania, Philadelphia, USA.
Phys Med Rehabil Clin N Am. 2000 Nov;11(4):755-70.
Scapular instability may be the result of a variety of casues of which the clinician should be made aware. Work-up should include an initial radiographic evaluation and may require more in-depth investigation. Treatment should be prescribed dependent on the underlying diagnosis. In most cases, instability about the scapula can be treated with a careful plan of exercises to strengthen the involved musculature. It may take upwards of 12 to 18 months to achieve adequate results. Nonoperative failures may need to be treated with surgical techniques including nerve dissection and reconstruction with muscle flaps.
肩胛不稳定可能由多种原因引起，临床医生应了解这些原因。检查应包括初步的影像学评估，可能还需要更深入的调查。治疗应根据潜在诊断来制定。在大多数情况下，肩胛周围的不稳定可以通过精心设计的锻炼计划来治疗，以加强受累肌肉组织。可能需要12至18个月以上才能取得足够的效果。非手术治疗失败可能需要采用手术技术，包括神经解剖和肌瓣重建。
