Clark Russell J, Marchessault Jeffrey, Sizer Phillip S, Slauterbeck James
Department of Orthopedics, Texas Tech University School of Medicine, Lubbock, USA.
J Am Board Fam Pract. 2002 Jul-Aug;15(4):304-8.
Although rotator cuff tears are well documented in the literature, there have been relatively few reported cases of isolated subscapularis tears. To our knowledge, no case has been reported that describes an isolated subscapularis tear in a woman without anterior shoulder dislocation or bony avulsion.
This report outlines the case of a healthy 46-year-old woman with no history of shoulder problems who sustained injury to her right shoulder while hanging a light fixture. We highlight several key points to early diagnosis and underscore operative management for a successful outcome.
Isolated subscapularis tendon ruptures are uncommon in women. Increased vigilance during the history and physical examination is necessary to detect these injuries. Subscapularis tendon ruptures are commonly mistaken for degenerative rotator cuff tears or subacromial impingement syndrome. The lift-off test can isolate a subscapularis injury. Pertinent radiographic and magnetic resonance imaging findings are described.
尽管肩袖撕裂在文献中有充分记载，但孤立的肩胛下肌撕裂的报道病例相对较少。据我们所知，尚无报道描述在没有肩关节前脱位或骨质撕脱的女性中发生孤立的肩胛下肌撕裂的病例。
本报告概述了一名46岁健康女性的病例，该女性无肩部问题病史，在悬挂灯具时右肩受伤。我们强调了早期诊断的几个关键点，并强调手术治疗以获得成功结果。
孤立的肩胛下肌腱断裂在女性中并不常见。在病史采集和体格检查过程中提高警惕对于发现这些损伤很有必要。肩胛下肌腱断裂常被误诊为退行性肩袖撕裂或肩峰下撞击综合征。抬起试验可明确肩胛下肌损伤。描述了相关的影像学和磁共振成像结果。
