Nadler Scott F, Sherman Andrew L, Malanga Gerard A
Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School, 90 Bergen Street, Suite 3100, Newark, NJ 07103, USA.
Phys Med Rehabil Clin N Am. 2004 Aug;15(3):vi, 607-26. doi: 10.1016/j.pmr.2004.01.003.
This article reviews basic shoulder anatomy and biomechanics and discusses the impact these have on the etiology of shoulder injuries in sports. Four types of sport activities lead to shoulder injuries:muscle and tendon overuse, acute tears of the dynamic stabilizers,impingement and overuse injury. Most shoulder injuries initially are treated nonoperatively with rehabilitation. Rehabilitation protocols are successful in most patients. This article also discusses why postoperative rehabilitation is vital to the ultimate success of patients who require operative treatment.
本文回顾了肩部的基本解剖结构和生物力学,并探讨了这些因素对运动中肩部损伤病因的影响。四种类型的体育活动会导致肩部损伤:肌肉和肌腱过度使用、动态稳定器的急性撕裂、撞击和过度使用损伤。大多数肩部损伤最初采用康复治疗而非手术治疗。康复方案对大多数患者都很成功。本文还讨论了为什么术后康复对于需要手术治疗的患者最终取得成功至关重要。