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喙突撞击综合征:一种可治疗的肩部前方疼痛病因。

Coracoid impingement syndrome: a treatable cause of anterior shoulder pain.

作者信息

Roche S J, Kennedy M T, Butt A J, Kaar K

机构信息

Dept of Orthopaedic Surgery, Merlin Park Regional Hospital, Galway.

出版信息

Ir J Med Sci. 2006 Jul-Sep;175(3):57-61. doi: 10.1007/BF03169174.

Abstract

BACKGROUND

Coracoid Impingement Syndrome is a relatively uncommon but generally treatable cause of anterior shoulder pain that can be easily overlooked. It typically presents with anterior shoulder joint pain in activities involving forward flexion, adduction and internal rotation.

AIMS

To assess the outcome of a cohort of patients diagnosed with Coracoid Impingement Syndrome.

METHODS

Patients were investigated clinically and radiologically. They received appropriate therapeutic measures and were followed-up in an orthopaedic outpatient setting.

RESULTS

Twelve patients were identified over a four-year period. All patients have made good progress. Thus far, none have needed operative intervention for symptom relief.

CONCLUSION

Coracoid impingement syndrome is an uncommon cause of anterior shoulder pain but diagnosed patients can expect good symptomatic relief following referral to a dedicated shoulder unit. An increase in clinical awareness of the condition may prevent undue diagnostic delay in such cases.

摘要

背景

喙突撞击综合征是引起肩部前方疼痛的一个相对不常见但通常可治疗的病因,很容易被忽视。它通常在涉及前屈、内收和内旋的活动中出现肩关节前方疼痛。

目的

评估一组被诊断为喙突撞击综合征患者的治疗结果。

方法

对患者进行临床和影像学检查。他们接受了适当的治疗措施,并在骨科门诊进行随访。

结果

在四年期间共确定了12例患者。所有患者均取得良好进展。迄今为止,无人因症状缓解而需要手术干预。

结论

喙突撞击综合征是引起肩部前方疼痛的罕见病因,但确诊患者转诊至专门的肩部治疗科室后,有望获得良好的症状缓解。提高对此病的临床认识可能会避免此类病例的诊断延误。

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