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肩部松弛度测试:综述

Laxity testing of the shoulder: a review.

作者信息

Bahk Michael, Keyurapan Ekavit, Tasaki Atsushi, Sauers Eric L, McFarland Edward G

机构信息

Division of Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, MD 21224-2780, USA.

出版信息

Am J Sports Med. 2007 Jan;35(1):131-44. doi: 10.1177/0363546506294570. Epub 2006 Nov 27.

Abstract

Laxity testing is an important part of the examination of any joint. In the shoulder, it presents unique challenges because of the complexity of the interactions of the glenohumeral and scapulothoracic joints. Many practitioners believe that laxity testing of the shoulder is difficult, and they are unclear about its role in evaluation of patients. The objectives of the various laxity and instability tests differ, but the clinical signs of such tests can provide helpful information about joint stability. This article summarizes the principles of shoulder laxity testing, reviews techniques for measuring shoulder laxity, and evaluates the clinical usefulness of the shoulder laxity tests. Shoulder laxity evaluation can be a valuable element of the shoulder examination in patients with shoulder pain and instability.

摘要

松弛度测试是任何关节检查的重要组成部分。在肩部,由于盂肱关节和肩胛胸壁关节相互作用的复杂性,它带来了独特的挑战。许多从业者认为肩部松弛度测试很难,并且他们不清楚其在患者评估中的作用。各种松弛度和不稳定测试的目的各不相同,但此类测试的临床体征可以提供有关关节稳定性的有用信息。本文总结了肩部松弛度测试的原则,回顾了测量肩部松弛度的技术,并评估了肩部松弛度测试的临床实用性。肩部松弛度评估可以成为肩部疼痛和不稳定患者肩部检查的一个有价值的要素。

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