Therapy Department, Chelsea and Westminster NHS Healthcare, 369 Fulham Road, London SW10 9NH, UK.
Br J Sports Med. 2009 Apr;43(4):236-41. doi: 10.1136/bjsm.2008.052175. Epub 2008 Sep 18.
A review was conducted to synthesise the available research literature on the pathogenesis of rotator cuff tendinopathy.
Musculoskeletal disorders of the shoulder are extremely common, with reports of prevalence ranging from one in three people experiencing shoulder pain at some stage of their lives to approximately half the population experiencing at least one episode of shoulder pain annually. Pathology of the soft tissues of the shoulder, including the musculotendinous rotator cuff and subacromial bursa, is a principal cause of pain and suffering.
The pathoaetiology of rotator cuff failure is multifactorial and results from a combination of intrinsic, extrinsic and environmental factors. The specialised morphology of the rotator cuff, together with the effects of stress shielding, may contribute to the development of rotator cuff tendinopathy. Profound changes within the subacromial bursa are strongly related to the pathology and resulting symptoms. A considerable body of research is necessary to more fully understand the aetiology and pathohistology of rotator cuff tendinopathy and its relationship with bursal pathology. Once this knowledge exists more effective management will become available.
对肩袖肌腱病发病机制的现有研究文献进行综述。
肩部肌肉骨骼疾病极为常见，据报道，患病率从三分之一的人在其一生中的某个阶段经历过肩部疼痛到约一半的人每年至少经历一次肩部疼痛不等。肩部软组织的病理学，包括肩袖肌肉肌腱和肩峰下滑囊，是疼痛和不适的主要原因。
肩袖失败的病理生理学是多因素的，是内在、外在和环境因素共同作用的结果。肩袖的特殊形态结构，加上应力遮挡的影响，可能导致肩袖肌腱病的发展。肩峰下滑囊内的深刻变化与病理学和由此产生的症状密切相关。需要大量的研究来更全面地了解肩袖肌腱病的病因和病理组织学及其与滑囊病理学的关系。一旦有了这些知识，就可以提供更有效的治疗方法。
