Koehler S M, Thorson D C
Oregon Health Sciences University, Portland, OR, USA.
Phys Sportsmed. 1996 Nov;24(11):39-50. doi: 10.3810/psm.1996.11.1287.
Shoulder pain caused by impingement of subacromial tissues is a common overuse injury in swimming, especially among adolescents who may have rigorous training schedules and be skeletally immature. A case of a 14-year-old girl with swimmer's shoulder demonstrates the diagnostic work-up, which involves pertinent history, inspection, palpation, and assessment of strength, impingement, and instability. Treatment focuses on icing, relative rest, physical therapy, and modifying the swimming workout to reduce overuse and impingement.
肩峰下组织撞击引起的肩部疼痛是游泳中常见的过度使用损伤，尤其是在青少年中，他们可能有严格的训练计划且骨骼未发育成熟。一名14岁患游泳者肩的女孩的病例展示了诊断过程，包括相关病史、检查、触诊以及力量、撞击和稳定性评估。治疗重点是冰敷、相对休息、物理治疗以及调整游泳训练以减少过度使用和撞击。
