Mansat M
Service de chirurgie orthopédique et traumatologique, CHU Purpan, Toulouse.
Rev Prat. 1990 Apr 11;40(11):1003-7.
The subacromial joint is an area which is particularly predisposed to chronic tendon deterioration. Rupture of the rotator cuff is usually the ultimate stage of a pathology that has been present for several decades. The so-called chronic impingement syndrome is generally part of a regional pathology of the shoulder, where it is associated with lesions of the biceps long head and of the acromioclavicular joint. Surgery is indicated only when a well-conducted conservative treatment has failed, in subjects with major functional handicap and after a thorough assessment of the lesions. Pre- and postoperative rehabilitation is of considerable importance as part of the overall management.
肩峰下关节是一个特别容易发生慢性肌腱退变的区域。肩袖撕裂通常是一种已经存在数十年的病理状态的最终阶段。所谓的慢性撞击综合征通常是肩部区域病理的一部分，它与肱二头肌长头和肩锁关节的病变相关。仅在经过充分的保守治疗失败、患者存在严重功能障碍且对病变进行全面评估之后，才考虑手术治疗。术前和术后康复作为整体治疗的一部分具有相当重要的意义。
