Hermann B, Steiner D, von Torklus D
Orthopädische Klinik Eppendorf.
Fortschr Med. 1990 Jul 10;108(20):397-9.
The most common manifestation of periarthritis of the shoulder is the chronic impingement syndrome, which represents an "entrapment situation". When the arm is raised, the supraspinatus tendon that forms part of the rotator cuff, comes into contact with the coracoacromial arch. The complains can often be improved by conservative treatment. If, however, the problem persists--in about 10 to 20% of the cases--surgical decompression of the coracoacromial arch by resecting the coracoacromial ligament and the subacromial bursa is indicated. This limited intervention carries only a low risk and, as studies have shown, has such a high rate of success that, in the individual case, the indication for surgery can be established earlier than has so far been assumed.
肩周炎最常见的表现是慢性撞击综合征，这是一种“卡压情况”。当手臂抬起时，构成肩袖一部分的冈上肌腱会与喙肩弓接触。这些症状通常可以通过保守治疗得到改善。然而，如果问题持续存在——约10%至20%的病例会出现这种情况——则需要通过切除喙肩韧带和肩峰下囊对喙肩弓进行手术减压。这种有限的干预措施风险较低，而且正如研究所示，成功率很高，以至于在个别病例中，手术指征可以比迄今为止所认为的更早确定。
