Thurner Michael S, Donatelli Robert A, Bascharon Randa
Physiotherapy Associates Orthopedic & Sports Center, Las Vegas, NV, USA.
Orthopedic & Sports Medicine Institute of Las Vegas, Las Vegas, NV, USA.
Int J Sports Phys Ther. 2013 Dec;8(6):871-82.
Dysfunction of the subscapularis muscle is introduced in this case report as a potential factor for consideration in the etiology and/or consequential sequelae of subacromial impingement syndrome. Although dysfunction of the supraspinatus and infraspinatus are implicated as being most commonly involved with subacromial impingement pathology, the subscapularis is often overlooked and therefore undertreated. Identifying the subscapularis' potential involvement in patients with subacromial impingement pathology may offer insight into shoulder impingement dysfunction and injury treatment options available to specifically address subscapularis dysfunction. In this manuscript, a case report is presented to highlight the signs and symptoms of subscapularis pathology concordant with subacromial impingement syndrome and provide a clinical rationale for treatment. The purpose of this case report is not to suggest a new approach to shoulder rehabilitation, but rather to prompt the consideration of subscapularis dysfunction when evaluating and treating patients with subacromial impingement pathology.
本病例报告介绍了肩胛下肌功能障碍，作为肩峰下撞击综合征病因和/或后续后遗症中一个需要考虑的潜在因素。虽然冈上肌和冈下肌功能障碍被认为是最常与肩峰下撞击病理相关的因素，但肩胛下肌常常被忽视，因此治疗不足。确定肩胛下肌在肩峰下撞击病理患者中的潜在参与情况，可能有助于深入了解肩部撞击功能障碍，并为专门解决肩胛下肌功能障碍的损伤治疗选择提供思路。在本手稿中，呈现了一个病例报告，以突出与肩峰下撞击综合征相符的肩胛下肌病理的体征和症状，并提供治疗的临床依据。本病例报告的目的不是提出一种新的肩部康复方法，而是在评估和治疗肩峰下撞击病理患者时，促使人们考虑肩胛下肌功能障碍。
5级。
