一名25岁女子垒球运动员的肩部内部紊乱与骨关节炎
Shoulder Internal Derangement and Osteoarthritis in a 25-Year-Old Female Softball Athlete.
作者信息
Cornelson Stacey M, Hogarth William, Ault Daniel L, Kettner Norman W
机构信息
Radiology Resident, Department of Radiology, Logan University, Chesterfield, MO.
Clinician-Associate Professor, Clinical Science, Logan University, Chesterfield, MO.
出版信息
J Chiropr Med. 2016 Jun;15(2):134-8. doi: 10.1016/j.jcm.2016.04.012. Epub 2016 May 26.
OBJECTIVE
The purpose of this report is to describe osteoarthritis and internal derangement of the shoulder in a collegiate softball player.
CLINICAL FEATURES
A 25-year-old female softball athlete presented with a history of chronic right shoulder pain. A thorough clinical examination and multiple imaging studies were performed. Osteoarthritis was demonstrated on radiographs, and ligamentous and rotator cuff tendon tears were displayed on magnetic resonance imaging. The patient's treatment plan included full spine manipulation, cold laser therapy, kinesiotaping, stretching, and neuromuscular reeducation of the right shoulder.
INTERVENTIONS AND OUTCOMES
The patient reported a decrease in symptoms after 1 month, although treatment was sporadic because of poor patient compliance.
CONCLUSION
Osteoarthritis and internal derangement may occur in overhead-throwing athletes, and correct imaging is needed for timely and accurate diagnoses. Following a timely diagnosis, the young patient in this case had a good recovery with multimodal chiropractic care.
目的
本报告旨在描述一名大学垒球运动员的骨关节炎和肩部内部紊乱情况。
临床特征
一名25岁的女性垒球运动员，有慢性右肩疼痛病史。进行了全面的临床检查和多项影像学检查。X线片显示有骨关节炎，磁共振成像显示有韧带和肩袖肌腱撕裂。患者的治疗方案包括全脊柱推拿、冷激光治疗、肌内效贴布、拉伸以及右肩的神经肌肉再训练。
干预措施及结果
患者在1个月后报告症状有所减轻，不过由于患者依从性差，治疗并不规律。
结论
过头投掷运动员可能会出现骨关节炎和内部紊乱，需要正确的影像学检查来及时、准确地进行诊断。经过及时诊断，该病例中的年轻患者通过多模式整脊治疗恢复良好。
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