Beirer M, Imhoff A B, Braun S
Abteilung für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, 81675, München, Deutschland.
Orthopade. 2017 Apr;46(4):373-386. doi: 10.1007/s00132-017-3402-x.
In addition to tears of the rotator cuff, isolated impingement syndrome of the shoulder is the most common diagnosis in shoulder disorders. This is of high relevance in orthopedic sports medicine. In fact, impingement of the shoulder is not the diagnosis but rather a symptom of a functional or even a structural pathology. Detailed knowledge about the different types of impingement and the underlying causes is essential to provide adequate treatment. Primarily, impingement of the shoulder should be treated nonoperatively. However, if there is no clinical improve despite adequate conservative treatment, there is usually a structural pathology which cannot be adequately compensated for and surgical treatment may be necessary. In the case of severe structural pathologies, such as a full-thickness tear of the rotator cuff, a subsequent surgical treatment may be indicated.
除了肩袖撕裂外，孤立性肩部撞击综合征是肩部疾病中最常见的诊断。这在骨科运动医学中具有高度相关性。事实上，肩部撞击并非一种诊断，而是一种功能甚至结构病理学的症状。了解不同类型的撞击及其潜在原因的详细知识对于提供适当的治疗至关重要。首先，肩部撞击应采用非手术治疗。然而，如果经过充分的保守治疗后仍无临床改善，通常存在无法充分代偿的结构病理学问题，可能需要进行手术治疗。对于严重的结构病理学问题，如肩袖全层撕裂，可能需要进行后续的手术治疗。
