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肩部不稳定的病史与体格检查

History and Physical Examination for Shoulder Instability.

作者信息

Haley Col Chad A

机构信息

Department of Surgery, Keller Army Community Hospital, West Point, NY.

出版信息

Sports Med Arthrosc Rev. 2017 Sep;25(3):150-155. doi: 10.1097/JSA.0000000000000154.

Abstract

Glenohumeral instability frequently occurs in young active individuals especially those engaged in athletic and military activities. With advanced imaging and arthroscopic evaluation, our understanding of the injury patterns associated with instability has significantly improved. The majority of instability results from a traumatic anterior event which presents with common findings in the history, examination, and imaging studies. As such, a comprehensive evaluation of the patient is important to correctly diagnose the instability patterns and thus provide appropriate treatment intervention. With the correct diagnosis and improved surgical techniques, the majority of patients with instability can return to preinjury levels.

摘要

肩肱关节不稳常见于年轻的活跃人群,尤其是从事体育和军事活动的人。随着先进成像技术和关节镜评估的发展,我们对与不稳相关的损伤模式的理解有了显著提高。大多数不稳是由创伤性前部事件引起的,这在病史、体格检查和影像学研究中有常见表现。因此,对患者进行全面评估对于正确诊断不稳模式并从而提供适当的治疗干预很重要。通过正确的诊断和改进的手术技术,大多数不稳患者可以恢复到受伤前的水平。

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