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肩部超声在运动员肩胛上神经病变诊断中的应用

Shoulder Ultrasound in the Diagnosis of the Suprascapular Neuropathy in Athletes.

作者信息

Igielska-Bela Barbara, Baczkowski Bogusław, Flisikowski Karol

机构信息

Department of Orthopedic, Specialist Hospital in Koscierzyna, ul.Piechowskiego 36, 83-400 Kościerzyna, Poland.

II Clinic of Orthopedy, Medical University of Gdansk, Gdansk Poland.

出版信息

Open Med (Wars). 2020 Mar 6;15:147-151. doi: 10.1515/med-2020-0022. eCollection 2020.

Abstract

PURPOSE

Shoulder pain and weakness are common symptoms in athletes who play sports connected with overhead throwing. Suprascapular neuropathy may be one of the reason of such signs.The aim of the study was to find out if ultrasound examination of the shoulder in athletes reveals signs of suprascapular neuropathy.

METHODS

This was a cross-sectional study in which 67 professional volleyball, handball and rugby players of polish teams without shoulder disorders, which have played sport for 10 or more years, were included. An ultrasound examination of both shoulders was performed. Excluding criteria were recent shoulder and/or neck trauma and neurological disorders.

RESULTS

No ultrasound signs of suprascapular neuropathy were seen in any player. The only finding was enthesopathy of supraspinatus muscle and this finding was connected with athletes' age, type of sport and with dominant hand. It had statistical significance with p-value respectively 0.01 for athletes' age, 0.0208 for sport type and 0.03 for dominant hand.

CONCLUSIONS

Ultrasonography should not be used as the screening examination of shoulders in athletes, but it can sometimes be an additional tool to help to diagnose shoulder disorders.

摘要

目的

肩痛和无力是从事与过顶投掷相关运动的运动员的常见症状。肩胛上神经病变可能是这些症状的原因之一。本研究的目的是确定对运动员肩部进行超声检查是否能发现肩胛上神经病变的迹象。

方法

这是一项横断面研究,纳入了67名波兰球队的职业排球、手球和橄榄球运动员,他们没有肩部疾病,从事该项运动10年或更长时间。对双侧肩部进行了超声检查。排除标准为近期肩部和/或颈部创伤以及神经疾病。

结果

所有运动员均未发现肩胛上神经病变的超声迹象。唯一的发现是冈上肌附着点病,这一发现与运动员的年龄、运动类型和优势手有关。其具有统计学意义,运动员年龄的p值分别为0.01,运动类型的p值为0.0208,优势手的p值为0.03。

结论

超声检查不应作为运动员肩部的筛查方法,但有时可作为辅助诊断肩部疾病的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc65/7065423/77b878ad38ac/med-15-147-g001.jpg

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