Lanham Nathan S, Swindell Hasani W, Levine William N
Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY.
JBJS Rev. 2021 Nov 10;9(11):01874474-202111000-00007. doi: e21.00110.
»: The subacromial bursa is a distinct anatomic structure with distinct histologic features; it plays a critical role in the symptoms of the painful shoulder and in the local healing capacity of the rotator cuff tendon.
»: Treatment of pain from bursitis of the subacromial bursa largely involves nonoperative interventions; however, operative treatment may be considered in certain instances.
»: Preservation of the subacromial bursa should occur whenever possible given its intrinsic trophic and pluripotent factors, which have been shown to play important roles in rotator cuff tendon pathology.
»: 肩峰下囊是一种具有独特组织学特征的独特解剖结构;它在肩部疼痛症状以及肩袖肌腱的局部愈合能力方面起着关键作用。
»: 肩峰下囊炎疼痛的治疗主要涉及非手术干预;然而,在某些情况下可考虑手术治疗。
»: 鉴于肩峰下囊本身具有的营养和多能因子,已证明这些因子在肩袖肌腱病变中发挥重要作用,应尽可能保留肩峰下囊。