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[肩胛下肌腱损伤的解剖学与诊断]

[Anatomy and diagnostics of subscapularis tendon lesions].

作者信息

Endell David, Child Christopher, Freislederer Florian, Moroder Philipp, Scheibel Markus

机构信息

Klinik für Schulter- und Ellbogenchirurgie, Schulthess Klinik Zürich, Lengghalde 2, 8008, Zürich, Schweiz.

Centrum für Muskuloskeletale Chirurgie (CMSC), Charité - Universitätsmedizin Berlin, Berlin, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2022 Aug;125(8):647-658. doi: 10.1007/s00113-022-01207-7. Epub 2022 Jul 11.

Abstract

Among lesions of the rotator cuff, subscapularis tendon tears are one of the less common injuries and mostly occur in combination with additional lesions of the posterosuperior rotator cuff and the long biceps tendon. If a subscapularis tendon rupture is suspected in the initial clinical testing, the primary diagnostics should include modern cross-sectional magnetic resonance imaging to assess the tendon lesion and to detect concomitant pathologies. Nevertheless, subscapularis tendon lesions are often initially overlooked and first correctly diagnosed during shoulder arthroscopy.

摘要

在肩袖损伤中,肩胛下肌腱撕裂是较不常见的损伤之一,大多与肩袖后上部及肱二头肌长头腱的其他损伤合并发生。如果在初始临床检查中怀疑有肩胛下肌腱断裂,主要诊断应包括采用现代横断面磁共振成像来评估肌腱损伤并检测伴随病变。然而,肩胛下肌腱损伤最初常被忽视,往往在肩关节镜检查时才首次得到正确诊断。

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