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肩部着地（直接撞击）会导致肩袖撕裂吗？

[Can a fall onto the shoulder (direct impact) cause a rotator cuff tear?].

作者信息

Nyffeler Richard W, Lustenberger Alois, Bissig Philipp

机构信息

Orthopädie Sonnenhof KLG, Salvisbergstrasse 4, 3006, Bern, Schweiz.

Campus Stiftung Lindenhof Bern (Campus SLB), Salvisbergstrasse 4, 3006, Bern, Schweiz.

出版信息

Orthopadie (Heidelb). 2024 Mar;53(3):195-200. doi: 10.1007/s00132-024-04474-x. Epub 2024 Feb 19.

DOI:10.1007/s00132-024-04474-x
PMID:38374440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10896884/
Abstract

The question of whether a fall directly onto the shoulder can cause a rotator cuff tear has occupied doctors (and courts) for many years. Experts who rely on the medical insurance literature usually reject the causality of the incident. There are no scientific studies on this. The report below describes a typical case in which a fall directly onto the shoulder caused a massive rotator cuff tear.

摘要

肩部直接着地摔倒是否会导致肩袖撕裂这一问题多年来一直困扰着医生（以及法庭）。依赖医疗保险文献的专家通常否认该事件的因果关系。对此尚无科学研究。以下报告描述了一个典型案例，即肩部直接着地摔倒导致了严重的肩袖撕裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/700412f176d6/132_2024_4474_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/fff14a9c3479/132_2024_4474_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/04a557c14762/132_2024_4474_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/c158afe65111/132_2024_4474_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/700412f176d6/132_2024_4474_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/fff14a9c3479/132_2024_4474_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/04a557c14762/132_2024_4474_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/c158afe65111/132_2024_4474_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865c/10896884/700412f176d6/132_2024_4474_Fig4_HTML.jpg

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引用本文的文献

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本文引用的文献

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Distal biceps tendon ruptures occur with the almost extended elbow and supinated forearm - an online video analytic study.在近乎伸直的肘部和旋后前臂时发生肱二头肌肌腱远侧部断裂 - 一项在线视频分析研究。
BMC Musculoskelet Disord. 2022 Jun 22;23(1):599. doi: 10.1186/s12891-022-05546-9.
2
Can a simple fall cause a rotator cuff tear? Literature review and biomechanical considerations.简单的摔倒会导致肩袖撕裂吗？文献回顾与生物力学考虑。
Int Orthop. 2021 Jun;45(6):1573-1582. doi: 10.1007/s00264-021-05012-6. Epub 2021 Mar 27.
3
Natural history of fatty infiltration and atrophy of the supraspinatus muscle in rotator cuff tears.
肩袖撕裂中冈上肌脂肪浸润和萎缩的自然史。
Clin Orthop Relat Res. 2010 Jun;468(6):1498-505. doi: 10.1007/s11999-009-1207-x.
4
Clinical practice. Rotator-cuff failure.临床实践。肩袖损伤
N Engl J Med. 2008 May 15;358(20):2138-47. doi: 10.1056/NEJMcp0800814.
5
[Recommendations for diagnosis and expert assessment of traumatic rotator cuff lesions].[创伤性肩袖损伤的诊断与专家评估建议]
Unfallchirurg. 2000 May;103(5):417-26. doi: 10.1007/s001130050560.