Green A
Department of Orthopaedic Surgery, Brown University School of Medicine, Providence, Rhode Island, USA.
Orthop Clin North Am. 1995 Oct;26(4):631-41.
The clinical relevance of subacromial pathology has been recognized for most of this century. More recently, the term "impingement syndrome" has been used to refer to a spectrum of subacromial pathology, ranging from tendinitis to rotator cuff tearing, and is probably the most common cause of shoulder pain. Increased experience with arthroscopy and advances in arthroscopic instrumentation have led to the widespread use of arthroscopy to treat impingement syndrome. This evolution in treatment will undoubtedly add to our understanding of the pathology. The indications for surgical treatment and the results have not changed significantly. The often proposed theoretical advantages of arthroscopy are being investigated.
肩峰下病理改变的临床相关性在本世纪大部分时间里已得到认可。最近，“撞击综合征”一词被用于指代一系列肩峰下病理改变，从肌腱炎到肩袖撕裂，它可能是肩部疼痛最常见的原因。关节镜检查经验的增加以及关节镜器械的进步，导致关节镜在治疗撞击综合征方面得到广泛应用。这种治疗方法的演变无疑将增进我们对病理改变的理解。手术治疗的适应证和结果并没有显著变化。人们正在研究关节镜通常被认为的理论优势。
