Ormandy L
Walter Reed Army Medical Center, Washington, DC.
Va Med Q. 1994 Spring;121(2):105-8.
The scapulocostal syndrome, myofascitis of the shoulder muscles, is caused by altered posture, prolonged immobilization of the shoulder region or fixed scapular/spinal deformities. The author studied 440 patients ranging from 18 to 60 years of age whose altered posture caused deep pain in the shoulder region originating from the medial aspect of the scapular spine. Treatment consisted of infiltrating a trigger point in the subscapularis region of the medial aspect of the scapular spine (root of the scapular spine) with a mixture of 2cc plain 1% lidocaine hydrochloride (Xylocaine [Astra]) plus 1cc beta-methasone sodium phosphate and acetate suspension (Celestone Soluspan [Schering]) followed by physical therapy exercises. 190 patients (43.19%) received one block, 175 (39.77%) received two blocks, and 75 (17.04%) received three blocks. Upon completion of treatment, 97.7% of the patients were relieved of their discomfort and returned to their original occupation.
肩胛胸廓综合征，即肩部肌肉的肌筋膜炎，是由姿势改变、肩部区域长期固定不动或肩胛/脊柱畸形引起的。作者研究了440名年龄在18至60岁之间的患者，他们的姿势改变导致肩部区域深处疼痛，疼痛源自肩胛冈内侧。治疗方法是在肩胛冈内侧（肩胛冈根部）肩胛下肌区域的一个触发点注射2毫升普通1%盐酸利多卡因（赛罗卡因[阿斯特拉]）加1毫升倍他米松磷酸钠和醋酸酯混悬液（得宝松[先灵]）的混合液，然后进行物理治疗锻炼。190名患者（43.19%）接受了一次阻滞，175名（39.77%）接受了两次阻滞，75名（17.04%）接受了三次阻滞。治疗结束后，97.7%的患者不适症状得到缓解并恢复了原来的工作。
