Corso G
Department of Physical Therapy, Touro College, NY, USA.
J Orthop Sports Phys Ther. 1995 Nov;22(5):183-92. doi: 10.2519/jospt.1995.22.5.183.
Shoulder impingement syndrome, a common disorder directly related to the unique anatomy, mobility, and biomechanics of the shoulder girdle complex, is a condition that results from repetitive microtrauma to the structures within the subacromial space, primarily the supraspinatus, the long head of the biceps, and the subacromial bursa. Several factors contribute to shoulder impingement syndrome, including rotator cuff weakness, capsular tightness, poor scapulohumeral rhythm, and muscle imbalance of the scapular upward rotation force couple. This article briefly reviews the biomechanics of the shoulder girdle complex and the pathology of shoulder impingement syndrome. The author introduces an adjunctive assessment procedure that assists the clinician in isolating the primary tissue and the structures involved with shoulder impingement syndrome. Conservative treatment management can then be directed to the involved contractile and/or noncontractile tissue involved with shoulder impingement syndrome.
肩部撞击综合征是一种与肩胛带复合体独特的解剖结构、活动度及生物力学直接相关的常见病症，它是由肩峰下间隙内结构（主要是冈上肌、肱二头肌长头和肩峰下滑囊）反复受到微创伤所致。多种因素可导致肩部撞击综合征，包括肩袖无力、关节囊紧张、肩胛肱节律不良以及肩胛上旋力偶的肌肉失衡。本文简要回顾了肩胛带复合体的生物力学及肩部撞击综合征的病理学。作者介绍了一种辅助评估方法，可帮助临床医生确定与肩部撞击综合征相关的主要组织和结构。然后，保守治疗可针对与肩部撞击综合征相关的收缩性和/或非收缩性组织。
