Jobe C M
Department of Orthopaedic Surgery, Loma Linda University, School of Medicine, CA 92354, USA.
Clin Orthop Relat Res. 1996 Sep(330):98-107.
In the current decade impingement syndrome is becoming a less precise diagnostic entity. It is splitting into several categories of more exact diagnoses. The concept development, clinical picture, and currently recommended treatment of 1 of these entities, the superior glenoid impingement is reviewed. The complaint may be acute or chronic and may involve 1 or more of 5 structures: (1) superior labrum, (2) rotator cuff tendon, (3) inferior glenohumeral ligament, (4) greater tuberosity, and (5) the bony glenoid. The most commonly seen clinical entity is chronic dorsal shoulder pain in an athlete who throws with a positive relocation test. Treatment consists of strengthening of the cuff and scapular rotators. When there has been excessive inferior ligament stretch this must be augmented by anterior reconstruction.
在当前十年中，撞击综合征正成为一个不太精确的诊断实体。它正在细分为几类更精确的诊断。本文回顾了其中一种实体——肩峰上撞击的概念发展、临床表现及目前推荐的治疗方法。症状可能是急性的或慢性的，可能涉及以下5种结构中的1种或多种：（1）上盂唇，（2）肩袖肌腱，（3）肱盂下韧带，（4）大结节，以及（5）骨性肩胛盂。最常见的临床情况是投掷运动员出现慢性肩背部疼痛且复位试验呈阳性。治疗包括加强肩袖和肩胛旋转肌。当下韧带过度拉伸时，必须通过前路重建进行加强。
