Kolowich P A
Henry Ford Hospital Bone and Joint Center, Division of Athletic Medicine, Detroit, Michigan, USA.
Clin Sports Med. 1996 Oct;15(4):701-13.
A careful history, a detailed physical examination, appropriate radiographs, and additional diagnostic tests, when indicated, usually can isolate a specific diagnosis in athletes with shoulder pain. An individual rehabilitation program frequently alleviates symptoms and allows athletes to return to their sporting activities. When nonoperative approaches fail, arthroscopic treatment with acromioplasty and coracoacromial ligament release, as appropriate, allows patients to follow through with a successful rehabilitation program. The success rate for return to non-throwing sports is very good. High-caliber athletes participating in throwing sports should be counseled regarding the possibility of a less successful outcome.
详细的病史、全面的体格检查、适当的X光片以及必要时的其他诊断测试，通常能够明确诊断出患有肩部疼痛的运动员的具体病因。个体化的康复计划常常能缓解症状，并使运动员能够恢复体育活动。当非手术方法无效时，酌情进行关节镜下肩峰成形术和喙肩韧带松解术的治疗，可让患者顺利完成成功的康复计划。恢复非投掷类运动的成功率很高。对于参加投掷类运动的高水平运动员，应告知其可能预后欠佳。
