Rössler H
Z Orthop Ihre Grenzgeb. 1976 Jun;114(3):282-94.
Ruptures in the rotator aponeurosis occur frequently. Minor defects are usually not discovered and are classified in the "painful shoulder" syndrome. Depending on the localization and extent, extensive destruction, which occurs suddenly under particular circumstances, leads to various functional disturbances including the so-called pseudoparalysis of the arm. Smaller ruptures generally respond to the usual conservative measures used for the supraspinous syndrome. Surgical treatment of larger ruptures is promising and good results can be achieved with the appropriate technique and adequate follow-up treatment. In the case of extensive defects, they represent the only chance for restoring satisfactory function. Even with long standing, unsuccessful treatment for "periarthritis humeroscapularis", the necessary diagnostic and/or surgical consequences, should be carried out.
肩袖腱膜破裂很常见。小的缺损通常不易被发现，常被归类于“肩部疼痛”综合征。根据损伤的部位和范围，在特定情况下突然发生的广泛破坏会导致各种功能障碍，包括所谓的手臂假性麻痹。较小的破裂通常对用于治疗冈上肌综合征的常规保守措施有反应。较大破裂的手术治疗前景良好，采用适当的技术并进行充分的后续治疗可取得良好效果。对于广泛的缺损，手术是恢复满意功能的唯一机会。即使对“肩周炎”进行长期、无效的治疗后，也应采取必要的诊断和/或手术措施。
