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肩部撞击综合征和肩袖撕裂的管理

Management of shoulder impingement syndrome and rotator cuff tears.

作者信息

Fongemie A E, Buss D D, Rolnick S J

机构信息

Primary Care Orthopedic Clinic for Health-Partners, Minneapolis, USA.

出版信息

Am Fam Physician. 1998 Feb 15;57(4):667-74, 680-2.

PMID:9490991
Abstract

Rotator cuff impingement syndrome and associated rotator cuff tears are commonly encountered shoulder problems. Symptoms include pain, weakness and loss of motion. Causes of impingement include acromioclavicular joint arthritis, calcified coracoacromial ligament, structural abnormalities of the acromion and weakness of the rotator cuff muscles. Conservative treatment (rest, ice packs, nonsteroidal anti-inflammatory drugs and physical therapy) is usually sufficient. Some patients benefit from steroid injection, and a few require surgery.

摘要

肩袖撞击综合征及相关的肩袖撕裂是常见的肩部问题。症状包括疼痛、无力和活动受限。撞击的原因包括肩锁关节关节炎、喙肩韧带钙化、肩峰结构异常以及肩袖肌肉无力。保守治疗(休息、冰敷、非甾体类抗炎药和物理治疗)通常就足够了。一些患者从类固醇注射中获益,少数患者需要手术治疗。

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