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肩部急性钙化性肌腱炎的管理

Management of acute calcific tendinitis of the shoulder.

作者信息

Wainner R S, Hasz M

机构信息

School of Health and Rehabilitation Science, University of Pittsburgh, PA, USA.

出版信息

J Orthop Sports Phys Ther. 1998 Mar;27(3):231-7. doi: 10.2519/jospt.1998.27.3.231.

DOI:10.2519/jospt.1998.27.3.231
PMID:9513869
Abstract

Calcific deposits located within the tendons of the rotator cuff are frequently seen in patients presenting with shoulder pain. The pathogenesis of calcific tendinitis and the optimum management of patients presenting with acute symptoms are unclear. This paper reviews the incidence, proposed etiologies, and a unique treatment approach of rotator cuff calcific tendinitis. A case report of a patient with acute calcific tendinitis and subsequent shoulder motion and strength deficits is presented. A rational evaluation and treatment plan is outlined, which includes management and posttreatment changes, and radiographic findings are discussed. A team-management approach by physical therapy and orthopaedics services is emphasized.

摘要

肩袖肌腱内的钙化沉积物在出现肩部疼痛的患者中很常见。钙化性肌腱炎的发病机制以及出现急性症状患者的最佳治疗方法尚不清楚。本文综述了肩袖钙化性肌腱炎的发病率、推测病因及一种独特的治疗方法。文中还介绍了一例急性钙化性肌腱炎患者以及随后出现的肩部活动和力量缺陷的病例报告。概述了合理的评估和治疗计划,包括治疗方法及治疗后的变化,并讨论了影像学检查结果。强调了物理治疗和骨科服务的团队管理方法。

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