Kibler W B
Lexington Clinic Sports Medicine Center, Kentucky 40504, USA.
Am J Sports Med. 1998 Mar-Apr;26(2):325-37. doi: 10.1177/03635465980260022801.
The exact role and the function of the scapula are misunderstood in many clinical situations. This lack of awareness often translates into incomplete evaluation and diagnosis of shoulder problems. In addition, scapular rehabilitation is often ignored. Recent research, however, has demonstrated a pivotal role for the scapula in shoulder function, shoulder injury, and shoulder rehabilitation. This knowledge will help the physician to provide more comprehensive care for the athlete. This "Current Concepts" review will address the anatomy of the scapula, the roles that the scapula plays in overhead throwing and serving activities, the normal biomechanics of the scapula, abnormal biomechanics and physiology of the scapula, how the scapula may function in injuries that occur around the shoulder, and treatment and rehabilitation of scapular problems.
在许多临床情况下，肩胛骨的确切作用和功能都被误解了。这种认识不足常常导致对肩部问题的评估和诊断不完整。此外，肩胛骨康复往往被忽视。然而，最近的研究表明，肩胛骨在肩部功能、肩部损伤和肩部康复中起着关键作用。这些知识将帮助医生为运动员提供更全面的护理。这篇“当前概念”综述将探讨肩胛骨的解剖结构、肩胛骨在过顶投掷和发球活动中所起的作用、肩胛骨的正常生物力学、肩胛骨的异常生物力学和生理学、肩胛骨在肩部周围发生的损伤中可能如何发挥作用，以及肩胛骨问题的治疗和康复。
