肩袖损伤英文版培训课件

1、肩袖损伤英文版肩袖损伤英文版2肩袖损伤英文版2肩袖损伤英文版Rotator CuffLong Head of BicepsSubscapularisSupraspinatus, up facet of the humeral greater tuberosityInfraspinatus, middle facet of the humeral greater tuberosity Teres minor down facet of the humeral greater tuberosityInfraspinatus Humeral tuberosity3肩袖损伤英文版Rotator Cuf

2、fLong Head of Bice4肩袖损伤英文版4肩袖损伤英文版MRIInfraspinatusTeres minorSupraspinatusInfraspinatus5肩袖损伤英文版MRIInfraspinatusTeres minorSupPathophysiologyIntrinsic FactorsVascular supply (? significance)Distal 1cm of supraspinatus tendon (early studies)Degenerative changesAge relatedChange in proteoglycan and col

3、lagen content in symptomatic tendons6肩袖损伤英文版PathophysiologyIntrinsic FactoPathophysiologyExtrinsic factorsImpingementAcromial spursType III acromion and decreased geometric area of the supraspinatus outletCoracoacromial ligamentAC joint osteophytesCoracoid processGlenohumeral instabilityAccentuates

4、abnormal loadingCan lead to internal impingementRepetitive useTensile overloadMuscle fatigueMicrotrauma7肩袖损伤英文版PathophysiologyExtrinsic factoMechanismTraumaticPitchingChronicPain and/or fatigue of cuffRotator Cuff dysfunctionImpingement with motion8肩袖损伤英文版MechanismTraumaticPain and/or Diagnose1、Hist

5、oryPain on the lateral aspect of the shoulderStiffness, esp IRCannot lie on that sideWeakness, instability, crepitusPartial tears more sore and stifferAcute tear may have inciting event9肩袖损伤英文版Diagnose1、HistoryPain on the lDiagnose2、Physical ExamImpingement testingNEER SIGNHawkins test10肩袖损伤英文版Diagn

6、ose2、Physical Exam10肩袖损伤英Diagnose2、Physical ExamSUBSCAPLULARIS 肩胛下肌SUPRASPINATUS 冈上肌 Jobes Test11肩袖损伤英文版Diagnose2、Physical Exam11肩袖损伤英Diagnose2、Physical ExamINFRASPINATUS 冈下肌TERES MINOR 小圆肌Hornblowers sign:12肩袖损伤英文版Diagnose2、Physical Exam12肩袖损伤英Diagnose3、ImagingPlain radiographsUltrasoundMRI13肩袖损伤英文

7、版Diagnose3、Imaging13肩袖损伤英文版肩袖损伤英文版培训课件 small (1 cm), medium (13 cm), large(35 cm), or massive (5 cm）15肩袖损伤英文版 small (1 cm), medium (13 cm)16肩袖损伤英文版16肩袖损伤英文版17肩袖损伤英文版17肩袖损伤英文版18肩袖损伤英文版18肩袖损伤英文版19肩袖损伤英文版19肩袖损伤英文版20肩袖损伤英文版20肩袖损伤英文版21肩袖损伤英文版21肩袖损伤英文版Treatment-surgery22肩袖损伤英文版Treatment-surgery22肩袖损伤英文版23肩袖损伤英文版23肩袖损伤英文版三角肌三角肌肱三头肌外侧头肱二头肌肱骨头24肩袖损伤英文版三角肌三角肌肱三头肌外侧头肱二头肌肱骨头24肩袖损伤英文版斜方肌冈上肌锁骨肩峰端三角肌大圆肌肩胛下肌背阔肌肩胛骨肱骨头肱三头肌25肩袖损伤英文版斜方肌冈上肌锁骨肩峰端三角肌大圆肌肩胛下肌背阔肌肩胛骨肱骨头三角肌冈上