肩袖損傷英文版培訓課件

1、肩袖損傷英文版肩袖損傷英文版2肩袖損傷英文版2肩袖損傷英文版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肩袖損傷英文版Rotator Cuf

2、fLong Head of Bice4肩袖損傷英文版4肩袖損傷英文版MRIInfraspinatusTeres minorSupraspinatusInfraspinatus5肩袖損傷英文版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肩袖損傷英文版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肩袖損傷英文版PathophysiologyExtrinsic factoMechanismTraumaticPitchingChronicPain and/or fatigue of cuffRotator Cuff dysfunctionImpingement with motion8肩袖損傷英文版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肩袖損傷英文版Diagnose1、HistoryPain on the lDiagnose2、Physical ExamImpingement testingNEER SIGNHawkins test10肩袖損傷英文版Diagn

6、ose2、Physical Exam10肩袖損傷英Diagnose2、Physical ExamSUBSCAPLULARIS 肩胛下肌SUPRASPINATUS 岡上肌 Jobes Test11肩袖損傷英文版Diagnose2、Physical Exam11肩袖損傷英Diagnose2、Physical ExamINFRASPINATUS 岡下肌TERES MINOR 小圓肌Hornblowers sign:12肩袖損傷英文版Diagnose2、Physical Exam12肩袖損傷英Diagnose3、ImagingPlain radiographsUltrasoundMRI13肩袖損傷英文

7、版Diagnose3、Imaging13肩袖損傷英文版肩袖損傷英文版培訓課件 small (1 cm), medium (13 cm), large(35 cm), or massive (5 cm）15肩袖損傷英文版 small (1 cm), medium (13 cm)16肩袖損傷英文版16肩袖損傷英文版17肩袖損傷英文版17肩袖損傷英文版18肩袖損傷英文版18肩袖損傷英文版19肩袖損傷英文版19肩袖損傷英文版20肩袖損傷英文版20肩袖損傷英文版21肩袖損傷英文版21肩袖損傷英文版Treatment-surgery22肩袖損傷英文版Treatment-surgery22肩袖損傷英文版23肩袖損傷英文版23肩袖損傷英文版三角肌三角肌肱三頭肌外側頭肱二頭肌肱骨頭24肩袖損傷英文版三角肌三角肌肱三頭肌外側頭肱二頭肌肱骨頭24肩袖損傷英文版斜方肌岡上肌鎖骨肩峰端三角肌大圓肌肩胛下肌背闊肌肩胛骨肱骨頭肱三頭肌25肩袖損傷英文版斜方肌岡上肌鎖骨肩峰端三角肌大圓肌肩胛下肌背闊肌肩胛骨肱骨頭三角肌岡上