最近审阅: 24 十月 2020
最近更新: 13 四月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 肩关节僵硬
  • 肩关节主动活动范围减少
  • 肩关节被动活动范围减少
  • 喙突疼痛试验阳性
  • 耸肩试验阳性

其他诊断因素

  • 存在的危险因素
  • 肩部疼痛
  • 诱发性试验无法排除的诊断
  • 椎间孔挤压试验阴性(排除颈椎神经根病变)
  • Hawkins 试验阴性(排除肩袖撞击)
  • Neer 试验阴性(排除肩关节撞击)
  • Speed 试验阴性(排除上盂唇前后部[superior labrum from anterior to posterior, SLAP]撕裂)
  • O'Brien 试验阴性(排除上盂唇前后部[superior labrum from anterior to posterior, SLAP] 损伤)
  • Yergason 试验阴性(排除肱二头肌腱近端病变)
  • 恐惧试验阴性(排除肩关节前方不稳定)
  • 复位试验阴性(进一步排除肩关节前方不稳定)
  • Kim 试验阴性(排除肩关节后下方关节盂病变)

危险因素

  • 年龄 40-70 岁
  • 糖尿病
  • 曾患粘连性关节囊炎
  • 肩部疼痛及制动
  • 肩关节手术史
  • 女性
  • 甲状腺疾病

诊断性检查

治疗流程

急性处理

撰稿人

Matthew T. Provencher

Complex Shoulder Knee and Sports Surgery

The Steadman Clinic

Steadman Philippon Research Institute

Vail

CO

利益声明

MTP is a consultant for Arthrex and JRF. MTP receives royalties from Arthrex.

Lance LeClere

Staff Surgeon

Team Physician

Orthopaedic Sports Medicine and Shoulder Surgery

Naval Health Clinic

US Naval Academy

Annapolis

MD

利益声明

LL declares that he has no competing interests.

Jennifer Smith

Staff Surgeon

Orthopaedic Surgery

Naval Health Clinic New England

Newport

RI

利益声明

JS declares that she has no competing interests.

同行评议者展开全部内容

Orthopedic Surgeon

Cincinnati Sports Medicine Research and Education Foundation

Cincinnati

OH

利益声明

MB declares that he has no competing interests.

Co-Director of Orthopedic Sports and Shoulder Service

Department of Orthopedic Surgery

Naval Medical Center San Diego

San Diego

CA

利益声明

DS declares that he has no competing interests.

Consultant Orthopaedic Surgeon

Guy's and St Thomas’ Hospital NHS Foundation Trust

London

UK

利益声明

SC declares that he has no competing interests.

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