最近审阅: 28 十月 2020
最近更新: 06 十二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 滑囊部位疼痛
  • 滑囊部位触痛
  • 关节主动活动范围减小

其他诊断因素

  • 存在的危险因素
  • 低热(化脓性滑囊炎)
  • 肿胀
  • 红斑(化脓性滑囊炎)
  • 皮肤表面温度升高(化脓性滑囊炎)
  • 肩关节外展时的疼痛弧(肩峰下)
  • 髋关节外侧疼痛(大转子)
  • 髋关节旋转、外展或内收到极限时疼痛(大转子)
  • 髋外展肌抗阻力收缩时疼痛(大转子)
  • 假性神经根痛:疼痛向下放射至大腿外侧(大转子)。
  • 无法触及髌骨(髌前)
  • 足跟后触及包块(跟骨后)

危险因素

  • 导致滑囊机械应力增加的职业
  • 类风湿关节炎
  • 痛风或假性痛风
  • 穿通伤
  • 髋关节骨性关节炎
  • 邻近关节感染
  • 下肢不等长
  • 髂胫束挛缩
  • 腰椎退变性关节炎
  • 膝外翻畸形
  • 低帮鞋
  • 喙肩弓下的解剖性或功能性撞击

诊断性检查

需考虑的检查

  • 抽吸液革兰染色及细菌培养
  • 晶体分析
  • 受累区域的X线检查
  • 核磁共振成像 (MRI)
更多 需考虑的检查

治疗流程

撰稿人

Nicola Maffulli

Centre Lead and Professor of Sports and Exercise Medicine

Consultant Trauma and Orthopaedic Surgeon

Queen Mary University of London

Barts and The London School of Medicine and Dentistry

William Harvey Research Institute

Centre for Sports and Exercise Medicine

Mile End Hospital

London

UK

利益声明

NM is an author of a number of references cited in this topic.

Umile Giuseppe Longo

Specialist in Orthopaedic and Trauma Surgery

Department of Orthopaedic and Trauma Surgery

Campus Bio-Medico University

Trigoria

Rome

Italy

利益声明

UGL is an author of a number of references cited in this topic.

Vincenzo Denaro

Professor and Head of Orthopaedic and Trauma Surgery

Dean of the Faculty of Medicine

Campus Bio-Medico University

Trigoria

Rome

Italy

利益声明

VD declares that he has no competing interests.

同行评议者展开全部内容

Orthopedic Surgeon

University of Massachusetts Medical School

Leominster

MA

利益声明

KB declares that he has no competing interests.

Specialist in Orthopedics and Trauma

Studi di Roma "Tor Vergata"

Grottaferrata

Rome

Italy

利益声明

FO declares that he has no competing interests.

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