小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 慢性起病
- 局部压痛
其他诊断因素
- 活动中的疼痛
- 肌腱增厚
- 肌腱结节
- 捻发音
危险因素
- 运动训练
- 不合适的设备
- 训练场地过硬、摩擦系数过高
- 年龄增长
- 氟喹诺酮治疗
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 超声
- 核磁共振成像 (MRI)
- X 光
治疗流程
肩部肩袖肌腱病
肩部肱二头肌肌腱病
肘部肱骨外上髁炎
肘部肱骨内上髁炎
膝关节髌骨肌腱病
膝关节的股四头肌肌腱病、髂胫束肌腱病或腘肌腱病
踝关节跟腱炎
撰稿人
作者
James H-C. Wang, PhD
Professor and Director
MechanoBiology Laboratory
Department of Orthopaedic Surgery
University of Pittsburgh School of Medicine
Pittsburgh
PA
利益声明
JHW declares that he has no competing interests.
Benjamin B. Rothrauff, MD, PhD
Research Fellow
UPMC Center for Sports Medicine
University of Pittsburgh
Pittsburgh
PA
利益声明
BBR declares that he has no competing interests.
Kevin J. Byrne, MD
Research Fellow
UPMC Center for Sports Medicine
University of Pittsburgh
Pittsburgh
PA
利益声明
KJB declares that he has no competing interests.
鸣谢
Dr James H-C. Wang, Dr Benjamin B. Rothrauff, and Dr. Kevin J. Byrne would like to gratefully acknowledge Dr Kivanc Atesok, Dr Chad Griffith, Dr Garth N. Walker, Dr Chealon Miller, Dr Paulo H. Araujo, Dr Margaret S. Lo, Dr Márcio Albers, and Dr Freddie H. Fu, previous contributors to this topic. Unfortunately, we have since been made aware that Dr Freddie H. Fu is deceased.
利益声明
KA, CG, GNW, CM, PHA, MSL, and MA declare that they have no competing interests. FHF declared that he had no competing interests.
同行评议者
Per Renström, MD
Professor Emeritus
Karolinska Institute
Stockholm
Sweden
利益声明
PR declares that he has no competing interests.
鉴别诊断
- 肩袖撕裂
- Osgood-Schlatter 病
- Sinding-Larsen-Johansson病
更多 鉴别诊断指南
- ACR 适宜性标准：慢性踝关节疼痛
- ACR 适宜性标准：慢性肩关节疼痛
更多 指南患者教育信息
肩袖损伤
更多 患者教育信息
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