最近审阅: 26 十月 2020
最近更新: 05 四月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 肩部疼痛
  • 肩部无力
  • 主动活动度下降
  • 外旋试验可诱发疼痛和无力
  • 空杯试验出现疼痛无力

其他诊断因素

  • 三角肌疼痛
  • 夜间痛
  • 抬离试验出现疼痛无力
  • 压腹试验诱发疼痛和无力
  • Neer撞击试验诱发疼痛
  • Hawkins撞击试验诱发疼痛
  • 粘连性关节囊炎

危险因素

  • 年龄 60 岁以上
  • 有反复过顶运动的病史
  • 盂唇上方撕裂病史
  • 肩关节损伤

诊断性检查

需考虑的检查

  • 诊断性注射
  • 核磁共振成像 (MRI)
  • 超声
  • MRI关节造影术
  • CT关节造影术
  • CT 扫描
更多 需考虑的检查

治疗流程

撰稿人

Assistant Director

Department of Medicine

Hartford Hospital

Hartford

CT

利益声明

RJG declares that he has no competing interests.

Assistant Director

Department of Medicine

Hartford Hospital

Hartford

CT

利益声明

JJ declares that he has no competing interests.

Dr Robert J. Gionfriddo and Dr Jason Jacob would like to gratefully acknowledge Dr Daniel J. Solomon and Dr Michael G. Clarke, previous contributors to this monograph. DJS serves as a speaker/course instructor for Arthrex Inc. and Pacific Medical Inc. and has received honoraria from both companies. MGC declares that he has no competing interests.

同行评议者展开全部内容

Assistant Director

Orthopaedic Shoulder and Sports Surgery

Naval Medical Center San Diego

San Diego

CA

利益声明

MTP declares that he has no competing interests.

Consultant in Trauma and Orthopaedics

Department of Trauma and Orthopaedics

Leicester Royal Infirmary

Leicester

UK

利益声明

RP declares that he has no competing interests.

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