肩膀 撞击 并发症状
Overview
肩膀 impingement syndrome (SIS) is a common cause of shoulder pain in adults. People with the condition experience pain related to the shoulder's tendons and soft tissues when lifting the arm overhead.
The extension of bone at the top outer edge of the scapula (shoulder blade) is called the acromion. 当有人把胳膊举过头顶时, the space between the acromion and humeral head (top of the upper arm bone) gets smaller. In this space are the rotator cuff, biceps tendon and bursa (sac of cushioning fluid). Compression (impingement) of these structures causes pain and limits movement.
Inflammation of the bursa (bursitis) or of the tendons of the rotator cuff or biceps (tendinitis) is painful. Over time, degenerative changes can occur in the tendons (tendinosis). In some circumstances, repeated rotator cuff impingement can cause partial tears in the tendons. 随着时间的推移，这些甚至可能导致更大或完全的眼泪.
重复的手臂动作, particularly those performed overhead during certain sports – such as swimming, volleyball or tennis – can increase the likelihood of developing SIS. This pain may also develop as a result of a minor event in which there is impact, 比如摔在肩膀上或伸出的手. 在某些情况下，问题没有明显的原因.
我们治疗肩撞击综合征的方法
Many patients with SIS get better with rest and physical therapy. 止痛药也是有用的, 在某些情况下, cortisone injections into the shoulder joint can reduce pain and swelling, 帮助恢复.
If the pain persists and specific structures require attention, surgery is an option. 对于这些病人, our team includes orthopedic surgeons who specialize in the shoulder and physical therapists who focus on working with orthopedic and sports medicine patients. 这些专家一起工作以减轻疼痛和恢复活动能力, so patients can return to their normal lives and favorite activities.
奖 & 识别
-
是全国顶尖的十大赌博平台排行榜之一
-
全国最好的骨科护理之一
迹象 & 症状
患有SIS的人可能会经历:
- Pain and weakness in the shoulder – particularly when lifting heavy objects above shoulder level
- Decreased range of motion – which may interfere with performing everyday tasks, 比如穿衣服和洗头
- 睡眠问题
诊断
To diagnose SIS, a doctor will review your 症状 and perform a physical exam.
肩部的x光或核磁共振成像也很有用. 核磁共振成像可能显示该区域有液体或炎症. 在某些情况下, partial tearing or other damage involving the rotator cuff and surrounding structures are visible.
治疗
非手术治疗
Initial treatment of SIS generally involves conservative measures such as physical therapy and pain-relieving medications. Most patients benefit from a course of physical therapy focused on stretching the shoulder and strengthening the rotator cuff and scapular muscles, as well as postural exercises to address the position of the shoulder blade.
十大赌博平台排行榜 often prescribe a course of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. Another anti-inflammatory option may be to inject a local anesthetic and cortisone into the shoulder. Platelet-rich plasma injections are a more recent treatment that some patients consider, 尽管许多保险计划不包括他们.
外科处置
对于那些疼痛对保守疗法无效的病人, 我们的骨科十大赌博平台排行榜在肩关节撞击方面有专长. 和任何手术一样, 有风险和可能的并发症, so we generally explore these options only if nonsurgical therapies have failed.
在最常见的手术治疗中, 微创手术称为肩峰下减压, the goal is to relieve the compression on the rotator cuff and bursas by creating more space between the humeral head and the acromion. 用关节镜(用于关节的内窥镜)进行检查, the surgeon passes a tiny camera and slender instruments through a small incision and removes the portion of the acromion causing impingement along with some of the bursas. If the shoulder has other conditions needing repair (such as a rotator cuff tear), 外科十大赌博平台排行榜可能同时处理这些问题.
手术后的恢复
To facilitate healing, patients usually use a sling for the first 手术后一到两周. 在此期间，他们不应该开车. 在这段时间之后, 他们开始了一个物理治疗项目, focusing first on regaining passive range of motion and later on active range of motion. 手术后6到8周, 病人可以发展到加强锻炼, and a full return to activities is generally achieved three to four months after surgery.
常见问题
- 手术后我什么时候可以洗澡?
You'll need to keep the incision clean and dry until your first post-op visit, 手术后一到两周. 当时, 你可能会被允许洗澡, but don't submerge the surgical site in a bathtub or swimming pool until three to four weeks have passed since your surgery.
- 肩撞击手术后我什么时候可以开车?
You'll be wearing a sling and unable to drive for one to two weeks. You may resume driving after that, so long as you have appropriate control to do so safely.
- 我什么时候能恢复正常活动?
在一般情况下, people are able to resume most activities about three months after shoulder impingement surgery.
- 我什么时候可以回学校或工作?
Most people can return to school or desk work about two weeks after surgery. 如果你有一份体力要求很高的工作, you'll need more time for a full recovery and medical clearance before returning.
加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
