肩袖损伤 ppt课件

ll direction,usually worst at night and when lying on the affected side?2) frozen phase 4-12 months, stiffness reaches its maximum?thawing phase 5-12 months, range of motion returns to normal ?2 肩峰下撞击综合症疼痛,主诉为三角肌下疼痛,并经常向下放射至前方的肱二头肌,夜间疼痛可影响睡眠Р1 Hand C, Clipsham K, Rees JL, et al. Long-term e of frozen shoulder. J Shoulder Elbow Surg 2008;17:231-6.?2 Reeves B. The natural history of the frozen shoulder syndrome. Scand J Rheumatol 1975;4:193-6.Р3 针对肩袖损伤的体查Р1 冈上肌肩外展功能Р1 empty can testР1) 90 degrees abduction?2) 30 degrees horizontal abduction (in the plane of the scapula)?3) thumbs pointing downwardР2 full can testР1) 90 degrees in the horizontal plane?2) rotated 45degrees externally?3) with the thumb pointing upwardРpainful arc test? 60°-120°Р1) shoulder in external rotation?2) palm facing up