摘要
肩峰下撞击综合征(又称疼痛综合征),是肩峰下间隙内结构与喙肩穹长期磨损和撞击或其它病因引起的病理变化.临床特征是肩关节主动外展时有60～120°疼痛弧,撞击试验阳性.撞击部位主要发生在肩峰前下1/3,喙肩韧带和肩锁关节前下部.对其保守治疗或手术去除肩袖病变组织,扩大肩峰下间隙,减少肩峰下组织压力,达到有效清除撞击因素,恢复肩关节正常活动.临床应用24例,效果满意,全部治愈.
Subacromial impingement syndrome of painful are syndrome is caused by the impingement between the coraco-acromtal and the subacromial structures of other diseases. A typical painful are between 60 and 120 degrees of elvation in active abduction is the character-istic symptom of subacromial impingement. Further observation revealed that the impingement principally occurred between the greater tubercle and its overlying soft tissues, the coraco-acromial ligament and 1/3 of the anterior acromion. The authors assumed conservative treatment and anterior acromioplasty to treat 24 cases with satisfactory results,all of which were cured.
