肩袖损伤英文版培训ppt课件

肩袖损伤英文版肩袖损伤英文版12肩袖损伤英文版2肩袖损伤英文版2Rotator CuffLong Head of Long Head of BicepsBicepsSubscapularisSubscapularisSupraspinatus,up facet of the humeral greater tuberosityInfraspinatus,middle facet of the humeral greater tuberosity Teres minor down facet of the humeral greater tuberosityInfraspinatus Humeral tuberosity3肩袖损伤英文版Rotator CuffLong Head of Bice34肩袖损伤英文版4肩袖损伤英文版4MRIInfraspinatusInfraspinatusTeres minorTeres minorSupraspinatusSupraspinatusInfraspinatusInfraspinatus5肩袖损伤英文版MRIInfraspinatusTeres minorSup5PathophysiologyIntrinsic FactorsVascular supply(?significance)Distal 1cm of supraspinatus tendon(early studies)Degenerative changesAge relatedChange in proteoglycan and collagen content in symptomatic tendons6肩袖损伤英文版PathophysiologyIntrinsic Facto6PathophysiologyExtrinsic factorsImpingementAcromial spursType III acromion and decreased geometric area of the supraspinatus outletCoracoacromial ligamentAC joint osteophytesCoracoid processGlenohumeral instabilityAccentuates abnormal loadingCan lead to internal impingementRepetitive useTensile overloadMuscle fatigueMicrotrauma7肩袖损伤英文版PathophysiologyExtrinsic facto7MechanismTraumaticPitchingChronicPain and/or Pain and/or fatigue of cufffatigue of cuffRotator Cuff Rotator Cuff dysfunctiondysfunctionImpingement with Impingement with motionmotion8肩袖损伤英文版MechanismTraumaticPain and/or 8Diagnose1、HistoryPain on the lateral aspect of the shoulderStiffness,esp IRCannot lie on that sideWeakness,instability,crepitusPartial tears more sore and stifferAcute tear may have inciting event9肩袖损伤英文版Diagnose1、HistoryPain on the l9Diagnose2、Physical ExamImpingement testingNEER SIGNHawkins test10肩袖损伤英文版Diagnose2、Physical Exam10肩袖损伤英10Diagnose2、Physical ExamSUBSCAPLULARIS 肩胛下肌SUPRASPINATUS 冈上肌冈上肌 Jobes Test11肩袖损伤英文版Diagnose2、Physical Exam11肩袖损伤英11Diagnose2、Physical ExamINFRASPINATUS 冈下肌TERES MINOR 小圆肌Hornblowers sign:12肩袖损伤英文版Diagnose2、Physical Exam12肩袖损伤英12Diagnose3、ImagingPlain radiographsUltrasoundMRI13肩袖损伤英文版Diagnose3、Imaging13肩袖损伤英文版13肩袖损伤英文版培训ppt课件14 small(1 cm),medium(13 cm),large(35 cm),or massive(5 cm small(1 cm),medium(13 cm),large(35 cm),or massive(5 cm）15肩袖损伤英文版 small(1 cm),medium(13 cm)1516肩袖损伤英文版16肩袖损伤英文版1617肩袖损伤英文版17肩袖损伤英文版1718肩袖损伤英文版18肩袖损伤英文版1819肩袖损伤英文版19肩袖损伤英文版1920肩袖损伤英文版20肩袖损伤英文版2021肩袖损伤英文版21肩袖损伤英文版21Treatment-surgery22肩袖损伤英文版Treatment-surgery22肩袖损伤英文版2223肩袖损伤英文版23肩袖损伤英文版23三角肌三角肌肱三头肌外侧头肱二头肌肱骨头24肩袖损伤英文版三角肌三角肌肱三头肌外侧头肱二头肌肱骨头24肩袖损伤英文版24斜方肌冈上肌锁骨肩峰端三角肌大圆肌肩胛下肌背阔肌肩胛骨肱骨头肱三头肌25肩袖损伤英文版斜方肌冈上肌锁骨肩峰端三角肌大圆肌肩胛下肌背阔肌肩胛骨肱骨头25三角肌冈上肌肩峰斜方肌肱骨头肩胛骨肩胛下肌大圆肌肱三头肌长头背阔肌肱三头肌外侧头26肩袖损伤英文版三角肌冈上肌肩峰斜方肌肱骨头肩胛骨肩胛下肌大圆肌肱三头肌长头26肩胛下肌27肩袖损伤英文版肩胛下肌27肩袖损伤英文版2728肩袖损伤英文版28肩袖损伤英文版28