肩部常见软组织压痛点的临床研究  

The clinical study on tenderness points of soft tissue at shoulder region

作　　者：冯沃君[1] 曾广南[1] 胡永祥[1] 李义凯[1] 

机构地区：[1]南方医科大学中医药学院,广州510515

出　　处：《中国康复医学杂志》2009年第7期619-621,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:明确肩部软组织损伤性疾病常见压痛点的分布规律及临床特征。方法:对54例主诉肩部疼痛的患者行仔细的局部压痛点指压检查及解剖定位,并进行视觉模拟评分(VAS)疼痛量化评分。结果:按压痛的发生率,肩部软组织损伤的常见压痛点主要分布于上斜方肌、冈下肌、肩峰下、喙突、肱骨结节间沟、喙突与肱骨小结节间、肱骨小结节以及肩胛骨外侧缘等处,且以上斜方肌、冈下肌、喙突、肱骨小结节和肩峰下等处的压痛最明显。结论:肩部压痛点分布广泛,以三角肌区前部和肩胛区的压痛点最多且压痛最明显。肩部软组织损伤以肌筋膜痛多见,其压痛多为1处;而冻结肩和肩袖损伤的压痛点则较多。临床诊治肩部软组织痛时,应考虑上述特点。Objective： To determine the distribution pattern and clinical features of tenderness points in soft tissue injury at shoulder region. Method： The tenderness points were determined and anatomically located by finger pressing examination and assessed with visual aralogue scale （VAS） in 54 cases of patients with shoulder pain. Result： The tenderness points in soft tissue injury at shoulder region were mainly at the positions such as upper trapezius, infraspinatus, subacromion, coracoid process, intertubercular groove of humerus, space between coracoid process and lesser tuberosity of humerus, lesser tuberosity of humerus and lateral border of scapula et al. The most tenderness points were found at upper trapezius, infraspinatus, coracoid process, lesser tuberosity of humerus and subacromion et al. Conclusion： The distribution of tenderness points in soft tissue injury at shoulder region was extensive. The most incident and serious tenderness points were at anterior deltoid and scapular region. Myofascial pain was the most common disease at shoulder region where only one tenderness point could be found; however, there were a few tenderness points in frozen shoulder and rotator cuff tears. The characteristics should be considered during diagnosing and treating shoulder soft tissue pain.

关 键 词：肩部 压痛点 肌筋膜痛 

分 类 号：R686[医药卫生—骨科学]