喙肱冲击症:引起“原发性冰冻肩”的主要病因  

CORACO-HUMERAL IMPINGEMENT: THE MAIN CAUSE OF “FROZEN SHOULDER”

作　　者：王惠生[1] 高若天[1] 周元铭[1] 张钟元[1] 严静[1] 

机构地区：[1]上海第二医科大学附属仁济医院骨科

出　　处：《上海医学》1990年第10期559-565,621-622,共7页Shanghai Medical Journal

摘　　要：作者通过应用解剖及新鲜尸体标本的研究,并在临床上对此类病人应用关节造影、关节镜检查、CT扫描以及手术探查,发现了文献中未见报道过的一个肩袖病损,根据其发病机制,被命名为“喙肱冲击症”。由于其发病规律与临床征象与所谓“原发性冰冻肩”完全一致,因此作者提出此症系“原发性冰冻肩”的主要病因。根据其发病规律,将整个病程分为三期。并根据各期的病理特点制订了相应的治疗方案,治疗528例,效果显著。'Idiopathic frozen shoulder' is a common orthopedic disorder in the middle age, and its cause has long been speculated. Through scrutiny into the fields of apply anatomy and fresh cadaver specimens of the shoulder, especially with the combination of the positive findings offered by arthrography, arthroscopy, CT scan and surgical exploration, the authors discovered a special lesion of the rotator cuff which has not been reported previously. According to its pathological mechanism, it is entitled 'coraco-humeral impingement'. Owing to its clinical manifestations are just the same as that of 'idiopathic frozen shoulder', the authors presume that it may be the main cause of frozen shoulder. According to the course of development, it can be divided into 3 stages. Appropriate treatments have been drawn up. Five hundred twenty-eight cases have been treated with good results.

关 键 词：喙肱冲击症 冰冻肩 病因 

分 类 号：R684.02[医药卫生—骨科学]