改良Neer撞击征在肩峰下撞击征与冻结肩鉴别诊断中的应用  

Application of modified Neer impingement sign in differential diagnosis for subacromial impingement syndrome and frozen shoulder

作　　者：李成镇[1] 

机构地区：[1]黑龙江省医院骨科,黑龙江省哈尔滨150036

出　　处：《中国基层医药》2013年第4期517-519,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨改良Neer撞击征对肩峰下撞击症与冻结肩的鉴别诊断价值。方法对肩关节疾病患者115例（123肩）进行Neer撞击征和改良Neer撞击征检查，观察肩峰下撞击症的敏感性、特异性、阳性预测值、阴性预测值和准确度。结果改良Neer撞击征对肩峰撞击症诊断准确度为91．06％，特异性为95．51％；对冻结肩诊断准确度为95．93％，特异性为91．09％。结论改良Neer撞击征对肩峰撞击症及冻结肩诊断准确度高，可靠性好，是诊断肩峰下撞击症及冻结肩的可靠方法，且对二者有良好的鉴别诊断价值。Objective To explore the value of differential diagnosis of modified Neer impingement sign for subacromial impingement syndrome and frozen shoulder. Methods 115 patients（ 123 shoulders） with shoulder joint disease were checked by the Neer impingement sign and modified Neer impingement sign, and the sensitivity, specificity ,positive predictive value ,negative predictive value, and accuracy of the test for subacromial impingement syndrome was observed. Results The diagnostic rate of accuracy of modified Neer impingement sign for subacromial impinge- ment syndrome was 91.06% , and the specificity was 95.51% , while for frozen shoulder the accuracy was 95.93% , and the specificity was 90.09%. Conclusion Modified Neer impingement sign for subacromial impingement syn- drome and frozen shoulder has diagnosis accuracy, good reliability, and it is a reliable method for diagnosis of subacro- mial impingement syndrome and frozen shoulder, and has a good differential diagnostic value for the two diseases.

关 键 词：肩撞击综合征 诊断 肩凝症 肩关节 

分 类 号：R6[医药卫生—外科学]