肩袖损伤的研究进展及其法医学意义  

Research Progress and Forensic Significance of Rotator Cuff Injury

作　　者：虢洪松[1] 牛士贞[1] 李长征 丁润涛 李国良 王飞舟 GUO Hongsong;NIU Shizhen;LI Changzheng;DING Runtao;LI Guoliang;WANG Feizhou(Jining Medical University,Jining 272067,China;Forensic Appraisal Center,Affiliated Hospital of Weifang Medical College,Weifang 261000,China;Sishui County Public Security Bureau,Jining 273200,China)

机构地区：[1]济宁医学院,山东济宁272067 [2]潍坊医学院附属医院司法鉴定中心,山东潍坊261000 [3]泗水县公安局,山东济宁273200

出　　处：《中国司法鉴定》2021年第2期33-37,共5页Chinese Journal of Forensic Sciences

基　　金：济宁医学院青年教师科研扶持基金(JYFC2018 FY001)。

摘　　要：肩袖位于肩峰、肩锁关节和肱骨头骨性结构之间,是由冈上肌、冈下肌、肩胛下肌及小圆肌包绕在肱骨头周围并与肩关节囊相混合围绕肩关节形成袖套状结构的一组肌腱复合体,在肩关节活动功能中起重要作用。常见的损伤原因包括肩峰下撞击综合征、血管异常相关因素、关节功能退行变和外伤暴力因素等,是一类多因素参与的复杂病理生理过程。通过对肩袖的解剖因素、病理因素及有关的炎性介质等方面进行概括总结,综合分析肩袖损伤的原因及机制,从而为法医临床学鉴定提供进一步的理论依据。The rotator cuff is located among the acromion,acromioclavicular joint and the bony structure of the humeral head.It is a group of tendon complexes composed of supraspinatus,infraspinatus,subscapularis and teres minor muscle around the humeral head and mixed with the shoulder joint capsule to form a cuff structure around the shoulder joint,which plays an important role in the shoulder joint activity.The Common causes of rotator cuff injury include factors like:subacromial impingement syndrome,vascular related abnormalities,degeneration joint function and aging,and traumatic violence,which is a complex pathophysiological process involving multiple factors.This paper summarizes and comprehensively analyze the causes and mechanism of rotator cuff injury according to the following perspectives of the anatomical factors,pathological factors and related inflammatory mediators,so as to provide further theoretical basis for forensic clinical identification.

关 键 词：肩袖 肩峰下撞击综合征 法医临床学 解剖 

分 类 号：DF795.4[医药卫生—法医学]