肩袖撕裂及治疗后的肩胛骨运动学特征研究进展  

Research Progress of Kinematic Characteristics of the Scapular after Rotator Cuff Tear and Treatment

作　　者：付一峰 高奉[2,4] 朱婷[3] 贺忱[2,4] 钱驿 果森 胥皞 杨京伦 郝悦 刘壮 巩亚伟 赵盈绮 李磊 周敬滨[2,4] FU Yifeng;GAO Feng;ZHU Ting;HE Chen;QIAN Yi;GUO Sen;XU Hao;YANG Jinglun;HAO Yue;LIU Zhuang;GONG Yawei;ZHAO Yingqi;LI Lei;ZHOU Jingbin(Binzhou Medical University,Yantai 264003,China;National Institute of Sports Medicine,Beijing 100061,China;Shanghai University of Sport,Shanghai 200438,China;National Institute of Key Laboratory of Sports Trauma and Rehabilitation of General Administration of Sport of China,Beijing 100061,China)

机构地区：[1]滨州医学院,山东烟台264003 [2]国家体育总局运动医学研究所,北京100061 [3]上海体育学院,上海200438 [4]国家体育总局运动创伤与康复重点实验室,北京100061

出　　处：《中国体育科技》2023年第4期36-42,共7页China Sport Science and Technology

基　　金：北京医院临床研究“领航”专项(KY2212281300);国家体育总局科技服务项目(2022085)。

摘　　要：肩袖撕裂(rotator cuff tear,RCT)通常会导致患者的肩部活动受限与疼痛,肩胛骨作为上肢的重要组成部分,现阶段的研究普遍认为RCT与肩胛骨动力障碍(scapular dyskinesis,SD)存在关联。通过在PubMed、Web of Science和CNKI数据库搜索,获取并整理关于RCT及治疗后肩胛骨运动的国内外相关文献。研究发现:1)当RCT存在时,会出现SD,表现为肩部外展时肩胛骨运动倾向于上旋增大与后倾减小,并且这一情况会随着患者临床症状的增强或肩部其他并发症状的存在而加剧;2)对RCT患者进行治疗后,随着主观症状的缓解,患者的肩胛骨运动也会恢复正常。但对于RCT尺寸较大的患者而言,相较于保守治疗,手术治疗后的肩胛骨运动障碍改善效果更为显著。对于RCT下肩胛骨运动学改变这一现象,主要考虑为肩胛骨代偿运动的结果。Rotator cuff tears(RCT)usually lead to limited shoulder motion and pain.The scapular is an important part of the upper limbs,and studies at this stage generally agree that RCT are associated with scapular dyskinesis(SD).Through searching in PubMed,Web of Science,and CNKI databases,the relevant domestic and foreign literature on scapular motion after RCT and treatment were obtained and analyzed.It suggests that:1)When RCT exist,there is a SD,as evidenced by a tendency for increased upward rotation and decreased posterior tilt of the scapular during shoulder abduction,and this is exacerbated with the deterioration of clinical symptoms or the existence of other shoulder complications;2)after treatment of patients with RCT,the patient's scapular motion returns to normal as the subjective symptoms are relieved.However,for patients with large RCT,the improvement in scapular dyskinesia after surgical treatment is more significant compared to conservative treatment.For the phenomenon of scapular kinematic changes in RCT,the main consideration is the result of the compensatory movement of the scapular.

关 键 词：肩袖撕裂 肩胛骨动力障碍 运动学 保守治疗 手术治疗 

分 类 号：G804.5[文化科学—运动人体科学]