肩袖部分撕裂的诊治研究进展  

Research progress in diagnosis and treatment of partial thickness rotator cuff tears

作　　者：黎抒畅 高鹏[1] 陈昕彤 王靖 Li Shuchang;Gao Peng;Chen Xintong;Wang Jing(Department of Joint and Sports Medicine,the First Affiliated Hospital of Hunan Normal University(Hunan Provincial People's Hospital),Changsha 410005,China;Hunan Sports Medicine Clinical Research Center,Changsha 410005,China)

机构地区：[1]湖南师范大学附属第一医院(湖南省人民医院)关节与运动医学科,长沙410005 [2]湖南省运动医学临床研究中心,长沙410005

出　　处：《国际外科学杂志》2023年第11期770-776,F0004,共8页International Journal of Surgery

基　　金：湖南省科技厅重点研发计划项目(2020SK2117);湖南省卫生健康委员会指导项目(202204073117);湖南省运动医学临床医学研究中心(2021SK4013)。

摘　　要：肩袖部分撕裂(PTRCTs)是成人肩关节疼痛和功能障碍的常见原因,多见于中老年人及过肩运动(投掷运动最常见)的年轻人。PTRCTs包括关节侧的部分撕裂、滑囊侧的部分撕裂和腱内撕裂,关节侧撕裂概率是滑囊侧的2~3倍,但腱内撕裂是最常见的类型。PTRCTs的处理方式包括两大类,即保守治疗和手术治疗。保守治疗适用于大部分PTRCTs患者,因为其具有良好的临床疗效,以及患者良好的接受意愿,被推荐为PTRCTs的首选治疗方案。但目前最佳的治疗方法尚未达成共识,不同的文献报道结果也存在争议。本文结合近年来国内外相关研究,对PTRCTs的解剖学、流行病学、致病因素、诊断和治疗进展进行综述,为临床诊疗提供参考。Partial thickness rotator cuff tears(PTRCTs)are a common cause of shoulder pain and dysfunction in adults,which are seen in middle-aged and older adults and young adults in over-the-shoulder sports(throwing sports are the most common).PTRCTs include partal tears on the articular side,partial tears on the bursal side,and intratendinous tears.Tears on the articular side are 2-3 times more likely than on the bursal side,but intratendinous tears are the most common type.The treatment of PTRCTs consists of both conservative and surgical treatments.Conservative treatment is suitable for most patients with PTRCTs,and recommended as the primary treatment for PTRCTs because of its good clinical fficacy and patients'willingness to acept it.However,there is no genaral consensus on the best treatment and the results reported in the literature are controversial.In this paper,the anatomy,epidemiology,pathogenie factor,diagnosis and treatmnent progress of PTRCTS are summarized in light of relevant domestic and international studies in recent years to provide reference for clinical diagnosis and treatment.

关 键 词：撕裂伤 关节镜检查 诊断 肩袖损伤 致病因素 治疗 

分 类 号：R686[医药卫生—骨科学]