肩胛骨弹响综合征诊疗研究进展  

Research progress in the diagnosis and treatment of scapular snapping syndrome

作　　者：毕佳希 姚首道 姜丽丽 张海湃 聂欣媛 刘兆强 周斌 BI Jia-xi;YAO Shou-dao;JIANG Li-li;ZHANG Hai-pai;NIE Xin-yuan;LIU Zhao-qiang;ZHOU Bin

机构地区：[1]兴城特勤疗养中心中医科,辽宁兴城125105 [2]兴城特勤疗养中心疗养七科,辽宁兴城125105 [3]兴城特勤疗养中心理疗科,辽宁兴城125105 [4]兴城特勤疗养中心疗养六科,辽宁兴城125105

出　　处：《中国疗养医学》2024年第11期72-77,共6页Chinese Journal of Convalescent Medicine

基　　金：军队中医药服务能力培育与提升专项计划(2023ZY038)。

摘　　要：肩胛骨弹响综合征是肩胛骨在肩胛胸壁关节活动时发生的弹响,好发于热爱运动的青壮年,主要表现为肩关节活动时出现肩胛骨下方摩擦声、沙沙声、开裂声,可伴有疼痛。这种声音是由于肩关节周围肌肉力量不平衡及运动不协调引起的,常常在过肩运动或耸肩时可听到。多种因素包括滑囊炎、Luschka结节、软骨骨瘤、背部弹力纤维瘤、肩胛骨和肋骨骨折后遗症等皆可导致肩胛骨弹响综合征,如果早期症状得不到重视,可导致症状加重或肩关节活动障碍。肩胛骨弹响综合征在临床中并不少见,因为常常被忽视,国内鲜有相关报道。因此尽早识别诊断肩胛骨弹响综合征,采取适宜的治疗措施,对提高疗效改善预后极其重要。本文就肩胛骨弹响综合征的解剖、病因、病机、诊断与治疗进行分析总结,并对未来的研究前景进行展望。Scapular snapping syndrome(SSS)is a condition of clicking of the scapula during the movement of the scapular chest wall joint,manifesting as rubbing,rustling and cracking sound under the scapula during shoulder joint movement,accompanying pain.It often occurs in sports-loving young adults.The clicking is caused by the imbalance of muscle strength around the shoulder joint and the incoordination of movement,and is often heard when the shoulder is moved or shrugged.A variety of factors,including bursitis,Luschka's tubercle,chondroostoma,back elastic fibroma,sequelae of scapula and rib fractures can lead to SSS.Without an active treatment of early symptoms,they may aggravate shoulder failure.SSS is not uncommon in clinical practice,but rarely reported in China due to neglection.An early diagnosis and treatment of scapula snapping syndrome contribute to improve the therapeutic outcome and prognosis.The present review summarized the anatomy,etiology,pathogenesis,diagnosis and treatment of scapula snapping syndrome,and forecasted future research prospects.

关 键 词：肩胛骨弹响综合征 病因 诊断 治疗 

分 类 号：R68[医药卫生—骨科学]