肩关节的临床检查方法课件

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1、肩关节的临床检查方法Clinicaltestsinshoulderexamination:howtoperformthemCatalogueIntroductionBackgroundContentMygainsAdvantagesIntroduction来自：group.bmj.com发表日期：March15,2011作者：MaartenHendrikMoen,Robert-JandeVos,ToddSEllenbecker,AdamWeir通讯作者：MaartenHendrikMoenBackgroundTheshoulderisoftencons

2、ideredadifficultjointtoexamine,andthisispartlyduetothelargenumberofdifferentclinicaltestsofshoulderfunction.肩关节通常被认为是一种很难检查的关节，在一定程度上是因为临床上肩关节功能的检查方法较多。Thecommonestshoulderinjuriesinclude:impingement,rotatorcuffinjuries,labraltears,instabilityandacromioclaviculardysfunction.常见的肩关

3、节损伤包括：肩峰撞击综合征、肩袖的损伤、盂唇的损伤、肩关节的不稳定性以及肩锁关节的功能障碍。Theshoulder盂肱关节glenohumeraljoint肩锁关节acromioclavicularjoint胸锁关节sternoclavicularjoint肩肱关节（肩胛下间隙）subacromiclspace肩胛胸廓关节Scapularthoracicjoint也有将喙锁间联系称为喙锁关节Coracoclavicularjoint盂肱关节glenohumeraljoint肱骨头humeralhead盂窝glenoidcavity盂唇glenoidlab

4、rum关节囊articularcapsule韧带ligament支持结构supportingstructure盂肱关节glenohumeraljoint关节盂关节囊articularcapsulethinandlax,luxateinthefrontandbottom肩锁关节acromioclavicularjoint肩锁韧带Acromioclavicularlig.喙锁韧带Coracoclavicularlig.斜方韧带Trapezoidlig.锥状韧带Conoidlig.胸锁关节sternoclavicularjoint鞍状关节sellarjiont

5、韧带组织ligament胸锁前韧带胸锁后韧带胸锁上韧带锁间韧带肋锁韧带关节盘articulardisc肩胛下间隙subacromicalspace肱骨头与喙肩韧带之间humeralhead,Coracoacromiallig.肩峰acromion喙肩韧带Coracoacromiallig.喙突coracoidprocess肩锁关节acromioclavicularjoint内容物：肩峰下滑囊subacromicalbursa肩袖rotatorcuff二头肌长头腱tendonoflongheadofbicepsbrachii肩袖rotatorcuff肩胛下

6、肌：内收、旋内Subscapularis:adduction,medialrotation冈上肌：外展Supraspinatus:abduction冈下肌：旋外Infraspinatus:externalrotation小圆肌：旋外Teresminor:externalrotationContentThisarticlewilldescribethebestclinicalshouldertestsasratedinthissystematicreviewandmeta-analysisoftheindividualtests.这篇文章描述了在综述中被评

7、估为最好的临床上的肩关节的检查方法。TestImpingementtests撞击试验Rotatorcufftests肩袖试验SuperiorlabrumanteriortoposteriorlesionstestsSLAP损伤试验Instabilitytests不稳定试验Acromioclaviculartests肩锁关节试验撞击试验Neer征(筛查screen)Hawkins–Kennedy试验(筛查screen)空罐试验（确诊confirm）撞击试验Neer征阳性：肩部疼痛注射10ml的利多卡因来缓解疼痛inject10mloflidocaine意义

8、：肱骨大结节撞击发生炎性的冈上肌以及肩峰下滑囊Thetuberculummaju