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骨内旋逆差:对病理学,临床,诊断和治疗特征的洞察
Mohamad Y Fares1, Jad Lawand2, Mohammad Daher1
1Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, PA, USA.
Clinics in shoulder and elbow
|May 13, 2024
概括
顶部运动员的膜内旋转缺陷 (GIRD) 源于重复的运动,导致后囊硬. 通过体检和MRI早期检测是管理肩膀疼痛和预防旋转手套不平衡的关键.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 在运动员中,重复的头部运动会导致显著的生物力学适应,特别是在关节.
- 这些适应可以导致膜部内部旋转缺陷 (GIRD),其特点是后囊硬和关节机械的改变.
研究的目的:
- 定义膜内旋转缺陷 (Glenohumeral Internal Rotation Deficit,简称GIRD) 以及它对投运动员的临床影响.
- 突出诊断挑战,并强调早期检测和管理的重要性.
主要方法:
- 临床评估腺旋转不对称性 (内部旋转损失>20°).
- 评估症状,包括肩部疼痛,硬和力量施加减少.
- 磁共振成像 (MRI) 用于评估GIRD和相关的软组织病理.
主要成果:
- GIRD的定义是,在膜部旋转中存在显著的不对称性,从而减少了整体运动范围.
- 错误诊断是可能的,因为混的慢性脚的适应,需要高度的临床怀疑.
- 未经治疗的GIRD可能会导致旋转手套强度失衡.
结论:
- 在体育运动员,特别是青春期前运动员中,早期发现GIRD至关重要.
- 建议定期进行体检,以确定基线膜旋转.
- 保守治疗,包括物理治疗,是主要的方法,手术作为一种选择.
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