对于肩部疼痛的老年人进行体检:叙述性综述
Sangwoo Kang1, Suk-Woong Kang1
1Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University, Yangsan, Korea.
Ewha medical journal
|July 24, 2025
概括
在老年人中诊断肩部疼痛需要了解解剖学和使用体检. 对运动范围的系统评估和有针对性的强度测试有助于识别退行性旋转手套撕裂和其他常见疾病.
科学领域:
- 整形外科 整形外科 整形外科
- 初级医疗保健医学 一级医疗保健医学
- 老年病的医生 老年病的医生
背景情况:
- 肩部疼痛是一种普遍且日益增长的投诉,特别是在老年人群中.
- 影响骨,肌和软骨的退行性疾病是造成肩部疼痛的主要原因.
- 常见的疾病包括退行性旋转手套撕裂,撞击综合征和骨关节炎.
研究的目的:
- 概述基本的体检方法来诊断老年人肩膀疼痛在初级保健机构.
- 为了强调系统方法的重要性,由于肩膀的复杂解剖学和广泛的运动范围.
主要方法:
- 检查和触摸以确定解剖学异常和退行迹象.
- 评估主动和被动的运动范围,以区分诸如结的肩膀和旋转手套撕裂等情况.
- 特定的强度测试 (例如,空,起飞) 和冲击测试 (例如,尼尔,霍金斯),以隔离旋转手套肌肉并检测亚体冲击.
主要成果:
- 检查和触摸显示肌肉缩,骨突起和退行性变化.
- 运动范围评估根据主动与被动缺陷区分了各种病理.
- 有针对性的强度和冲击测试有效地隔离特定的肌肉参与,并识别冲击综合征.
结论:
- 对肩部解剖学的全面了解对于准确的诊断至关重要.
- 系统的体检操作对于在老年人中区分退行性肩部疾病至关重要.
- 这些测试的临床解释有助于诊断各种疾病,从退行性变化到旋转手套病理.
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