伴胸小肌紧张的肩胛骨弹响镜下手术报道
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1.贵州中医药大学;2.贵州中医药大学第一附属医院

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基金项目:

1.贵州省卫生健康委科学技术基金项目(黔卫健函【2020】170号);2.贵州省中医药管理局肩痛病强势病种建设项目


Microscopic surgery report of scapula rounding syndrome with pectoralis minor muscle tension
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1.Guizhou University of Traditional Chinese Medicine;2.The First Affiliated Hospital of Guizhou University of Chinese Medicine

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    摘要:

    肩胛骨弹响综合征[1]是肩胛骨周围肌肉力量的不平衡而致肩胛骨与胸壁摩擦而致运动障碍诱发声响。这种声音是胸壁和肩胛骨之间的异常组织引起的一种触感-声学现象产生的,按照严重程度可使患者产生轻微不适或严重疼痛,甚至功能障碍。在临床上十分少见,其可能的原因是缺少对该类疾病的客观认识及缺乏明确的诊断方法,但会让患者感到肩关节疼痛和肩功能障碍。本文通过介绍一例肩胛骨弹响综合征合并胸小肌紧张的病例,探讨胸小肌紧张与肩胛骨弹响综合征的关系及其在关节镜辅助下治疗肩胛骨弹响综合征手术中的影响,并分析肩胛骨弹响综合征的发病机制,为进一步改善患者临床症状及满意度提供参考。

    Abstract:

    Snapping scapula syndrome is the movement disorder induced by the friction between the shoulder blade and the chest wall caused by the imbalance of the muscle strength around the shoulder blade.The sound is caused by a tactile - acoustic phenomenon caused by abnormal tissue between the chest wall and the shoulder blade, and can cause mild discomfort or severe pain, or even dysfunction, depending on the severity.It is very rare in clinical practice, and the possible reason is the lack of objective understanding of this kind of disease and the lack of a clear diagnostic method, but it will make patients feel shoulder joint pain and shoulder dysfunction.In this paper, by introducing the case of scapula play loud syndrome complicated cases of chest be small muscular tension, explore the chest be small muscle tension and scapula play loud syndrome and treatment under arthroscopy assisted surgery syndrome affect the scapula play rang, and analyzes the pathogenesis of scapula play loud syndrome, provide a reference for further clinical symptoms and improve patients satisfaction.

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  • 收稿日期:2021-06-30
  • 最后修改日期:2021-10-09
  • 录用日期:2021-12-13
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