肩袖损伤分类方法.pdf

肩袖损伤分类 Classifications of Rotator Cuff tears 广州市正骨医院 运动创伤科 张智勉 向孝兵 广州市正骨医院 Guangzhou Orthopedic Hospital 肩袖（Rotator Cuff）组成 肩袖是由附着在肱骨大结节的 冈上肌、冈下肌、小圆肌和附 着在肱骨小结节的肩胛下肌腱 性组织所构成，包裹于肱骨头 附近。因形状酷似袖口，故得 名。肩袖在肩关节运动中起着 支撑、稳定、维持肱骨头与关 节盂正常支点的作用。 广州市正骨医院 Guangzhou Orthopedic Hospital 肩袖损伤的流行病学 Uhthoff .[1]等在尸体标本中统计肩袖损伤的发病率为20% ， 平均年龄为59.4岁。Lehman .[2]等在尸体标本中统计的发 病率为17%，且30%的病人年龄大于60岁。Bigliani .[3]等 认为肩袖全层撕裂的发病率在5%-40%之间，且随着老年 化社会的进展，肩袖损伤的发病率将经一步上升。 Uhthoff et al.[1] found a 20% prevalence in a series of cadaver dissections in which the mean age of the donors was 59.4 years. Lehman et al.[2] found a prevalence of 17% in a large series of cadaver dissections, with a prevalence of 30% in donors older than sixty years of age. The incidence of full- thickness tears of the rotator cuff ranges from 5% to 40%. Furthermore, epidemiological studies show an increasing frequency of rotator cuff failure with advancing age[3]. [1] Uhthoff HK, Loehr J, Sarkar K. The pathogenesis of rotator cuff tears. In: Takagishi N, editor. The shoulder. Tokyo: Professional PostGraduate Services;1987: 211-2. [2] Lehman C, Cuomo F, Kummer FJ, Zuckerman JD. The incidence of full thickness rotator cuff tears in a large cadaveric population. Bull Hosp Jt Dis. 1995;54(1):30-1. [3] Bigliani LU, Morrison DS. Relationship between acromial morphology and rotator cuff tears. Orthop Trans.