肩关节常见疾病诊断演示文稿.pptVIP

肩关节常见疾病诊断演示文稿 本文档共26页；当前第1页；编辑于星期六\15点38分 （优选）肩关节常见疾病诊断 本文档共26页；当前第2页；编辑于星期六\15点38分 常见疾病名称 Rotator cuff tendons disease肩袖肌腱病 Rotator cuff tear肩袖撕裂 Subscapularis rupture肩胛下肌断裂 Acromioclavicular joint disease肩锁关节病 The sub-acromial shoulder impingement syndrome肩峰下撞击综合征 SLAP病变（上盂唇前后向撕裂） Bankart病变 HAGL病变（盂肱下韧带肱骨部撕脱） Labrum cyst 盂唇囊肿 Adhesive capsulitis joints粘连性关节囊炎 Shoulder joint osteoarthrosis肩关节骨关节病 本文档共26页；当前第3页；编辑于星期六\15点38分 一、 Rotator cuff tendons disease 肩袖肌腱病 Etiology pathology 病因病理： Excessive use, lead to degeneration and tear of rotator cuff 过度使用导致肩袖的退行性变和撕裂 Most often in impingement最常继发于撞击综合征 Can occur in patients with collagen vascular disease可发生于胶原血管病患者 Can be acute, but more often repeated attacks on the basis of the already suffer from tendon disease可急性发生，但更常在已患有肌腱病的基础上反复发作 Tendon thickening, hardening; Partial or total disruption; Some tear on slippery bursa, articular surface or in the stroma肌腱增厚、硬化；部分或完全中断；部分撕裂可在滑囊面、关节面或间质中 Collagen degeneration, but there is no inflammatory cells, chronic tendon can appear in fatty infiltration胶原变性，但没有炎性细胞，慢性肌腱撕裂中可出现脂肪浸润 本文档共26页；当前第4页；编辑于星期六\15点38分 NEER in installment of rotator cuff tendon lesions 肩袖肌腱病变的NEER分期 Ⅰ period: rotator cuff, especially hills tendon edema and hemorrhage肩袖特别是岗上肌腱水肿和出血Tendonitis or inflammatory lesions, it is better to send in less than 25 years old young man. reversible肌腱炎或炎性病变，最好发于小于25岁的青年人,可逆. Ⅱ period: inflammation further progress and more fibrous tissue formation炎症进一步进展及更多的纤维组织形成Happens at 25～45 years old.好发于25-45岁。 Ⅲ period: rotator cuff tear.肩袖撕裂。 Often occur in more than 45 years old. 常发于45岁以上。 ☆Best location: being is 1 cm, from the hills muscle to the greater tuberosity attachment points (no vascular distribution). 最好发部位：岗上肌距大结节附着点1cm处（无血管分布）。 本文档共26页；当前第5页；编辑于星期六\15点38分 MRI manifestations of rotator cuff tendons disease 肩袖肌腱病的MRI表现 On all pulse sequence, signals are increased在所有脉冲序列上，信号均增高 Tendon thickening, signal not usually homogeneous肌腱常常增厚、信号不均匀 Partial tear, visible water s