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1.
Hermans JJ Mooyaart EL Hendriks JG Diercks RL 《Surgical and radiologic anatomy : SRA》1999,21(5):337-339
Summary Familial congenital bilateral acromion absence was found in four members of one family. Only one of them presented with gradually increasing pain in his left shoulder, resembling a shoulder impingement syndrome. The other members did not have any symptoms. This is the first report of familial occurrence of this extremely rare congenital anomaly.
Agénésie familiale bilatérale de l'acromion : une observation illustrée radiologiquement
Résumé L'absence congénitale bilatérale de l'acromion a été observée chez quatre membres d'une même famille. L'un d'eux seulement présentait des douleurs de l'épaule gauche progressivement croissantes ressemblant à un syndrome de blocage de l'épaule. Les autres membres n'avaient aucun symptôme. Il s'agit de la première observation familiale de cette anomalie congénitale extrêmement rare.相似文献
2.
目的 观测肩峰的应用解剖学参数,分析锁骨钩状钢板与肩峰下表面形态的匹配性,为锁骨钩状钢板的临床应用及改进提供参考依据.方法 2009年10月至2010年2月应用西门子螺旋CT对61例国人行双肩薄层扫描并三维重建,男24例,女37例;年龄20~ 83岁,平均45.2岁.测量肩峰的厚度、长度及宽度,观察肩峰下表面的形态;并比较肩峰下表面形态与钩状钢板的匹配性. 结果 肩峰厚度平均为(0.85±0.1 3)cm,男性平均为(0.94±0.12) cm,女性平均为(0.79±0.10) cm,比较差异有统计学意义(t=2.382,P =0.020);肩峰长度平均为(2.08±0.20) cm,男性平均为(2.09±0.21) cm,女性平均为(2.06±0.18) cm,比较差异无统计学意义(t=1.541,P=0.129);肩峰宽度平均为(3.81±0.52) cm,男性平均为(4.34±0.32) cm,女性平均为(3.47±0.25)cm,比较差异有统计学意义(t=2.296,P=0.025). 结论 肩峰的形态存在较大的性别差异,表现在肩峰厚度与宽度方面,现有锁骨钩状钢板的深度偏大,且形态与国人肩峰下表面形态匹配性欠佳,有必要根据性别差异改进器械,同时在使用时注意个体化塑形,以提高疗效,减少并发症. 相似文献
3.
目的:对关节镜下肩峰成形术治疗肩峰下撞击综合征的围手术期护理进行探讨。方法:总结11例肩峰下撞击综合征患者进行关节镜下肩峰成形术的围手术期护理方法。结果:所有患者术后均得到优良的功能恢复,康复护理方法得当。结论:关节镜下肩峰成形术治疗肩峰下撞击综合征的疗效确切,正确的围手术期护理与康复护理对于术后患肢功能恢复至关重要。 相似文献
4.
Esra Circi Sibel Caglar Okur Ozge Aksu Erhan Mumcuoglu Tolga Tuzuner Nil Caglar 《Acta orthopaedica et traumatologica turcica》2018,52(1):17-21
Objective
The aim of this study was to evaluate the effectiveness of the extracorporeal shock wave therapy in the subacromial impingement syndrome and its relationship with the acromion morphology.Methods
Thirty patients (24 women, 6 men) with subacromial impingement were evaluated. The average age of patients was 53.6 ± 9.8 years (range 39–80). Patients were divided into 3 groups according to the acromion morphology. ESWT 1500 at 0.12 am mL/mm2 violence was applied once a week for 3 weeks. Shoulder pain and disability index (SPADI) was used to assess function and pain scores of the patients. The evaluations were made prior to and 12 weeks after the ESWT.Results
Thirteen shoulders had type 1 acromion, 11 shoulders type 2 acromion and 6 shoulders type 3 acromion. After ESWT, the SPADI pain score decreased from 16.1 ± 5.1 (7–25) to 10.4 ± 4.9 (1–20); SPADI functional score decreased from 37.3 ± 19.8 (5–70) to 26.7 ± 17.5 (1–60); SPADI total score decreased from 53.4 ± 24.5 (14–95) to 37.1 ± 21.6 (2–74) (p < 0.05; paired t test). In each group better functional outcomes were achieved after ESWT (p < 0.05; paired t test). There were no differences between the groups according to functional outcome both before and after the ESWT treatment (p > 0.05, one way ANOVA test).Conclusion
ESWT was found to be effective in the treatment of impingement syndrome both for pain and functional outcome in the early period regardless of acromion morphology.Level of evidence
Level IV, Therapeutic study. 相似文献5.
The incidental discovery of an ’os acromiale' might explain some cases of ’painful shoulder': this is what we have observed
in three patients. The purpose of our article is to underline the relevance of the axillary roentgenogram of the shoulder
for the correct diagnosis of this anomaly. In all patients the radiographic examination was performed using a computed radiography
system; moreover we performed a computed tomographic examination of the acromioclavicular portion of the shoulders with three-dimensional
reconstructions.
Received: 7 October 1996; Revision received 27 January 1997; Accepted 11 March 1997 相似文献
6.
While most obstetric brachial plexus palsy patients recover arm and hand function, the residual nerve weakness leads to muscle imbalances about the shoulder which may cause bony deformities. In this paper we describe abnormalities in the developing scapula and the glenohumeral joint. We introduce a classification for the deformity which we term Scapular Hypoplasia, Elevation and Rotation. Multiple anatomic parameters were measured in bilateral CT images and three-dimensional CT reconstruction of the shoulder girdle of 30 obstetric brachial plexus palsy patients (age range 10 months-10.6 years). The affected scapulae were found to be hypoplastic by an average of 14% while the ratio of the height to the width of the body of scapula (excluding acromion) were not significantly changed, the acromion was significantly elongated by an average of 19%. These parameters as well as subluxation of the humeral head (average 14%) and downward rotation in the scapular plane were found to correlate with the area of scapula visible over the clavicle. This finding provides a classification tool for diagnosis and objective evaluation of the bony deformity and its severity in obstetric brachial plexus palsy patients. 相似文献
7.
Manisha B. Sinha Human Prasad Sinha Praisy Joy 《Journal of the Anatomical Society of India》2018,67(1):30-34
Introduction
Resection of acromion in case of impingement syndrome is a controversial issue. It is associated with the risk of instability of humeral head. The aim of our study was to determine the morphometry of acromion so that the decision for arthroscopic resection becomes easier in these cases. The morphometry of acromion was also correlated with other parameters of scapula.Material and methods
The study was conducted in sixty one intact dry adult scapulae of unknown sex. Various parametric and nonparametric data from scapulae were taken.Result
Type I (flat), Type II (curved) and Type III (hooked) were found in 24.59%, 49.18% and 26.22% scapulae respectively. The average scapular length and breadth were 135.96 ± 11.96 mm and 98.8 ± 7.56 mm respectively. Mean value of length, breath, and thickness of acromian were 41.23 mm, 22.12 mm and 7.01 mm respectively. The thickness of acromion was less than 8 mm in 86.67% of scapulae. In 13.33% cases the thickness was >8 mm. A statistically significant positive correlation was also found between the length of acromion and the length and breadth of scapula.Discussion
Our study may suggest that in Indian population, 13.33% population is at risk of impingement syndrome according to the thickness of acromion. In addition, angles of acromion tilt and acromion slope are larger in Indian scapulae as compare to that of other countries. This knowledge would be useful for orthopaedic surgeons and radiologists. 相似文献8.
Qi Ma Changjiao Sun Ruiyong Du Pu Liu Sha Wu Wei Zhang Ligong Fu Xu Cai 《Orthopaedic Surgery》2021,13(4):1309
9.
Timothy E. Farley M.D. Christian H. Neumann M.D. Ph.D. Lynne S. Steinbach M.D. Steve A. Petersen M.D. 《Skeletal radiology》1994,23(8):641-645
The relative prevalence of various acromial shapes, appearance of the coracoacromial ligament and enthesophytes along the
inferior aspect of the acromioclavicular joint in patients with and without rotator cuff tears were evaluated. Of 76 patients
with clinical instability and impingement, 31 had a normal rotator cuff and 45 demonstrated a partial or full tear of the
supraspinatus tendon at surgery. Results were compared with those from magnetic resonance (MR) scans of 57 asymptomatic volunteers.
Of the 45 patients with a supraspinatus tear, 38% (17) had a flat acromial undersurface (type I), 40% (18) had a concave acromial
undersurface (type II), 18% (8) had an anteriorly hooked acromion (type III), and 4% (2) had an inferiorly convex acromion
(type IV). Among the 31 patients with a normal rotator cuff at surgery and the 57 asymptomatic volunteers, the respective
prevalences of the type I acromion were 39% (12) and 44% (25), of type II 48% (15) and 35% (20), type III 3% (1) and 12% (7),
and type IV 10% (3) and 9% (5). Shoulders with surgically proven rotator cuff tears showed a tendential association with a
type III acromion (8/45) and statistically significant associations with a thickened coracoacromial ligament (17/45) and acromioclavicular
enthesophytes (18/45). For the association between inferiorly directed acromioclavicular joint enthesophytes and rotator cuff
tears, age appears to be a confounding factor. The type IV acromion, newly classified by this study, does not have a recognizable
association with rotator cuff tears. Assessment of the osseous-ligamentous coracoacromial outlet by may prove helpful to the
orthopedic surgeon in patients for whom surgical decompression is contemplated. 相似文献
10.