三角肌粗隆炎的临床诊断与治疗

目的:探讨三角肌粗隆炎的概念与诊断依据,并进行针对性治疗,从而提高临床疗效.方法:2005年1月～2012年1月,自骨科门诊诊断为肩周炎的3 677例中,依据病因和临床表现筛选出283例拟诊为三角肌粗隆炎.根据治疗方法的不同,分为A、B两组,A组146例采用传统的治疗肩周炎的方法,B组137例采用以肩外展制动为主的治疗三角肌粗隆炎的方法.根据肩关节功能恢复情况判定疗效.结果:A组146例中,临床治愈2例(1.4%),显效17例,好转83例,无效44例,有效率为13.0%;B组137例中,临床治愈86例(62.8%),显效41例,好转8例,无效2例,有效率为92.7%.B组的治愈率和有效率均高于A组,差异有统计学意义(P＜0.05).结论:三角肌粗隆炎是独立于肩周炎之外的一种疾病,应采用相应的治疗措施,才能获得更好的疗效.

Clinical Diagnosis and Treatment of Deltoid Tuberosity Inflammation

Objective：To explore the concept and the diagnosis basis for the deltoid tuberosity inflam-marion and specific treatment was performed to improve the clinical outcomes. Methods：From January 2005 to Janu- ary 2012, 3 677 cases in the orthopedic clinic diagnosis of frozen shoulder, according to the etiology and clinical manifestations 283 cases were screened prediagnosed as the deltoid tuberosity inflammation. According to the different treatment methods, all the cases were divided into two groups （A, B）. The traditional method of treatment for frozen shoulder was used in group A（ 146 cases） , shoulder abduction brake -based treatment of deltoid tuberosity inflam- mation was adopted in group B（137cases）. The results of the treatment were evaluated according to the shoulder joint function. Results：In Alphagroup A, 2 cases were cured（ 1.3% ） , 17 cases significantly improved, 83 cases im- proved and 44 cases were ineffective, the effective rate was 13.0%. In group B, 86 cases were cured（62.8% ）, 41 cases significantly improved,8 cases improved and 2 cases were ineffective , the effective rate was 92.7%. The treat- ment of group B was significantly better than that of group A（ P 〈 0.05 ）. Conclusions： Deltoid tuberosity inflamma- tion is a disease which is independent concept on the outside of the frozen shoulder and appropriate therapeutic meas- ures should be adopted in order to obtain better outcomes.