旋转器 袖口 眼泪
Overview
肩袖撕裂是40岁以上人群常见的损伤. The rotator cuff is a group of muscles and tendons surrounding the top of the humerus (upper arm bone) and holding it in the shoulder joint. A tear may result from a single traumatic blow to the area or may develop gradually because of activities in which the arm makes repetitive overhead motions, 比如网球和游泳. The injury is more likely to occur in a person's dominant arm – the right shoulder for right-handed people and the left for lefties. A partial tear may cause pain when the arm is lifted away from the body (painful arc syndrome), 完全撕裂会使手臂很难抬起.
我们治疗肩袖撕裂的方法
UCSF is committed to helping patients with rotator cuff tears recover shoulder function and return to their favorite activities. 我们的团队包括整形外科十大赌博平台排行榜, 初级保健运动医学十大赌博平台排行榜, 物理治疗师和运动教练, all of whom collaborate to tailor a treatment plan to each patient's needs and goals. 让我们的团队走在新治疗方案的前沿, UCSF's nationally recognized experts in rotator cuff research lead many studies and are active in investigating the role of stem cells in rotator cuff muscle regeneration.
Treatment for a rotator cuff tear depends on the injury's cause and severity. We usually begin with a plan that combines rest, anti-inflammatory medications and physical therapy. Some patients benefit from a steroid injection to bring down inflammation.
Some tears require surgical repair, which we perform using minimally invasive techniques. 对于严重损伤或退行性疾病的患者, we may surgically replace portions of the shoulder joint with a metal and plastic implant (reverse shoulder replacement).
奖 & 识别
-
是全国顶尖的十大赌博平台排行榜之一
-
全国最好的骨科护理之一
迹象 & 症状
肩袖撕裂的人可能会遇到:
- Recurrent or constant pain, particularly when lifting the arm overhead
- 夜间疼痛使患病一侧难以入睡
- 肌肉无力，尤其是在试图抬起手臂的时候
诊断
诊断这种损伤, 十大赌博平台排行榜了解病人的病史, 进行身体检查和肩部x光检查. An MRI is often used to determine the extent of an injury and plan for surgery, if needed.
治疗
对于大多数患者，最初的治疗包括:
- 休息. If the tear resulted partly from overuse, resting the shoulder may help.
- 非甾体抗炎药(NSAIDs). 非处方止痛药, 比如布洛芬, are used to ease discomfort by reducing the inflammation around the torn tendon.
- 加强和伸展运动. Physical therapy focuses on strengthening the muscles around the rotator cuff. 这个项目可以在加州大学旧金山分校或离家近的地方完成.
- 皮质类固醇注射. 皮质类固醇可以通过减少炎症来减轻疼痛.
手术
For patients who don't improve enough with nonsurgical treatment, surgery is an option. It also may be the best first option for patients whose injury occurred in a sudden single event, 比如摔倒或车祸.
A majority of rotator cuff repairs are performed arthroscopically at the UCSF Orthopaedic Institute. (关节镜是用于关节的内窥镜.) The surgery involves inserting slender instruments and a tiny camera through several small incisions around the shoulder. "Bone anchors" are then used to reattach the rotator cuff where it belongs. Made of metal, plastic or sutures, the anchors hold the rotator cuff in place while the tissues heal. 病人 are under general anesthesia (completely asleep) and given a nerve block (an injection that interrupts pain signals in the area), 哪种能减轻术后疼痛. 手术通常需要60到90分钟.
有时撕裂的肩袖无法修复, 然而，这些病人仍然有几个选择, 比如肩关节置换手术. UCSF is a national leader in research to improve shoulder surgery techniques and in performance of reverse shoulder replacement, which may be the best option for patients with shoulder arthritis as well as a rotator cuff tear.
复苏
肩袖修复后的恢复是一个相对缓慢的过程. 病人 are typically in a sling for six weeks to allow the tendon to heal and reattach. 在那段时间里, 病人不应该开车, and their physical therapy regimen is limited to passive range-of-motion exercises, 在保护修复的同时使关节不会变得僵硬.
在第六周, 吊带取下, and patients begin doing active range-of-motion exercises without weights. 他们也可以开始慢跑和做其他下半身运动. 第12周, 物理治疗开始侧重于强化动作, 随着项目在术后第四个月左右完成. A full return to activities is allowed between five and six months post-op, 6个月后，修复被认为完全愈合.
常见问题
- 手术后我什么时候可以洗澡?
You'll need to keep the incisions clean and dry until your first post-op visit, 手术后一到两周. 当时, 你可能会被允许洗澡, but don't submerge the surgical site in a bathtub or swimming pool until three to four weeks have passed since your surgery.
- 肩袖手术后我什么时候可以开车?
你得吊着吊带，六周内不能开车. You can resume driving once you're out of the sling and have appropriate control to do so safely.
- 我什么时候可以重新参加娱乐活动?
People are generally able to resume most sports and other physical activities about six months after rotator cuff surgery.
- 我什么时候可以回去工作?
Most people can return to school or desk work two weeks after surgery. 如果你有一份体力要求很高的工作, you'll need more time for a full recovery and medical clearance before returning.
加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
推荐阅读
从肩关节置换手术中恢复
通常, 你要在十大赌博平台排行榜住两三天, but this depends on each individual and how quickly he or she progresses. 点击这里了解更多.
