肩袖损伤(sǔnshāng)第一页，共四十四页。肩袖损伤(sǔnshāng)的流行病学Uhthoffetal.[1]founda20%prevalenceinaseriesofcadaverdissectionsinwhichthemeanageofthedonorswas59.4years.Lehmanetal.[2]foundaprevalenceof17%inalargeseriesofcadaverdissections,withaprevalenceof30%indonorsolderthansixtyyearsofage.Theincidenceoffull-thicknesstearsoftherotatorcuffrangesfrom5%to40%.Furthermore,epidemiologicalstudiesshowanincreasingfrequencyofrotatorcufffailurewithadvancingage[3].1UhthoffHK,LoehrJ,SarkarK.Thepathogenesisofrotatorcufftears.In:TakagishiN,editor.Theshoulder.Tokyo:ProfessionalPostGraduateServices;1987:211-2.2LehmanC,CuomoF,KummerFJ,ZuckermanJD.Theincidenceoffullthicknessrotatorcufftearsinalargecadavericpopulation.BullHospJtDis.1995;54(1):30-1.3BiglianiLU,MorrisonDS.Relationshipbetweenacromialmorphologyandrotatorcufftears.OrthopTrans.1986;10:216.第二页，共四十四页。当我们在临床上遇到疑似病人，只有X片而无MRI检查时，1我们能从X片中得到(dédào)什么信息？2我们印象中的可疑诊断有哪些？3针对性的体查有哪些？第三页，共四十四页。GazzolaS,BleakneyRR.Currentimagingoftherotatorcuff[J].SportsMedArthrosc,2011,19(3):300-9.cysticchangeofthegreatertuberosity1读X片第四页，共四十四页。GazzolaS,BleakneyRR.Currentimagingoftherotatorcuff[J].SportsMedArthrosc,2011,19(3):300-9.normalsubacromialjointspace(≥7mm)(arrow)(arrow)2notchedhumeralneck(arrowhead)第五页，共四十四页。TypeIcalcificationwithafluffy,fleecyappearancewithpoorlydefinedborders,withacutesymptomsandtermedtheresorptivephase.TypeIIcalcification,morediscreetandofhomogenousdensity,withwell-circumscribedborders,andintheformativephase.DePalmaAF,KruperJS.Long-termstudyofshoulderjointsaffliatedwithandtreatedforcalcifictendinitis[J].ClinOrthop.1961;20:61-72.calcifictendinopathy第六页，共四十四页。2可疑(kěyí)诊断关于肩周炎肩周炎=冻结(dòjié)肩实用骨科学Frozenshoulder4060yearsofageincidence25%]4)肩撞击综合症疼痛主诉为三角肌疼痛并经常放射至前方肱头肌夜疼痛影1HandC,ClipshamK,ReesJL,etal.Long-termoutcomeoffrozenshoulder.JShoulderElbowSurg2008;1...
