利用诊断性肌肉骨骼超声评估冈下肌和肌腱:对康复专业人员的启示。

IF 1.6 Q3 SPORT SCIENCES
International Journal of Sports Physical Therapy Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.120405
Robert C Manske, Michael Voight, Chris Wolfe, Phil Page
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引用次数: 0

摘要

肩袖由肩胛下肌、冈上肌、冈下肌和小圆肌组成,通过将肱骨头固定在肩胛骨的盂腔内,在稳定盂肱关节方面发挥着至关重要的作用。这些肌肉的肌腱插入处会在关节囊内产生张力,从而在肌肉活动时增强关节的稳定性。肩袖很容易受到疾病、损伤或外伤的损害,从而导致一条或多条肌腱撕裂或断裂。对冈下肌和肌腱的评估对于诊断和治疗各种肩部病症至关重要。通过精确的成像来确定肌肉受累的具体部位和损伤的严重程度,对治疗决策具有重要影响。诊断性肌肉骨骼超声(MSK-US)已成为评估冈下肌和肌腱的重要工具,可提供精确诊断和有效康复计划所必需的实时动态评估功能。本文回顾了 MSK-US 在评估冈下肌和肌腱方面的实用性和优势,强调了技术的特殊性、诊断的准确性以及与其他成像方式的比较效果。它详细介绍了冈下肌超声检查技术的系统方法,包括患者定位和常见病理的识别,如撕裂、肌腱病变和钙化。随着近来换能器强度、图像分辨率和操作员培训方面的进步,超声波已成为诊断肩袖撕裂的一种出色的替代成像方式。本文旨在让康复专业人员全面了解 MSK-US 作为冈下肌诊断工具的作用,从而促进更精确的诊断、治疗规划和改善患者预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilizing Diagnostic Musculoskeletal Ultrasound for Assessment of the Infraspinatus Muscle and Tendon: Implications for Rehabilitation Professionals.

The rotator cuff, comprising the subscapularis, supraspinatus, infraspinatus, and teres minor muscles, plays a crucial role in stabilizing the glenohumeral joint by securing the head of the humerus within the glenoid cavity of the scapula. The tendinous insertions of these muscles generate tension within the capsule, enhancing joint stability during muscular activity. The rotator cuff is susceptible to damage from disease, injury, or trauma, which can result in tears or ruptures of one or more tendons. The evaluation of the infraspinatus muscle and tendon is vital for diagnosing and managing various shoulder pathologies. Accurate imaging to determine the specific muscle involvement and injury severity significantly impacts treatment decisions. Diagnostic musculoskeletal ultrasound (MSK-US) has emerged as a valuable tool for assessing the infraspinatus muscle and tendon, offering real-time, dynamic assessment capabilities essential for precise diagnosis and effective rehabilitation planning. This article reviews the utility and advantages of MSK-US in evaluating the infraspinatus muscle and tendon, emphasizing technique specifics, diagnostic accuracy, and comparative efficacy against other imaging modalities. It details a systematic approach to the ultrasound examination technique for the infraspinatus, including patient positioning and identification of common pathologies such as tears, tendinopathy, and calcifications. With recent advancements in transducer strength, image resolution, and operator training, ultrasound serves as an excellent alternative imaging modality for diagnosing rotator cuff tears. This article aims to equip rehabilitation professionals with a comprehensive understanding of MSK-US as a diagnostic tool for the infraspinatus, promoting more precise diagnosis, treatment planning and improved patient outcomes.

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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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