搜索

搜索

近期热门

开启左侧

[分享] Shoulder Instability(肩关节不稳)

[复制链接]
聂响斌 发表于 2013-9-23 16:20 | 显示全部楼层 |阅读模式 打印 上一主题 下一主题 来自: 湖南
 

登陆查看更多精彩内容!

您需要 登录 才可以下载或查看,没有账号?立即注册

x
Shoulder instability is a problem that occurs when the structures that surround the shoulder joint do not work to keep the ball tightly within its socket. If the joint is too loose, is may slide partially out of place, a condition called shoulder subluxation. If the joint comes completely out of place, this is called a shoulder dislocation. Patients with shoulder instability often complain of an uncomfortable sensation that their shoulder may be about to shift out of place--this is what physicians call "apprehension."
Shoulder instability tends to occur in three groups of people:

Prior Shoulder Dislocators
Patients who have sustained a prior shoulder dislocation often develop chronic instability. In these patients, the ligaments that support the shoulder are torn when the dislocation occurs. If these ligaments heal too loosely, then the shoulder will be prone to repeat dislocation and episodes of instability. When younger patients (less than about 35 years old) sustain a traumatic dislocation, shoulder instability will follow in about 80% of patients.
Young Athletes
Athletes who compete in sports that involve overhead activities may have a loose shoulder or multidirectional instability (MDI). These athletes, such as volleyball players, swimmers, and baseball pitchers, stretch out the shoulder capsule and ligaments, and may develop chronic shoulder instability. While they may not completely dislocate the joint, the apprehension, or feeling of being about to dislocate, may prevent their ability to play these sports.
"Double-Jointed" Patients
Patients with some connective tissue disorders may have loose shoulder joints. In patients who have a condition that causes joint laxity, or double-jointedness, their joints may be too loose throughout their body. This can lead to shoulder instability and even dislocations.
Shoulder Instability Treatment

Treatment of shoulder instability depends on which condition is causing the shoulder to come out of joint. Most patients with multi-directional instability will be successfully treated with a focused physical therapy program to strengthen the muscles that help to hold the shoulder in position. In some patients with MDI, when prolonged therapy has been unsuccessful, there are surgical options to tighten the shoulder capsule to help reduce the amount of mobility of the joint.
Patients who have sustained a traumatic dislocation of the shoulder have usually torn one of the structures that holds the shoulder in proper position. In younger patients (under age 30), the shoulder labrum is usually torn, called a Bankart tear. In these situations, the labrum is usually surgically repaired, called a Bankart repair.

Patients over the age of 30 have a higher chance of tearing their rotator cuff, rather than the Bankart tear, when they dislocate their shoulder. In these situations, therapy may be considered for treatment of the rotator cuff tear, or rotator cuff surgery.
 

精彩评论5

正序浏览
唐泽宇 发表于 2013-9-24 00:38 | 显示全部楼层 来自: 湖南长沙
 
对于聂老师的资源我表示压力很大!
翻译软件配合使用ing……{:soso_e182:}
 
小辣欧 发表于 2016-4-21 16:57 | 显示全部楼层 来自: 广东
 
感谢楼主的无私分享!要想中国康复治疗师论坛好,就得靠大家。{:4_98:}
 
游龙惊凤 发表于 2021-5-15 17:59 | 显示全部楼层 来自: 广东
 
谢谢分享
 
您需要登录后才可以回帖 登录 | 立即注册

本版积分规则


3关注

314粉丝

102帖子

排行榜
  • 2009年Bárány协会分类委员会(CCBS)将前庭疾病症状分四类:眩晕、头晕、前庭视觉症
    70
  • 解剖 解剖二字,从古至今,都有之。我们从古代
    1902
  • 2009年Bárány协会分类委员会(CCBS)将前庭疾病症状分四类:眩晕、头晕、前庭视觉症
    70
  • 2009年Bárány协会分类委员会(CCBS)将前庭疾病症状分四类:眩晕、头晕、前庭视觉症
    70
  • 解剖 解剖二字,从古至今,都有之。我们从古代
    1902
  • 国家卫生健康委疾控局:《儿童青少年脊柱弯曲异常防控技术指南》 为加强儿童青少年脊
    9070
  • 胆囊炎可以突然(急性)发生或随着时间的推移反复(慢性)发生。 急性胆囊炎的症状:
    1870
  • 乳腺增生(以前称为纤维囊性乳房疾病)包括非癌症引起的乳房疼痛、囊肿和肿块。 大多数
    2570
  • 胆结石是指胆囊内有一个或多个结石存在。胆结石可以无症状,最常见的症状是胆绞痛,但
    2660
  • 胆囊炎可以突然(急性)发生或随着时间的推移反复(慢性)发生。 急性胆囊炎的症状:
    1250
  • 什么是细菌性脑膜炎? 脑膜炎是一种覆盖脑部和脊髓的薄层组织感染。这层组织叫做脑膜
    1620
  • 最近一则招聘通知引起很多人关注,该院计划公开招募若干名劳务派遣制人员,康复招聘是
    2140
  • 蚊子病是一种由黄病毒引起的由蚊子传播的疾病。登革热通常表现突然高热、头痛、肌肉痛
    4660
作者专栏
中国康复治疗师网APP下载
发布主题 快速回复 返回列表

提供优质康复职称考试辅导服务

康复学习就上康复治疗师网

康复医学职业教育O2O创新品牌

10年优越口碑历程见证

  • 官网微信

    每天官微五分钟,一年萌新变大神

    扫码关注
  • APP客户端

    48+W康复治疗师邀您加入!

    下载APP客户端
  • 官方客服
KFZLS.COM

学习是回报率最高的投资!

悄悄变强大,惊艳所有人!

Copyright   ©2012-2021  康复治疗师网Powered by©kfzls.com技术支持:康复治疗师网     ( 湘ICP备12010636号 )|网站地图