肩胛區疼痛,肩關節活動時肩胛骨部位發出「咔嚓咔嚓」的怪聲,您可能是得了肩胛骨彈響症候群。
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Snapping Scapula Syndrome
肩胛骨彈響症候群
Overview(概述)
This condition, also known as scapulocostal or scapulothoracic syndrome, occurs when the scapula catches on the muscles or bones of the chest wall. Instead of gliding smoothly across the chest wall as the arm is used, the scapula catches and grinds.
肩胛骨彈響症候群,又稱肩胛骨肋骨症候群或肩胛骨胸壁症候群,是肩胛骨與胸壁的肌肉或骨頭相接觸而引發的,當胳膊活動時,肩胛骨不能柔順地滑過胸壁,而是發生受阻或磨擦。
Causes(原因)
This condition can be caused by repetitive motions that lead to inflammation or atrophy of the muscles beneath the scapula. It can also be caused by a fracture that changes the shape of the scapula, or an injury to the ribcage that results in a rib sticking out from its normal position.
本病可因反覆活動引起肩胛骨下方的肌肉炎症和萎縮,也可因骨折導致肩胛骨形態改變,或胸壁損傷導致肋骨從正常位置突出。
Symptoms(症狀)
Symptoms can include sounds or sensations of grinding, popping, catching and thumping as the arm is moved. It may cause pain, or it may be painless.
症狀包括響聲和研磨感,發出噼啪聲,當胳膊活動時有受阻或重擊感。本病可能引起疼痛,也可能沒有疼痛。
Treatment(治療)
Treatment options may include rest, ice, anti-inflammatory medications, cortisone injections, and physical therapy. If those treatments are unsuccessful, surgery may be needed to change the shape of the scapula.
治療措施包括休息、冰敷、抗炎止痛藥,類固醇注射以及物理治療。如果這些治療無效,可能需要手術改變肩胛骨的外形。
(胡佰文 譯)
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骨科手術早知道019:關節鏡下肩袖修補術(ARTHROSCOPIC ROTATOR CUFF REPAIR)
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骨科手術早知道171:肩袖修補術(Rotator Cuff Repair)
骨科手術早知道172:肩關節鏡(Shoulder Arthroscopy)
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