肩部鈣化性肌腱炎(退變性鈣化)是當鈣沉積在肩袖的肌腱內導致這些肌腱和周圍組織發炎而引起疼痛性疾病。退變性鈣化往往發生於成年人。
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Calcific Tendinitis of the Shoulder
(Degenerative Calcification)
肩部鈣化性肌腱炎(退變性鈣化)
Overview(概述)
This painful condition occurs when calcium deposits form in tendons of the rotator cuff. These tendons and surrounding tissues in the shoulder become inflamed. This condition typically affects adults.
肩部鈣化性肌腱炎(退變性鈣化)是當鈣沉積在肩袖的肌腱內時引起疼痛性疾病。這時,肩部的這些肌腱和周圍組織發炎。退變性鈣化往往發生於成年人。
Causes(病因)
The exact cause of degenerative calcification is not known. Physicians believe it is triggered by the wear and tear of aging. Over time, normal use of the shoulder can weaken and damage the tendons of the rotator cuff. As the fibers of these tendons attempt to heal, calcium crystals can be deposited in the tissue. The crystals collect to form large, painful deposits.
退變性鈣化的確切病因尚不清楚,醫生認為它是由於老年化造成的磨損撕裂而觸發的。日積月累,肩關節的正常活動會使肩袖的肌腱損傷變得脆弱。當這些肌腱的纖維試圖癒合時,鈣結晶會在組織內積聚。結晶沉積越來越大,並引起疼痛。
Symptoms(症狀)
The most common symptom of this condition is moderate to severe shoulder pain. Patients often describe it as a burning sensation. The pain is usually caused by physical activity, especially by lifting the arm. The shoulder may also feel stiff and the range of movement may be limited.
本病最常見的症狀是中度到重度的疼痛。病人會將它描述為一種燒灼樣的感覺。疼痛往往因運動而誘發,尤其當胳膊上舉時。另外還會出現肩關節僵硬和活動受限。
Treatment(治療)
Treatment options may include anti-inflammatory medications, corticosteroid injections, and physical therapy. In severe cases, surgery may be necessary to break up and remove the deposits.
治療措施包括抗炎藥物,注射皮質激素以及物理治療。在嚴重病例,需要手術將鈣沉積破碎去除。
(胡佰文 譯)
相關閱讀:
中英文字幕:肩部鈣化性肌腱炎(反應性鈣化)Reactive Calcification
中英文字幕:肱二頭肌腱固定術(Biceps Tenodesis)
中英文字幕:肱二頭肌腱撕裂(Biceps Tendon Tear)
中英文字幕:肱二頭肌腱炎(Biceps Tendinitis)
中英文字幕:關節鏡下肩關節囊皺縮術(Arthroscopic Capsular Plication)
中英文字幕:肩鎖關節炎(Acromioclavicular Joint Arthritis)
中英文字幕:肩鎖關節分離修復術Acromioclavicular (AC) Joint Separation Repair
中英文字幕:關節鏡下Bankart修補術(ARTHROSCOPIC BANKART REPAIR)
醫學動畫:關節鏡下肩袖修補術(Arthroscopic Rotator Cuff Repair)
骨科小病不求醫028:肩關節的解剖(ANATOMY OF THE SHOULDER)
骨科小病不求醫029:肩關節骨關節炎(OSTEOARTHRITIS OF THE SHOULDER)
骨科小病不求醫030:肩袖損傷(ROTATOR CUFF INJURIES)
骨科疾病早知道009:肩關節撞擊症候群(Shoulder Impingement Syndrome)
骨科手術早知道019:關節鏡下肩袖修補術(ARTHROSCOPIC ROTATOR CUFF REPAIR)
骨科手術早知道021:肩關節撞擊症手術治療(SHOULDER IMPINGEMENT SURGERY)
骨科手術早知道107:肩關節前盂唇修補術(Bankart Repair)
骨科手術早知道114:診斷性肩關節鏡(Diagnostic Shoulder Arthroscopy)
骨科手術早知道116:肩袖完全撕裂修補術(Fully Torn Rotator Cuff Repair)
骨科手術早知道124:肩袖部分撕裂(Partially Torn Rotator Cuff)
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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