Abstract
肩關節三角肌攣縮造成肩關節活動的內收與前屈受到限制,其原因來自
於三角肌經重複肌肉注射而產生的病變纖維化。治療處理上以手術為主,方法分
為近位縱切、近位橫切、遠端切除等。手術處理主要可解除使肩關節活動限制的
纖維化組織,進一步也解除因活動受限所導致的肩痛現象。由於手術切除的組織
為肩三角肌,因此有影響肩關節外展肌力之虞。本研究的目的為以等速肌力測試
來評估遠端切除之手術方法對肩關節肌力的影響。結果顯示後伸於低速測驗以及
前屈於快速測驗中在術後1年有明顯進步,其餘動作則皆未有明顯影響。(中華物
療誌1996:21(4):223-228)
Deltoid contracture is a disorder which may result from repeated intramuscular injections. The clinical manifestations consist of restriction of shoulderadduction, shoulder pain, and wing scapula. Surgicalintervention is a most utilized way to resolve the problem of limited range of motions, which includes prox imal transverse incision, proximal longitudunal incision, and distal release technique developed by Dr.Chen, one of the authors. Objective isokinetic muscle testing proved the distal release of deltoid contracture did not affect the shoulder muscle strength.(JPTA ROC 1996;21(4):223-228)
Deltoid contracture is a disorder which may result from repeated intramuscular injections. The clinical manifestations consist of restriction of shoulderadduction, shoulder pain, and wing scapula. Surgicalintervention is a most utilized way to resolve the problem of limited range of motions, which includes prox imal transverse incision, proximal longitudunal incision, and distal release technique developed by Dr.Chen, one of the authors. Objective isokinetic muscle testing proved the distal release of deltoid contracture did not affect the shoulder muscle strength.(JPTA ROC 1996;21(4):223-228)
| Original language | Chinese (Traditional) |
|---|---|
| Pages (from-to) | 223-228 |
| Journal | 中華民國物理治療學會雜誌 |
| Volume | 21 |
| Issue number | 4 |
| State | Published - 1996 |