Shoulder is painful once was ascribed to for a time humeral week is phlogistic, it seems that all shoulder are painful can use " humeral Zhou Yan " place is wraparound. But progress as medicine, the understanding with medical painful to shoulder bound is clearer and clearer. The humeral Zhou Yan that masses place thinks took the one fraction with painful shoulder only actually, and humeral sleeve injury just is the culprit with a lot of painful shoulder.
What show does humeral sleeve injury have?
Humeral sleeve, just as its name implies points to shoulder to go up namely " oversleeve " . It by 4 little brother (tendon) the bag is circling shoulder composition. The tendon on the ridge that these 4 little brother are the tendon below the shoulder blade that is located in humeral joint ahead, upper part respectively, hind the tendon below the ridge of upper part, and rear roundlet tendon forms. They the bone that 4 brother bag is circling humeral joint, have the effect of stable joint, below their help, humeral joint can be finished lift ahead, extend backward, reach up raise outwards wait for a movement.
Humeral sleeve is injured even if above the one or more injury in 4 little brother or ruptured. The cause that causes humeral sleeve loss has a lot of, basically have two big sides:
It is grow as the age, tendon itself appears retreat change, quality drops, wear like the dress old same. This moment, the repetition with frequent arm has lifted the motion of the top of head or activity to be able to cause humeral sleeve to injure, this seems to relapse tear at old clothes, pull easily like defeating.
2 it is to happen suddenly traumatic, when getting hurt often shoulder or elbow most first touchdown.
Also have the humeral sleeve loss that two kinds of reasons cause below joint action of course.
Humeral sleeve is injured most begin often painful in the evening fierce, accompany shoulder to lift or go up when carrying, do not use on effort. Admit the patient that tremendous shoulder sleeve is injured or nerve injures all round amalgamative shoulder only, just can appear shoulder carries completely the circumstance that does not rise. The time that injures as a result of humeral sleeve lengthens, shoulder is painful and lack of power make patient shoulder not very is moved, appear gradually thereby amalgamative humeral joint adhesion, then occurrence shoulder is articulatory already painful the activity is adverse, inflexible even, the patient often is sufferred from can't bear character.
How to distinguish " is humeral sleeve injured " and " humeral Zhou Yan " ?
Humeral sleeve injures and humeral Zhou Yan's clearest distinction depends on: Humeral week phlogistic him patient shoulder is painful and carry do not rise or come back to be not moved, the upper arm that others is supporting her or antebrachium carry as before be not moved or come back to be not moved, namely advocate passive activity suffers be restricted, blame with outward turning most apparent; And because ache,humeral sleeve injures a patient and carry do not remove shoulder, but below the case that helping an arm in family, still can raise very reluctantly come, namely active activity suffers be restricted apparent, passive activity suffers be restricted lighter.
Next, both tall hair age is different. Humeral week is phlogistic (on medicine more recommend say for " bursa of joint of humeral adhesion sex is phlogistic " ) , renown " 50 shoulders " , see more at 45 control to 55 years old, the female is more much see. Course of diseases of diabetic of unfavorable of control of partial blood sugar is longer, turn over recrudesce easily to make. Under photograph comparing, humeral sleeve injures more to see the senile patient at 60 years old of above, and part the 35 athletic fan that come 45 years old.
The 3rd distinction is course of diseases differs. Humeral Zhou Yan has self-healing tendency commonly, namely the elapse as time, can improve slowly, general and whole the time that comes on on average is controlled in two years. There also are a lot of methods now of course, the course of diseases that can make humeral week phlogistic shortens, reduce sorely, improve life quality. And Cheng of injury of humeral sleeve caustic will be very long, some patients shoulder is painful 3 to 5 years, even of 10 years of above have.
Both finally treatment program is different also. General ache or activity suffer be restricted lighter humeral week phlogistic first selection guards cure, include what the activity spends to take exercise, diminish inflammation of profess to convinced is acetanilide medicaments, articulatory inject. Only ache and activity suffer be restricted apparently, keep remedial unfavorable patient, ability can suggest to undertake humeral joint lens issues method of the small go to the toilet that achieve a pine. And once be diagnosed clearly,rupture, general proposal undertakes lens operation treats humeral joint as early as possible. Because the small hole on humeral sleeve does not fill, meeting development becomes large hole, the tendon incomplete end that ruptures finally still can be answered shrink, serious patient wants to fill to also do not fill to go up finally, not only floriferous money, also cannot get ideal effect.
How is humeral sleeve injury treated?
Clear to the symptom (nightly ache, articulatory activity suffers be restricted) humeral sleeve ruptures patient, recommend commonly accept treatment of articulatory lens operation as early as possible. Alleged " small hole does not fill, large hole bears hardships " , the remedial time that tendon of blindly protracted shoulder sleeve ruptures, to final likelihood end of occurrence tendon incomplete is answered apparently shrink, tendon is apparently adipose infiltration, begging a doctor to repair to moment, the doctor is helpless also, can change only turn over humeral joint.
To having humeral sleeve injury of the symptom, still put dispute on clinical cure at present, general apt is followed regularly visit observation, conservative cure is given priority to.
To the partial loss of humeral sleeve tendon, need combines ache and activity to suffer bounds symptom, and the area that tendon injures and deepness, will decide to treat plan. To often nightly painful wake to get bounds patient with apparent activity, apt joint lens is small now achieve cure to cooperate a function to take exercise.
If patient body does not have too much and amalgamative disease, common humeral joint treatment undertakes as daytime operation.
Operation around can use demulcent measure, there is good anaesthesia in art, because this does humeral joint in articulatory surgery lens is basic it is painless, the patient can complete the inspection before art in outpatient service, need be in hospital two days only, operation time is controlled one hour commonly. The doctor meets art hind make following visit and guidance recovers after art to the patient in outpatient service, aid them at an early date " shoulder " strong.
After technique of humeral joint mirror how long can you return to normal?
Cent of the rehabilitation after art is 3 phase: Tendon grows; The activity spends practice to come back; Force is experienced come back.
The first phase can adorn pillow the four boundaries of a piece of land or a construction site is exhibited outside joint of a shoulder 6 weeks, basically be to let the tendon that repair cicatrization first rise. This phase can do some of little passive activity, wait like pendulum motion, passive outward turning, but carry not actively basically arm, lest pull,pull tension to affect the heal of tendon.
The 2nd phase basically spends the activity through practicing 4 movements experienced come back. The shoulder in the process of the exercise will be a bit painful, after complete practice leaves, ache can be reduced apparently, the doctor can open a few medicaments to help patient exercise. The shoulder activity circumstance before every patient art each different, the frequency that together with practices second with effort degree differs, the amalgamative disease that considers to whether have aggravating and articulatory adhesion (be like diabetic etc) , this phase needs a course to differ to 3 months about.
The 3rd phase can be united in wedlock lift small dumbbell or the method such as mineral water bottle, help patient regains the muscle power all round humeral joint.
Anyhow, according to different situation of the individual, the patient is average in the four boundaries of a piece of land or a construction site after art 6 months can return to normal completely. Normally after art all around, the shoulder of side of major action operation of daily life can be finished. Do not have with what protracted cure may cause can rescue photograph comparing, this nod little difficulty, believe the patient can be overcome.
