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苏柏先,陈文翔,王亭贵,吴爵宏.利用动态超声波探讨年龄对于喙突肩峰韧带形变的影响[J].中国康复医学杂志,2012,27(5):423~427
利用动态超声波探讨年龄对于喙突肩峰韧带形变的影响    点此下载全文
苏柏先  陈文翔  王亭贵  吴爵宏
台湾大学附设医院复健部暨台湾大学医学院
基金项目:
DOI:
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摘要:
      摘要 目的:利用动态超声波评估不同年龄层的正常男性在肩关节活动时喙突肩峰韧带的形变差异性。 方法:本研究将男性健康受试者依年龄分成3组:少年组、中年组及老年组,以超声波测量喙突肩峰韧带的长度以及和肱骨头间垂直最短距离;行动态超声波检查,在受试者主动式肩关节活动(外展内旋)时测量喙突肩峰韧带的形变;最后采用配对t检验,比较各组间的基本数据以及超声波下的关于喙突肩峰韧带的各项参数。 结果:在静态检查时,喙突肩峰韧带的长度以及和肱骨头间最短距离在3组间差异均无显著性。在主动式肩关节外展内旋活动时,喙突肩峰韧带形变在老年组比少年组小(1.8±0.4mm及2.4±0.8mm,P=0.005)。但在少年组及中年组,或中年组和老年组之间,此形变差异则无显著性。 结论:利用动态超声波检查发现在主动式肩关节活动时,老年的喙突肩峰韧带形变较少年小。
关键词:喙突肩峰韧带  肩关节夹挤综合征  肌骨超声
Influence of age on deformation of coracoacromial ligaments by dynamic ultrasound examination    Download Fulltext
National Taiwan University Hospital Yun-Lin Branch
Fund Project:
Abstract:
      Abstract Objective:To compare the deformation of coracoacromial ligament (CAL) during shoulder motion between different age groups by dynamic ultrasonographic examination. Method:Thirty healthy subjects without shoulder pain participated in this study. They were divided into 3 groups: 10 adolescents, 10 adults and 10 elders. In static ultrasonographic examination, the length of CAL and the shortest distance between CAL and humeral head were measured. In dynamic examination, the CAL deformation was filmed when participants performed active shoulder motions (shoulder abduction and internal rotation, SAIR). The CAL deformation was reviewed and measured until the maximal deformation was recorded. Paired t test was used to compare the demographic data and the ultrasonographic parameters. Result:During active SAIR motion, the CAL deformation of the elderly group was significantly less than that of the adolescent group (1.8±0.4mm and 2.4±0.8mm, P=0.005), while no difference was found between adult group and elderly group or adult group and adolescent group. In static examination, there was no statistically significant difference of CAL thickness and the shortest distance between CAL and humeral head among three groups. Conclusion:Through dynamic ultrasonography, deformation of CAL was less in elderly subjects when compared with adolescent subjects.
Keywords:coracoacromial ligament  shoulder impingement syndrome  musculoskeletal ultrasound
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