耳光 眼泪

迹象 & 症状

耳光眼泪患者可能会出现以下症状:

• 手臂在头顶移动时肩膀疼痛
• 提起重物时疼痛
• 运动能力减弱
• Clicking or catching in the shoulder joint, as if something were stuck inside
• 关节内或关节后的深度疼痛
• Pain in the front of the shoulder (if the biceps tendon is also injured)

诊断

十大赌博平台排行榜 diagnose 耳光 tears by taking the patient's medical history and doing a physical exam. An MRI may be ordered to confirm the diagnosis and determine the extent of the injury. 在一项叫做核磁共振关节造影的测试中, a small amount of dye is injected into the shoulder joint for the MRI to further define the labrum.

治疗

Many people with 耳光 tears get better with a period of rest and rehabilitation. A physical therapy program can strengthen the muscles surrounding the shoulder and improve control of the shoulder joint. 非手术治疗包括:

• 休息. 如果过度使用导致炎症，让肩膀休息可能会有帮助.
• 非甾体抗炎药(NSAIDs). Over-the-counter medications such as ibuprofen help control pain by decreasing the inflammation around the labrum and biceps tendon.
• 加强和伸展运动. A structured physical therapy program may be recommended to strengthen the muscles around the shoulder and address any accompanying issue with the labrum and biceps tendon. Physical therapy can be done at home, at UCSF or at other licensed facilities.
• 皮质类固醇注射. 皮质类固醇可以通过减少炎症来减轻疼痛. 超声成像可用于引导注射.

手术

For patients who continue to have pain that limits their ability to play sports or perform daily activities, 我们可能会推荐手术.

耳光 tear surgery is a minimally invasive procedure performed with an arthroscope (an endoscope for joints), 病人通常当天就能回家. They are under general anesthesia (completely asleep) and usually given a nerve block (an injection to stop pain signals in the specific area), 哪种能减轻术后疼痛. The surgeon uses multiple small incisions to pass a camera and small, 专门的器械进入肩关节. This visualization allows the surgeon to confirm the tear pattern and determine the best treatment. Techniques include repairing the tear (such as by suturing the labrum to the shoulder socket bone) and removing damaged tissue from the labrum. 对一些病人来说, 最好的方法是二头肌肌腱固定术, in which one of the biceps tendons is attached to a different point to stop it from pulling on the injured labrum.

从耳光撕裂手术中恢复需要时间. 病人 typically use a sling for four to six weeks to allow healing. 在此期间, 他们不应该开车, and physical therapy is limited to passive range-of-motion exercises, which will keep the shoulder from getting stiff while protecting the repair. People who sit at their jobs can usually go back to work 手术后一到两周, but people with strenuous jobs may need to wait until they have completed three to four months of physical therapy.

吊带取下后, 物理治疗开始, focused on active range-of-motion exercises without the use of weights. 也可以介绍慢跑和其他下半身运动. 在第12周，物理治疗开始侧重于强化. A full return to activities is generally allowed between five and six months post-op, 六个月大的时候, 修复被认为是完全愈合.