肩关节周围炎的康复治疗课件.ppt

1、m.deltoideus=deltoid muscle三角肌m.Pectoralis major=pectoral major muscle胸大肌m.Levator scapulae(1)肩胛提肌m.Rhomboideus(2+3)=rhomboid muscle 菱形肌m.Latissimus dorsi=lat dorsi muscle背阔肌m.serratus ant.(1-3)=anterior serratus muscle前锯肌m.pectoralis minor(2)=minor pectoral muscle胸小肌m.subscapularis=sub scapular mus

2、cle肩胛下肌m.trapezius=trapezius muscle斜方肌m.teres minor(3)=teres minor muscle小圆肌m.supraspinatus(1)=supraspinatus muscle冈上肌m.infraspinatus(2)=infraspinatus muscle冈下肌Rotatory Cuff肩袖Supraspinatus Tendon冈上肌腱Long bicep Tendon二头肌长头腱Infraspinatus Tendon冈下肌腱Teres Minor Tendon胸小肌腱Abduction:scapula glides lateral

3、 and anterior外展：外展：肩胛骨向侧前运动Involved muscle:m.serratus anterior相关肌肉：前锯肌Adduction:scapula approaches the spine内收：内收：肩胛骨向脊柱方向运动Involved muscles:m.trapeziusm.rhomboideus相关肌肉：斜方肌，菱形肌External Rotation:scapula swings lateral,like a bell外旋：外旋：肩胛骨侧摆，像钟摆一样Involved muscles:m.serratus anterior m.trapezius,pars

4、descendens m.trapezius,pars ascendens相关肌肉：前锯肌，斜方肌上部和下部Internal Rotation:scapula swings medial,like a bell内旋：内旋：肩胛骨侧摆，像钟摆一样Involved muscles:m.serratus anterior m.trapezius,pars descendens m.trapezius,pars ascendens相关肌肉：前锯肌，斜方肌上部和下部Lifting the shoulder:scapula shifts forward,as if to top the shoulder耸

5、肩：肩胛骨前移，到肩的最高处Involved muscles:m.trapezius,pars descendens m.rhomboideus m.levator scapulaeand a bit:m.subclavius(not in the picture)相关肌肉：斜方肌上部，菱形肌，肩胛提肌，小部分：锁骨下肌（不在图中）Sinking the shoulder:scapula shifts towards the thorax沉肩：肩胛骨向胸廓方向移动Involved muscles:m.trapezius,pars asscendens m.serratus anterior a

6、nd a bit:m.pect.min.(not in the picture)相关肌肉：斜方肌下部，前锯肌小部分：胸小肌（不在图中）0-40to60 Abduction:0-40到60度外展Mainly主要:m.Supraspinatus冈上肌40to60-full Abduction:40-60度外展Mainly主要：m.Deltoideus 三角肌ER-Adaption外旋:m.Supraspinatus 冈上肌漏肩风、肩凝症、冻结肩、五十肩。指肩周肌、肌腱、滑囊以及关节囊的慢性损伤性炎症。因关节内外粘连，而以活动时疼痛、功能障碍为临床特点。4、X线：肩部骨质疏松，或冈上肌腱，肩峰下滑囊钙化症。