supraspinatus tendon rupture test
The supraspinatus tendon rupture test is to check whether the supraspinatus tendon is broken. The tendon rupture of the supraspinatus tendon is caused by indirect external force. It is rare because it directly hits the shoulder. Occasionally, shoulder dislocation and tendon rupture. Inappropriate crowd: no pre-inspection contraindications: no special contraindications. Requirements for inspection: Check your relaxation and follow the doctor's instructions. Basic Information Specialist classification: neurological examination classification: physical examination Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: The test result was negative. No shoulder disease. Positive: It is suggested that there is scapulohumeral periarthritis or supraspinatus tendon rupture. The specific diagnosis needs to be combined with other examinations. Tips: Check your relaxation and follow the doctor's instructions. Normal value The test result was negative. Clinical significance Abnormal results, the test results are positive, may be the following diseases: First, the onset of scapulohumeral periarthritis is slow and progressive, but there is often no history of trauma and tearing during trauma. The abduction limitation is similar to that of the supraspinatus tendon rupture, but the function is limited in many aspects, and the night pain is obvious; while the supraspinatus tendon rupture is difficult to start during abduction, and the shoulder abduction rhythm disorder occurs, and the abduction exceeds 90 degrees. After that, its outreach can proceed normally. Second, the clinical manifestations of supraspinatus tendonitis and supraspinatus tendon rupture are very similar, need to pay attention to identification. In the onset, the supraspinatus tendonitis often slowly develops and gradually worsens; the supraspinatus tendon rupture is slow onset and suddenly increases. In the shoulder abduction dysfunction, the former is limited to light, can be restored after partial closure, while the latter is restricted, the shoulder abduction rhythm disorder, and can not be restored after partial closure. In addition, the pain curve is obvious before, and the latter is not obvious. People who need to be examined: people with abnormal pain on their shoulders. People over 40 years of age who are engaged in heavy physical work. Positive results may be diseases: acromioclavicular joint dislocation, scapular body fracture considerations Taboo before inspection: no special contraindications. Requirements for inspection: Check your relaxation and follow the doctor's instructions. Inspection process During the examination, there may be deep tenderness points on the lateral side of the shoulder, below the shoulder peak, and above the large nodules, sometimes accompanied by local swelling, followed by limited shoulder abduction activities, reduced degrees, and disordered abduction rhythm. This is because after the apex of the supraspinatus tendon, the humeral head loses its suspension and fixation and the acrosome of the supraspinatus muscle abuts, while the contraction of the deltoid muscle can only make the humerus upward according to the direction of the tensile line of the muscle fibers. Can't go out. The harder the patient is, the higher the shoulder is, but when the shoulder abduction exceeds 90 degrees, the patient can be automatically abducted. This phenomenon is called "shoulder outreach rhythm disorder". If the disease is long, the muscles may have atrophic atrophy, and the upper part of the sag is sunken. Not suitable for the crowd There are no special taboos. Adverse reactions and risks Nothing.
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