肩胛下肌的研究进展
Research Progress of Subscapular Muscle
DOI: 10.12677/ACM.2023.134850, PDF,   
作者: 杨 洋, 贺程成, 李延静*:延安大学附属医院,放射科,陕西 延安
关键词: 肩胛下肌喙突下撞击分型诊断Subscapular Muscle Subcoracoid Impact Typing Diagnosis
摘要: 肩胛下肌是肩袖中最大、最强的肌肉,在肩袖损伤中位居第2位,是肩关节前方维持盂肱关节生物力学稳定性的重要结构,漏诊或误诊将会给患者带来持续的前方肩关节疼痛。国内外对于肩胛下肌的研究较少,术前误诊、漏诊率较高,尤其是部分撕裂的患者。肩胛下肌腱损伤的发病机理尚不清楚,没有统一的MRI诊断标准,没有统一的分型标准,因此全面了解肩胛下肌的解剖、发病机理、损伤分型、检查方法及修复治疗等研究进展将有助于我们提高对肩胛下肌损伤的诊疗水平。
Abstract: The subscapular muscle is the largest and strongest muscle in the rotator cuff and ranks second in rotator cuff injury. It is an important structure to maintain the biomechanical stability of the glenohumeral joint in front of the shoulder joint. Missed diagnosis or misdiagnosis will bring per-sistent anterior shoulder pain to patients. There are few studies on subscapular muscle at home and abroad, and the rate of misdiagnosis and missed diagnosis before operation is high, especially in patients with partial tear. The pathogenesis of subscapular tendon injury is not clear, there is no unified MRI diagnostic criteria, and there is no unified classification criteria, so a comprehensive understanding of subscapular muscle anatomy, pathogenesis, injury classification, examination methods and repair treatment will help us to improve the level of diagnosis and treatment of sub-scapular muscle injury.
文章引用:杨洋, 贺程成, 李延静. 肩胛下肌的研究进展[J]. 临床医学进展, 2023, 13(4): 6030-6038. https://doi.org/10.12677/ACM.2023.134850

参考文献

[1] 叶成斌, 郑彬, 张小镇, 袁慧书. 冈上及冈下肌腱撕裂的MRI表现及漏误诊分析[J]. 中华放射学杂志, 2021, 55(6): 650-654.
[2] 李亘, 王栋梁, 王蕾. 老年巨大肩袖损伤治疗面临的挑战[J]. 中华创伤杂志, 2021, 37(4): 301-304.
[3] Kellam, P., Kahn, T. and Tashjian, R.Z. (2019) Anatomy of the Subscapularis: A Review. Journal of Shoulder and Elbow Arthroplasty, 3, 341-349. [Google Scholar] [CrossRef
[4] Ono, Y., Sakai, T., Carroll, M.J. and Lo, I.K.Y. (2017) Tears of the Subscapularis Tendon: A Critical Analysis Review. JBJS Reviews, 5, e1. [Google Scholar] [CrossRef
[5] 李雨鹏, 杨晓. 肩袖损伤合并肱二头肌长头肌腱病变的诊疗进展[J]. 华西医学, 2022, 37(10): 1576-1581.
[6] Cregar, W.M., MacLean, I.S., Verma, N.N. and Trenhaile, S.W. (2018) Lesser Tuberosity Avulsion Fracture Repair Using Knotless Arthroscopic Fixation. Arthroscopy Techniques, 7, e899-e905. [Google Scholar] [CrossRef] [PubMed]
[7] 江小成, 周日, 任仕友, 等. 关节镜下肩胛下肌松解术治疗肩胛下肌损伤28例疗效观察[J]. 中华骨与关节外科杂志, 2021, 14(1): 32-36.
[8] 张永, 包呼日查, 周慧文, 徐永胜. 肩胛下肌损伤的研究进展[J]. 内蒙古医学杂志, 2019, 51(10): 1192-1194.
[9] Shah, S.H., Small, K.M., Sinz, N.J. and Higgins, L.D. (2016) Morphology of the Lesser Tuberosity and Intertubercular Groove in Patients with Arthro-scopically Confirmed Subscapularis and Biceps Tendon Pathology. Arthroscopy, 32, 62-76. [Google Scholar] [CrossRef] [PubMed]
[10] Ahmad, Z.Y., Diaz, L.E., Roemer, F.W. Goud, A. and Guermazi, A. (2022) Imaging Review of Subscapularis Tendon and Rotator Interval Pathology. Radiology Research and Practice, 2022, Article ID: 4009829. [Google Scholar] [CrossRef] [PubMed]
[11] Lee, J., Shukla, D.R. and Sánchez-Sotelo, J. (2018) Subscapularis Tears: Hidden and Forgotten No More. JSES International, 2, 74-83. [Google Scholar] [CrossRef] [PubMed]
[12] 郑昱新. 肩胛下肌腱损伤的诊断和治疗研究进展[J]. 中国骨与关节损伤杂志, 2005, 20(4): 287-288.
[13] 徐文南, 张耀南, 石磊, 王飞, 薛庆云. 基于528例肩关节镜患者资料建立肩胛下肌腱撕裂风险分层预测模型[J]. 中国修复重建外科杂志, 2022, 36(6): 729-738.
[14] 陈雯, 袁慧书. 肩关节撞击综合征的影像评估[J]. 中华放射学杂志, 2021, 55(1): 91-94.
[15] Cunningham, G. and Lädermann, A. (2018) Redefining Anterior Shoulder Impingement: A Literature Review. International Orthopaedics, 42, 359-366. [Google Scholar] [CrossRef] [PubMed]
[16] Terabayashi, N., Fukuta, M., Ito, Y., et al. (2011) Shoulder Im-pingement Syndrome Due to a Ganglion Cyst below the Coracoacromial Ligament: A Case Report. The Journal of Bone & Joint Surgery, 93, e36. [Google Scholar] [CrossRef
[17] Hatta, T., Yamamoto, N., Sano, H., et al. (2017) Three-Dimensional Morphometric Analysis of the Coracohumeral Distance Using Magnetic Resonance Imaging. Orthopedic Reviews, 9, 9-13. [Google Scholar] [CrossRef] [PubMed]
[18] Asal, N. and Şahan, M.H. (2018) Radiological Variabilities in Subcoracoid Impingement: Coracoid Morphology, Coracohumeral Distance, Coracoglenoid Angle, and Coracohumeral Angle. Medical Science Monitor, 24, 8678-8684. [Google Scholar] [CrossRef
[19] 凌一鸣, 张开伟, 沈冯君. 喙突形态改变对肩胛下肌腱的损害分析[J]. 实用骨科杂志, 2018, 24(11): 995-997.
[20] Kucukciloglu, Y. and Aydin, D. (2022) Relationship between Ra-diological Measurement of Subcoracoid Impingement and Subscapularis Tendon Lesions. Clinics in Orthopedic Surgery, 14, 256-263. [Google Scholar] [CrossRef] [PubMed]
[21] 李俞锋, 董士奎, 伍晨亮, 蒋佳, 皇甫小桥, 赵金忠. 肩胛下肌损伤分型及治疗研究进展[J]. 国际骨科学杂志, 2021, 42(2): 76-80.
[22] 张永强, 吴勐, 张朝, 方小东, 许家辉, 杨辉, 周亚东, 杨亚龙, 李阳, 刘俊良, 王博, 米守湖. 超声和磁共振成像在肩胛下肌腱撕裂诊断中的效能分析[J]. 中国运动医学杂志, 2022, 41(8): 612-616.
[23] 柳在澈. 肩胛下肌腱撕裂的分型和治疗[J]. 中华肩肘外科电子杂志, 2016, 4(4): 255-256.
[24] Pandey, T., Slaughter, A.J., Reynolds, K.A., Jambhekar, K., David, R.M. and Hasan, S.A. (2014) Clinical Orthopedic Examination Findings in the Upper Extremity: Correlation with Imaging Studies and Diag-nostic Efficacy. RadioGraphics, 34, e24-e40. [Google Scholar] [CrossRef] [PubMed]
[25] Khil, E.K., Choi, J.-A., Lee, E. and Oh, J.H. (2021) Subscapularis (SSC) Tendon Tears: Diagnostic Performance and Reliability of Magnetic Resonance Arthrography (MRA) with Arthroscopic Correlation and Comparison with Clinical Tests. Skeletal Radiology, 50, 1647-1655. [Google Scholar] [CrossRef] [PubMed]
[26] Camenzind, R.S., Martin Becerra, J., Tondelli, T.O., Gossing, L., Serane-Fresnel, J., Lafosse, T. and Lafosse, L. (2023) Corre-lation between Preoperative Clinical Examination and Intraoperatively Found Subscapularis Tendon Tear. European Journal of Orthopaedic Surgery & Traumatology, 33, 373-379. [Google Scholar] [CrossRef] [PubMed]
[27] Luedke, C., Tolan, S.J. and Tokish, J.M. (2017) Arthroscopic Repair of Posterior Bony Bankart Lesion and Subscapularis Remplissage. Arthroscopy Tech-niques, 6, e689-e694. [Google Scholar] [CrossRef] [PubMed]
[28] Toprak, U., Türkoğlu, S., Aydoğan, Ç., Ko-valak, E., Saylısoy, S., Sıddıkoğlu, D. and Mahmud, A. (2020) Diagnostic Accuracy of Ultrasound in Subscapularis Tendon Abnormalities and the Importance of Operator Experiencee. Acta Orthopaedica et Traumatologica Turcica, 54, 423-429. [Google Scholar] [CrossRef] [PubMed]
[29] Lenza, M., Buchbinder, R., Takwoingi, Y., Johnston, R.V., Hanchard, N.C. and Faloppa, F. (2013) Magnetic Resonance Imaging, Magnetic Resonance Arthrography and Ul-trasonography for Assessing Rotator Cuff Tears in People with Shoulder Pain for Whom Surgery Is Being Considered. Cochrane Database of Systematic Reviews, No. 9, Article No. CD009020. [Google Scholar] [CrossRef
[30] 凌一鸣. 喙突指数与肩胛下肌腱损伤的MRI分析[J]. 影像研究与医学应用, 2018, 2(16): 250-251.
[31] Gyftopoulos, S., O’Donnell, J., Shah, N.P., et al. (2013) Correla-tion of MRI with Arthroscopy for the Evaluation of the Subscapularis Tendon: A Musculoskeletal Division’s Experience. Skeletal Radiology, 42, 1269-1275. [Google Scholar] [CrossRef] [PubMed]
[32] Hasler, A., Ker, A., Passon, T., et al. (2021) Nonoperatively Managed Small- to Medium-Sized Subscapularis Tendon Tears: Magnetic Resonance Imaging Evaluation with a Mini-mum of 5 Years of Follow-up. JSES International, 6, 84-90. [Google Scholar] [CrossRef] [PubMed]
[33] Adams, C.R., Schoolfield, J.D. and Burkhart, S.S. (2010) Accu-racy of Preoperative Magnetic Resonance Imaging in Predicting a Subscapularis Tendon Tear Based on Arthroscopy. Arthroscopy, 26, 1427-1433. [Google Scholar] [CrossRef] [PubMed]
[34] Ward, J.R.N., Lotfi, N., Dias, R.G. and McBride, T.J. (2018) Diagnostic Difficulties in the Radiological Assessment of Subscapularis Tears. Journal of Orthopaedics, 15, 99-101. [Google Scholar] [CrossRef] [PubMed]
[35] Miranda, M.O. and Bureau, N.J. (2019) Supraspinatus Myotendi-nous Junction Injuries: MRI Findings and Prevalence. American Journal of Roentgenology, 212, W1-W9. [Google Scholar] [CrossRef
[36] Malavolta, E.A., Assunção, J.H., Guglielmetti, C.L.B., de Souza, F.F., Gracitelli, M.E.C., Bordalo-Rodrigues, M. and Ferreira Neto, A.A. (2016) Accuracy of Preoperative MRI in the Diagno-sis of Sub-Scapularis Tears. Archives of Orthopaedic and Trauma Surgery, 136, 1425-1430. [Google Scholar] [CrossRef] [PubMed]
[37] Malavolta, E.A., Assunção, J.H., Gracitelli, M.E.C., Yen, T.K., Bordalo-Rodrigues, M. and Ferreira Neto, A.A. (2019) Accuracy of Magnetic Resonance Imaging (MRI) for Subscapu-laris Tear: A Systematic Review and Meta-Analysis of Diagnostic Studies. Archives of Orthopaedic and Trauma Sur-gery, 139, 659-667. [Google Scholar] [CrossRef] [PubMed]
[38] Groarke, P., Jagernauth, S., Peters, S.E., Manzanero, S., O’Connell, P., Cowderoy, G., Gilpin, D., Hope, B., Marchant, D., Cutbush, K., Andrews, S., Duke, P.F. and Ross, M. (2021) Correlation of Magnetic Resonance and Arthroscopy in the Diagnosis of Shoulder Injury. ANZ Journal of Sur-gery, 91, 2145-2152. [Google Scholar] [CrossRef] [PubMed]
[39] 秦海龙, 张克远. 关节镜下修复肩胛下肌损伤对早期肩关节功能的临床疗效评价[J]. 创伤外科杂志, 2021, 23(4): 285-291.
[40] Seppel, G., Plath, J.E., Völk, C., Seiberl, W., Buchmann, S., Waldt, S., Imhoff, A.B. and Braun, S. (2017) Long-Term Results after Arthroscopic Repair of Isolated Subscapularis Tears. The American Journal of Sports Medicine, 45, 759-766. [Google Scholar] [CrossRef] [PubMed]
[41] 菅影超, 付东山, 王伟. 基于MRI的合成CT生成方法综述[J]. 中国生物医学工程学报, 2020, 39(4): 485-492.