概述

The shoulder labrum is a piece of soft cartilage in the socket-shaped joint in your shoulder bone. It cups the ball-shaped joint at the top of your upper arm bone, connecting the two joints.

A group of four muscles called the rotator cuff helps the labrum keep the ball in the socket. This allows your upper arm to rotate. Repetitive motion and injuries can tear the labrum, often causing pain.

您还有一个LAMRUM,您的上腿连接到臀部,但它不太可能撕裂,因为它比你的肩膀拉布厚。

The shallow, socket-like opening of the shoulder where the labrum is located is called the glenoid. Shoulder labrum tears can happen anywhere around the glenoid socket.

有三种主要类型的拉布卢姆眼泪:

  • SLAP tear or lesion:When the tear is above the middle of the glenoid, it’s called a SLAP tear or SLAP lesion. SLAP stands for “superior labrum, anterior to posterior,” which means front to back. This kind of labrum tear is common among tennis players, baseball players, and anyone who uses a lot of overhead arm motions. They also often occur with damage to the biceps tendon.
  • 银行家撕裂或病变:当损坏到眼睑套接字的下半部分时,它被称为倒档或撕裂。银行家的眼泪在年轻人中更常见脱臼肩膀.
  • 后唇缘撕裂:肩关节后部的伤害会导致后唇缘撕裂。这些是罕见的,只弥补5%到10%所有的肩膀受伤。

腿部撕裂通常是痛苦的。它可能觉得你的肩膀关节是:

  • 锁定
  • 爆裂
  • 磨削

您也可能在肩膀上感受到不稳定的感觉,运动范围的减少和力量丧失。晚上疼痛或每日活动的痛苦也很常见。

If you have a Bankart tear, it may feel like your shoulder will slip out of its joint.

其他肩膀伤害通常发生的所有类型的泪泪,如脱臼肩,转子袖口受伤,并撕裂二头肌肌腱。您的医生将确定您的伤害是什么。

Traumatic injury and wear and tear from repetitive motion of the upper arm can both cause labrum tears.

拉布卢姆眼泪的一些特定原因包括:

  • 一个伸出的手臂落下
  • 直接击中肩膀
  • 在达到顶端时发生猛烈的打击
  • 突然拖着胳膊

您的医生将测试您的肩部/手臂运动,稳定性和疼痛水平。一定要告诉医生可能导致疼痛的任何事件。

The labrum tissue is too soft to show up in X-rays, but your doctor may order an X-ray to see if other injuries might be causing your pain. To see the damage to the labrum, your doctor may order aCT scan要么核磁共振成像扫描.

Your doctor may also perform an arthroscopic examination by inserting a tiny camera called an arthroscope through a small cut. The camera will give your doctor a more detailed view of your labrum and any injuries to it.

患者泪水通常用休息,过度逆的药物和物理治疗治疗。

如果您有银行家撕裂,您的医生(甚至您的教练或教练)可能能够将上臂弹回到原地。这应该是物理治疗。

家庭补救措施

如果您的医生的检查表明,撕裂不会太严重,您只需要一些家庭疗程。休息是最重要的。抗炎症,如布洛芬(Advil,Motrin IB)或阿司匹林(Bufferin,Bayer纯正阿司匹林)可能有助于缓解疼痛。您的医生也可能决定为您提供可到疼痛缓解的皮质静脉注射。

Physical therapy

Your doctor may recommend physical therapy to strengthen the muscles of your shoulder, especially the rotator cuff. You may also receive massages or manual therapy during visits.

您的物理治疗师将向您展示避免的职位和活动,以及您可以在家中可以做的温柔伸展和练习。

物理治疗计划可能持续六周至两个月,具体取决于伤害的差。

Labrum tears requiring surgery are usually treated with minimally invasive arthroscopic surgery.

During surgery, the surgeon removes the damaged part of the labrum. This can include cutting off any flaps of damaged cartilage that prevent proper motion of the joint.

After surgery, you’ll likely be advised to wear a sling for the first four weeks to immobilize the shoulder.

您的医生将为您的特定需求推荐一个物理治疗计划。会议从运动范围练习开始,逐渐进展到伸展和加强。

Labrum surgery takes 9 to 12 months to completely heal, but you can quickly return to many activities. If you play a sport, such as tennis or baseball, that requires overarm motions, you may need to wait长达六个月重新获得这些运动中的耐力和速度。

大多数撕裂的唇膏都很容易用休息,物理治疗,手术或所有三种组合治疗。与您的医生和物理治疗师密切合作,为您找到最佳的治疗选择。通过适当的治疗,您的肩膀应在一年内恢复正常功能。