女突右肩疼痛以為50肩就診 醫曝:是旋轉肌袖斷裂

舉手肩膀會痛不一定就是50肩,也可能是肌腱斷裂,治療尚未必須要手術,服藥加復健也有治療效果。(程炳璋攝)
舉手肩膀會痛不一定就是50肩,也可能是肌腱斷裂,治療尚未必須要手術,服藥加復健也有治療效果。(程炳璋攝)
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台南市1名50歲女子最近右肩疼痛,以為罹患50肩到診所看診,經骨科醫師詢問再作核磁共振,確診病症是肩旋轉肌袖斷裂,不需開刀,經藥物治療復健數月即恢復正常。

骨科醫師陳建宏表示,臨床上旋轉肌袖斷裂最容易被誤診為50肩。50肩其實指的是肩關節的粘黏性肩關節囊炎,造就患肢在主動或是被動都有明顯的疼痛、活動限制。旋轉肌袖的受傷,患者最主要的不適是在肩關節的自主活動,被動的關節活動度仍可維持。

「肩旋轉肌袖」是肩膀深層的第2層肌肉群,主要的功能是維持肩關節的活動及穩定性,在正常神經功能的支配下,包括上臂前舉、外展、外轉及內轉等,都必須靠它來幫忙運作。

當旋轉肌袖斷裂,像是其中的一條或多條肌肉受傷,會造成肩膀疼痛、無法正常做到上述動作等症狀;甚至因疼痛,半夜壓到會痛醒,影響睡眠品質;在女性有時連日常生活,像是穿內衣都會有明顯的受疼痛不適。

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肩旋轉肌袖會斷裂的主要原因包括:外傷性斷裂還有慢性退化斷裂,前者常見於較年輕的患者,因創傷或是運動傷害導致肩關節脫臼伴隨肌腱斷裂。後者多因年紀增加,肌腱品質不理想,經不起反覆的過度使用或是撞擊而造成斷裂。



引用自: https://www.chinatimes.com/realtimenews/20240530001613-260418

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