主管：中华人民共和国司法部
主办：司法鉴定科学研究院
ISSN 1671-2072  CN 31-1863/N
中国司法鉴定

中国司法鉴定 ›› 2021 ›› Issue (2): 33-37.DOI: 10.3969/j.issn.1671-2072.2021.02.005

• 鉴定综述 • 上一篇    下一篇

肩袖损伤的研究进展及其法医学意义

虢洪松1，牛士贞1，李长征1，丁润涛2，李国良2，王飞舟3   

  1. 1.济宁医学院，山东 济宁 272067； 2.潍坊医学院附属医院司法鉴定中心，山东 潍坊 261000；

    3.泗水县公安局，山东 济宁273200

  • 收稿日期:2019-11-12 出版日期:2021-03-25 发布日期:2021-03-25
  • 通讯作者: 牛士贞（1970-）男，副教授，博士，主要从事外科学教学、科研和法医学鉴定工作。
  • 作者简介:虢洪松(1982-),男，讲师，硕士，主要从事法医学教学、科研和法医学鉴定工作。
  • 基金资助:
    济宁市学院青年就爱哦是科研扶持基金（JYFC2018FY001）

Research Progress and Forensic Significance of Rotator Cuff Injury

GUO Hongsong1, NIU Shizhen1, LI Changzheng1, DING Runtao2, LI Guoliang2, WANG Feizhou3   

  1. 1. Jining Medical University， Jining 272067, China;  2. Forensic Appraisal Center, Affiliated Hospital of Weifang Medical College, Weifang 261000, China; 3. Sishui County Public Security Bureau, Jining 273200, China

  • Received:2019-11-12 Published:2021-03-25 Online:2021-03-25

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摘要：

肩袖位于肩峰、肩锁关节和肱骨头骨性结构之间, 是由冈上肌、冈下肌、肩胛下肌及小圆肌包绕在肱骨头周围并与肩关节囊相混合围绕肩关节形成袖套状结构的一组肌腱复合体，在肩关节活动功能中起重要作用。常见的损伤原因包括肩峰下撞击综合征、血管异常相关因素、关节功能退行变和外伤暴力因素等,是一类多因素参与的复杂病理生理过程。通过对肩袖的解剖因素、病理因素及有关的炎性介质等方面进行概括总结, 综合分析肩袖损伤的原因及机制,从而为法医临床学鉴定提供进一步的理论依据。

关键词:

肩袖, 肩峰下撞击综合征, 法医临床学, 解剖

Abstract:

The rotator cuff is located among the acromion, acromioclavicular joint and the bony structure of the humeral head. It is a group of tendon complexes composed of supraspinatus, infraspinatus, subscapularis and teres minor muscle around the humeral head and mixed with the shoulder joint capsule to form a cuff structure around the shoulder joint, which plays an important role in the shoulder joint activity. The Common causes of rotator cuff injury include factors like: subacromial impingement syndrome, vascular related abnormalities, degeneration joint function and aging, and traumatic violence, which is a complex pathophysiological process involving multiple factors. This paper summarizes and comprehensively analyze the causes and mechanism of rotator cuff injury according to the following perspectives of the anatomical factors,pathological factors and related inflammatory mediators, so as to provide further theoretical basis for forensic clinical identification.

Key words:

rotator cuff, subacromial impingement syndrome, forensic clinical science, anatomy

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