后肩峰

Method］from may 2000 to november 2007,14 patients(10 females,4 males;mean age 34.6 years)with scapular fractures were treated by open reduction and internal fixation through a posterior approach.eight patients were injurred in traffic accidents,3 due to falling,2 by direct violence and 1 due to cut.there were eleven patients with close fractures and 3 with open fractures.according to hardegger classification system,there were 8 cases of scapular body fracture,9 of scapular spine fracture,6 of scapular acromion,10 of scapular neck fracture,6 of glenoid rim fracture and 4 of glenoid fossa fracture.

车祸伤8例，高处坠落伤3例，直接暴力伤2例，刀砍伤1例。闭合性骨折11例，开放性骨折3例。根据hardegger的分型方法，体部骨折8处，肩胛冈骨折9处，肩峰骨折6处，肩胛颈骨折10处，盂缘骨折6处，盂窝骨折4处。其中混合型骨折10例，合并全身多发伤5例；伴有腋神经损伤1例，肩胛上神经损伤2例。通过后入路手术，对不同类型的肩胛骨骨折使用重建钢板或拉力螺钉和钢丝等固定。［结果］14例患者获得随访，随访时间6个月～3年，平均18个月。

Then head straightened, pushing the left, the head turned to the right as much as possible, using his right index finger, middle finger, ring finger pulp to push the left side, from the ear, such as a circular motion to push to the acromion Side; push the right time method likewise , each 3 times.

然后头摆正，推左侧时，头尽可能地转向右，用右手食指、中指、无名指指腹推左侧，从耳后如画圆圈似地推至肩峰；推右侧时方法亦同，各 3 遍。

Since then sit, fingers past the midline hair pushed back by the wind pool of sub-points, and knead Fengchi, take big neck muscle, shoulder wells (Da Zhuixue with the acromion of the mid-point) for 5 minutes.

此后坐起，五指从前发际正中线向后分按推至风池穴，并揉风池穴，拿颈后大筋、肩井(大椎穴与肩峰连线的中点)5分钟。

Methods: The sign object was put at each acromial end and clavicle end of normal acromioclavicular joint. And then acromioclavicular joint was tested the locations in abducetion+superduct 、 endoduction 、 anteflexion 、 post-extention 、 external and interior rotation by using 3D- laser scanning camera .Computer calculate the rotation of the two sign objects in x 、 y 、 z axis(x delegate clavicle axis,y delegate coronal section ,z delegate sagittal axis).

通过在正常活体肩锁关节的锁骨端及肩峰端分别安装一个激光照相扫描仪的探测端子，3D-激光扫描相机扫描肩关节在做前屈+上举，后伸，外展，内收，外旋及内旋等不同位置下两端子的位置，通过计算机计算出两端子在X、Y、Z轴（X轴代表锁骨的长轴，Y轴为冠状面与X轴垂直轴，Z轴为矢状轴）上的旋转情况。

To determine which changes of impairments pre and post treatment among patients are related to the successful outcome for SAIS.

本实验将利用修改后的临床预测规则来检视，是否肩胛运动学与机能损伤的特性和肩峰下夹挤症候群病患接受物理治疗成效有关系。

The average number of anterior lymph nodes was 3.83±1.79. Their blood supply originated from the branches of lateral thoracic artery, whose mean diameter and length were 1.04±0.42 and 29.5±12.25 respectively.(3) The average number of posterior lymph node was 2.38±0.97. Their blood supply originated from the lymph node branch of subscapular artery, whose length and mean diameter were respectively 18.78±8.67 and 0.78±0.32.(4) The average number of central lymph nodes was 4.05±1.95. Their blood supply originated from axillary artery whose mean diameter was less than 1mm.(5) The average number of apical lymph nodes was 2.82±1.96. Their blood supply originated from the branches of thoracoacromial artery whose mean diameter was 0.79±0.29mm and length was 10.60±4.13mm.

结果 外侧群淋巴结数量为(3.16±1.72)个，血供属多源性且不恒定；前群淋巴结数量为(3.83±1.79)个，营养血管主要为胸外侧动脉的分支，其外径(1.04±0.42)mm，干长(29.5±12.25)mm；后群淋巴结数量为(2.38±0.97)个，血管来源于肩胛下动脉的淋巴结支，其外径为(0.78±0.32)mm，干长(18.78±8.67)mm；中央群淋巴结数量为(4.05±1.95)个，血管来源于腋动脉的分支，其外径均在1mm以下，干长20mm以上；尖群淋巴结数量为(2.82±1.96)个，营养血管为胸肩峰动脉的分支，外径为(0.79±0.29)mm，干长(10.60±4.13)mm。

CASE REPORTSFrom July 2005 to January 2008, 16 cases of Ⅲ degree rotator cuff injury were treated by the openloop acromioplasty, and at the same time, after full loose of the injured rotator cuff, it was sutured on the greater tuberosity of humerus.

病例报告］自2005年7月—2008年1月间给16例肩袖损伤患者施行开放式肩峰成形术，同时将损伤的肩袖充分松解后，缝合在肱骨大结节上。

The characteristic of the treatment by manipulation with acupotomy in tensive position is manipulating the adhesions and contractures of capsule in direction: including the zona of intertubercular sulcus, inferior-acromial and the decocted later part of the capsule, and with hydraulic distension and manipulation. Compared with manipulation maneuver this treatment is less traumatic, short of course of treatment, easy to perform and really an effective procedure to treat the frozen shoulder.

粘连挛缩带紧张位针刀松解治疗方法特点在于针对性地松解肩前结节间沟区、肩峰下和肩关节囊后下部等三处粘连挛缩带，在此基础上配合关节腔内注液扩张和术中术后注重肩肱关系的手法松解，与推拿治疗冻结肩相比，本法明显改善了冻结肩患者的疼痛与功能障碍程度，创伤小，疗程短，见效快，疗效可靠，且中远期随访显示疗效稳定。

Conclusion］Rigid fixation of displaced comminuted fractures of proximal humerus with anterior acromioplasty is a simple and effective technique to prevent subacromial impingement syndrome after surgery.

结论］在肱骨近端骨折内固定手术治疗的同时应用前部肩峰成形术，可有效地预防手术后肩峰撞击征的发生，促进肩关节功能的恢复。

Results: MRI findings included: 13 cases of abnormality of the rotator cuff, 4 of abnormality of the glenoid labrum, 2 of abnormality of both the rotator cuff and long head of biceps tendon, 2 of abnormality of long head of biceps tendon,5 of subacromial bursitis, 4 of abnormality of bony structure.

结果：21例肩关节MRI扫描发现：肩袖病变13例、盂唇病变4例、肩袖病变合并肱二头肌长头肌腱病变2例、肱二头肌长头肌腱病变1例、肩峰下三角肌下滑囊脂肪消失和滑囊炎或滑囊积液5例、肩胛骨肿瘤1例。21例中同时伴不同程度肩关节退行性变及骨创伤4例。5例经开放性手术或关节镜证实，其余16例行保守治疗后临床随访。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。