肩峰

Based on the upper limb being supposed as a rigid body and the joints being simplified, the relationship between the acromion and the center of the shoulder was measured by the positions of markers which was gotten by electromagnetic tracking system or three-dimensional measurement system based on general cameras.

在对人体上肢进行必要的简化和刚体假设的前提下，用电磁跟踪系统或三维摄像系统跟踪附着于肩峰和上臂上标记点的位置，根据本研究方法便可得到肩峰和肩关节中心的位置关系。

From October 2006 to March 2007, 31 shoulders (13 men and 18 women with average age of 54.3) with subacromial impingement syndrome, from our department, were selected to form the patient group, An age and gender-matched of 40 asymptomatic shoulders (18 men and 22 women with average age of 52.8) formed the control group. The acromion index was measured on the Grashey view. The distance from the glenoid plane to the lateral border of the acromion was divided by the distance from the glenoid plane to the lateral aspect of the humeral head to calculate the acromion index.

方法］对本科2006年10月~2007年3月就诊的肩峰下撞击综合征患者31肩（平均年龄54.3岁，男13肩，女18肩）的G rashey位片，计算肩峰指数即肩峰最外侧缘至肩关节盂平面的距离与肱骨近端最外侧缘至肩关节盂平面的距离的比值，通过肩峰指数对肩峰肱骨头相对位置进行定量评估，与正常人群40肩（平均年龄52.8岁；男18肩，女22肩进行比较、分析。

The larger the acromion index, the higher the ascending force component during active abduction and the higher of the pressure in the subacromial space. The situation may cause the subacromial impingement syndrome.

在较大的肩峰指数所反映的肩峰肱骨头位置关系中，外展时三角肌对肱骨头向上的分力大，肩峰下间隙内压力高，易引发肩峰下撞击综合征。

The difference between the index in the shoulders with subacromial impingement syndrome and the index in normal shoulder was highly significantly (P.0001). Acormion index can be accurately reflected the acromion and the humeral head in the coronal position.

结论］肩峰指数可准确的反映肩峰与肱骨头在冠状位上的位置关系，肩峰下撞击综合征与较大的肩峰指数有关。

The point where the anterior branch of axillary nerve crosses the line junction the acromion to the deltoid tuberosity lies below the acromion (6.19±0.49) cm, and it corresponds to the junction of upper 2/5 and lower 3/5 of the length of the deltoid muscle.

腋神经前支于肩峰外侧端与三角肌止点连线相交点位于肩峰下(6.19±0.49)cm，相当于肩峰与三角肌止点连线间三角肌长度的上2/5与下3/5交点。

The CNR of fat and muscle belly on T_1WI was higher than on PDWI(p = 0.000).Conclusions:1、Routine MRI can demonstrate the dependency structure of shoulder clearly.The distance of subcoracoid was 8.84±2.97mm.The distance of sub-acromion was 5.23±1.05mm. 2、The 3D-fiesta imaging with muti-angle reconstruction is better in showing the coracohumeral ligament,coracoacromial ligament,coracoclavicular ligament, capsulolabral complex and the bone of shoulder,combing with oblique coronal and oblique sagittal imaging of the fat-suppression sequence,the diseases of shoulder can be diagnosed.

1、常规MRI能够较清楚显示肩关节相关结构，喙突下距离8.84±2.97mm，肩峰下距离5.23±1.05mm.2、3D-fiesta序列图像，应用重建功能行任意角度重建，可更好地显示喙锁韧带、喙肩韧带、喙肱韧带、盂唇-关节囊复合体及肩关节骨骼，结合斜冠位、斜矢状位的压脂序列，即可达到对肩关节疾病进行诊断的目的。

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。

However, in the 10 patients with impingement syndrome, muscle activity led to a decrease in the width of the subacromial space compared with that of the healthy contralateral side.

然而在10例肩峰撞击症患者中，肌肉的活动导致肩峰下空间宽度较正常的对侧肩减小。

Objective To practice a three dimensional measurement of the width of subacromial space during passive and active arm abduction in healthy volunteers and patients with impingement syndrome, and to analyze potential functional deficits of the supraspinous muscle in patients with impingement syndrome.

目的 对健康人及肩峰撞击症患者的上臂主动和被动外展过程中的肩峰下空间宽度进行三维测定，分析肩峰撞击症患者潜在的冈上肌功能缺陷。

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。

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。