肩峰的

Acromion anteroposterior tangential position radiograph can reveal acromion anterior margin osteophyte ,and it can be used as a routine item for patients who complain pains in shoulders.

肩峰前后切线位 X线摄片能清楚显示肩峰前缘骨赘，可作为慢性肩部疼痛的常规检查方法

the part of transverse incision along the clavicle from acromion to medial end of the incision can′t go beyond (8.73±0.64) cm, or easy injure the cephalic vein in the deltopectoralgroove ,the thoracoacromial artery and the lateral pectoral nerve.

手术横行切口，从肩峰沿锁骨向内侧不超过(8.73±0.64)cm，否则容易损伤位于三角肌胸大肌间隙内的头静脉、胸肩峰动脉和胸外侧神经。

Besides the conventional rotator cuff tear, acromion plasty, labrum repair, and surgeries for ennis elbow, osteoarthritis, ankylosis of elbow and teoid osteoma, new techniques have been developed including the arthroscopic repair of large tear of rotator cuff and labrum, tendon transposition, arthroscopic removal of benign tumor around the shoulder joint.

每年除完成常规肩袖修补、肩峰成形、盂唇修补等手术，以及网球肘、骨关节病、肘关节僵直、骨样骨瘤等等的手术治疗外，在关节镜下肩袖、盂唇巨大撕裂修补、肌腱转位、肩关节周围良性肿瘤镜下切除等手术领域内也有了长足发展，使患者在国内可以享受国际先进水平的治疗。

Objective To investigate the surgical technique of anterior acromioplasty and its effect in clinical practice.

目的 探讨前肩峰成形术治疗肩峰下撞击综合征的方法和效果。

Methods Anterior acromioplasty was performed in 23 patients to treat their grade Ⅱ subacromial impingement unresponsive to conservative treatment.

用前肩峰成形术治疗23例经保守治疗无效的Ⅱ级肩峰下撞击综合征患者。

DISCUSSIONThe openloop acromioplasty and rotator cuff neoplasty are reliable and effective methods for treating the rotator cuff injury.

讨论］开放式肩峰成形及肩袖修补术是治疗肩袖损伤的可靠且有效的方法。

ABSTRACT:BACKGROUNDTo study the methods and curative effects for Ⅲ degree rotator cuff injury treated by the openloop acromioplasty and rotator cuff neoplasty.

［背景］探讨应用开放式肩峰成形术及肩袖修补术治疗Ⅲ度肩袖损伤的方法及其临床疗效。

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。

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。

Arthroscopic subacromial decompression has the advantages of minimal trauma and rapid recovery, the results are satisfactory.

关节镜肩峰下间隙减压术是治疗肩峰下撞击综合征的有效方法，创伤小，同时可处理关节内其他病变，术后恢复快。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。