肱二头肌 腱炎
Overview
虽然肩膀疼痛有很多可能的原因, a common reason for it in people under the age of 50 is biceps tendinitis. 这种情况发生在长头二头肌肌腱, 二头肌和肩胛骨的连接处是什么, 变得红肿. 肿胀会很痛.
There are actually two biceps tendons, a long head and a short head. The short head tendon inserts outside the shoulder joint and rarely causes pain, while the long head tendon is covered with tissue that's rich in nerve endings and easily inflamed. 二头肌的主要作用是帮助前臂旋后, which is the motion of rotating your inner forearm so that it faces up.
我们治疗肱二头肌肌腱炎的方法
UCSF is committed to helping patients with biceps tendinitis recover shoulder function and return to their favorite activities. Using methods shown to work and individualizing the plan for each patient, 我们的团队包括整形外科十大赌博平台排行榜, 初级保健运动医学十大赌博平台排行榜, 物理治疗师和运动教练.
Treatment for biceps tendinitis depends on the injury's cause and severity. We usually begin with a combination of rest, anti-inflammatory medications and physical therapy. Some patients benefit from a steroid injection to decrease inflammation. These techniques are usually effective, so surgery is rarely needed.
奖 & 识别
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是全国顶尖的十大赌博平台排行榜之一
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全国最好的骨科护理之一
迹象 & 症状
患有二头肌肌腱炎的人通常会经历:
- Recurrent or constant pain, particularly with overhead activities and sports
- 肩膀前部疼痛，摸起来很痛
诊断
十大赌博平台排行榜 diagnose biceps tendinitis by taking the patient's medical history, 进行身体检查, 评估成像研究——通常是x光, 虽然有时是核磁共振或超声波. The physical exam typically reveals a sore spot on the front of the shoulder, and patients experience pain with lifting and actions such as throwing. x线图像提供肩关节的信息, while an MRI or ultrasound can help the doctor check for other shoulder problems.
治疗
对大多数病人来说, the initial treatment plan features some combination of these nonsurgical remedies:
- 休息. If the inflammation is partly due to overuse, resting the shoulder may help.
- 非甾体抗炎药(NSAIDs). These oral medications are used to control pain by decreasing the inflammation around the biceps tendon.
- 加强和伸展运动. 十大赌博平台排行榜通常会开出物理治疗方案, which may be done at home or under the supervision of a physical therapist. 目标是加强肩膀周围的肌肉, 从而减少发炎的二头肌肌腱的压力.
- 皮质类固醇注射. Corticosteroids can reduce pain by decreasing inflammation, smoothing the way to recovery. 超声成像可用于放置这些注射剂.
手术
For patients who don't achieve satisfactory results from the treatments discussed above, 手术是一种选择. The minimally invasive procedure – requiring only a small incision at the front of the shoulder – is called a biceps tenodesis and takes 45 to 60 minutes.
A majority of biceps surgeries are performed arthroscopically (using an arthroscope, which is an endoscope for joints) at the UCSF Orthopaedic Institute. 病人 are under general anesthesia (completely asleep) and given a nerve block (an injection that interrupts pain signals in the area and lessens post-op pain). Other shoulder problems may also be addressed during the procedure. The surgical technique involves changing the tendon's normal attachment point at the shoulder socket to a point farther down the upper arm bone.
从二头肌手术恢复
病人 generally must use a sling for four to six weeks to allow the tendon to heal securely in its new position. 在那段时间里, driving is restricted and physical therapy is limited to passive range-of-motion exercises, 哪些在保护修复的同时防止肩部僵硬. Most people with desk jobs can return to work around the second week post-op, but people with active or strenuous jobs may need to complete four months of physical therapy before they can safely return.
在第六周, the sling is removed and physical therapy begins to incorporate active range-of-motion exercises without the use of weights. 病人 can resume jogging and doing other lower-body exercises as well.
At week 12, physical therapy can begin focusing more on building strength. 这个项目通常会持续到第四个月左右, and a full return to activities is allowed between five and six months. 6个月时，修复被认为完全愈合.
加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
在哪里获得护理 (3)
常见问题
- 手术后我什么时候可以洗澡?
You'll need to keep the incision clean and dry until your first post-op visit, 手术后一到两周. 当时, 你可能会被允许洗澡, but don't submerge the surgical site in a bath or swimming pool until three to four weeks have passed since your surgery.
- 二头肌手术后我什么时候可以开车?
你会被吊起来，四到六周不能开车. You may resume driving when the sling is off and you feel you have appropriate control to do it safely.
- 我什么时候可以回去工作?
Most patients are ready to return to school or desk work five to seven days after surgery. If you're able to work from home, your initial recovery period may be easier. If you have a physically demanding job that requires overhead lifting or strenuous arm work, 你需要更多的时间才能安全地恢复工作.
- 我什么时候能恢复正常活动?
病人 are generally able to resume most activities between four and six months after biceps surgery.
