拉(吊)單槓後,手舉高或放到背後,三角肌會痛
就手臂連結身體那一段
去看骨科,先照X光,骨頭沒事
照磁振共振,醫生說肌腱受傷,建議開刀修復,
骨科醫生在健康存摺上寫:未明示側性肩部旋轉環帶撕裂或破裂,未明示為創傷性
磁振共振在健康存摺上寫:
臨床表現:拉傷後右肩疼痛,R / O肩袖撕裂參數:1。T2W frFSE伴有脂肪坐位,軸位和矢狀位圖像。 2. T1W FSE,軸向圖像。 3. T2 * GRE和STIR,paracoronal圖像。右肩關節的非增強MRI顯示:>右岡上肌腱遠端部異常高信號;發現了法氏囊面的表面不規則性。右側subacromion-subdeltoid法氏囊中的少量液體。 >發現肩胛下肌腱腫脹和旋轉器間隔增厚。 >肩峰下骨刺形成。肩峰的2型斜率。 >二頭肌長頭肌腱的完整纖維,在二頭肌溝中有少量液體。 >岡下肌腱和小肌腱的正常配置和正常信號強度。 >完整的關節盂唇。 >右肩關節無明顯骨髓信號強度。印象:1)疑似全肩撕裂的右肩岡上肌腱沒有收縮。 2)疑似肩袖損傷和右肩胛下肌腱的肌腱變性。
Clinical: Right shoulder pain after pulling injury, R/O Rotator cuff tear Parameters: 1. T2W frFSE with fat sat, axial and parasagittal images. 2. T1W FSE, axial images. 3. T2* GRE and STIR, paracoronal images. Non-enhanced MRI of right shoulder joint show: >Abnormal hyperintensity at the distal portion of the right supraspinatus tendon; surface irregularity at the bursal aspect is found. Small amount of fluid in the right subacromion-subdeltoid bursa. >Swelling of the subscapularis tendon and thickening of the rotator interval are found. >Subacromial spur formation. Type 2 slope of the acromion. >Intact fiber of the biceps long head tendon with small amount of fluid in the bicipital groove. >Normal configulation and normal signal intensity of the the infraspinatus tendon and the teres minor tendon. >Intact the glenoid labrum. >Unremarkable bone marrow signal intensity of the right shoulder joint. Impression: 1)Suspected full-thickness tear of the right shoulder supraspinatus tendon without retraction. 2)Suspected rotator cuff injury and tendinosis of the right subscapularis tendon.
請問一下,我的狀況去看復健科有效嗎???
還是真的需要動刀修復???
3Q

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