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                肩周炎和肩袖损伤的区别
            
            
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            Sep 15, 2024
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    <p>在肩痛患者中，只有2%～5%是肩周炎，肩袖损伤更为常见，占30%～40%。</p>
<p>肩周炎和肩袖损伤都是临床上常见的疾病。很多肩痛患者认为自己患有肩周炎，坚持做肩关节活动训练，但一直没有缓解，且逐渐加重，甚至影响了睡眠和生活，遂至医院就诊，经过影像学检查确诊为肩袖损伤。这是因为肩周炎和肩袖损伤均可引起肩痛，严重时均可出现夜间疼痛，甚至影响睡眠，症状相似，故极易混淆。</p>
<p>肩周炎是肩关节冻结、活动受限，遇风、寒冷加重，是肩周软组织（包括肩周肌、肌腱、滑囊和关节囊等）病变引起的以肩关节疼痛和功能障碍为特征的疾病。</p>
<p>肩袖损伤是由退行性病变或外力等导致肩袖的4块肌肉、肌腱发生病变，进而导致肩关节局部疼痛、活动受限的疾病。</p>
<p>许多肩袖损伤患者无明确的外伤史，而是由长期做过顶运动、提重物或上肢长期固定于一个姿势引起的。</p>
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<p>肩周炎的疼痛范围广，涉及整个肩关节，肩袖损伤引起的疼痛多出现在肩前方、外上方</p>
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<p>肩周炎的压痛点多而广，肩袖损的伤压痛点多出现在肩前方、上方及肩胛骨外侧缘。</p>
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<p>肩周炎患者对气候变化较为敏感，肩袖损伤患者对气候变化不敏感，对劳累、提重物及做过顶运动较为敏感。</p>
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<p>肩周炎患者活动受限范围广，肩袖损伤患者多以肩关节外展活动受限为主，同时伴有外展无力。</p>
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<p>肩周炎患者进行上举过顶运动训练后活动范围会好转，症状会减轻；而肩袖损伤患者进行上举过顶运动训练后疼痛加重。</p>
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