PDF(Pubmed)
Abstract：
The population of Hawai\'i is uniquely connected to the Ocean and to open water sports. Shoulder injuries, particularly those to the rotator cuff, are among the most common injuries sustained to athletes participating in ocean sports such as surfing, paddling, and swimming. In addition, rotator cuff injuries increase in prevalence with advanced age. As a consequence, the number of patients in Hawai\'i who present with an injury to the subscapularis tendon will continue to rise. However, limited research has been done to delineate the involvement of subscapularis injuries in this population. This article covers the anatomy and function of the subscapularis, the epidemiology and classification of tears in this tendon, and the management of tears. The anatomy section will cover innervation, vascular supply and insertional anatomy of the subscapularis tendon. The function of the subscapularis in regards to both stability and motion of the glenohumeral joint will be examined. The focus of the article will then shift to the tears of the subscapularis, starting with an in depth look at the epidemiology and classification of these tears. The article will then cover the different imaging modalities and their utility in regards to subscapularis tears. Finally, the operative and non-operative management and indications for each modality will be discussed in detail.
摘要：
夏威夷的人口与海洋和开放水上运动有着独特的联系。肩膀受伤,尤其是肩袖上的那些，是参加冲浪等海洋运动的运动员最常见的伤害之一，划桨,和游泳。此外,肩袖损伤的患病率随着年龄的增长而增加。因此,夏威夷出现肩胛骨下肌腱损伤的患者人数将继续增加。然而,在该人群中，已经进行了有限的研究来描述肩胛骨下损伤的参与。这篇文章涵盖了肩胛骨下的解剖和功能，肌腱撕裂的流行病学和分类，和眼泪的管理。解剖部分将涵盖神经支配，肩胛骨下肌腱的血管供应和插入解剖。将检查肩胛骨下关节的稳定性和运动功能。文章的重点将转移到肩胛骨下的眼泪，从深入了解这些眼泪的流行病学和分类开始。然后，本文将介绍不同的成像方式及其在肩胛骨下撕裂方面的应用。最后,将详细讨论每种方式的手术和非手术管理以及适应症。
