{"id":61700,"date":"2025-12-12T05:11:06","date_gmt":"2025-12-12T05:11:06","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=61700"},"modified":"2025-12-12T05:11:06","modified_gmt":"2025-12-12T05:11:06","slug":"%e6%9c%80%e4%bc%9a%e7%94%bb%e7%94%bb%e7%9a%84%e5%ba%b7%e5%a4%8d%e5%b8%88%e7%94%a8%e6%bc%ab%e7%94%bb%e5%b8%a6%e4%bd%a0%e4%ba%86%e8%a7%a3%e8%82%a9%e5%85%b3%e8%8a%82%e5%b8%b8%e8%a7%81%e6%8d%9f%e4%bc%a4","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=61700","title":{"rendered":"\u6700\u4f1a\u753b\u753b\u7684\u5eb7\u590d\u5e08\u7528\u6f2b\u753b\u5e26\u4f60\u4e86\u89e3\u80a9\u5173\u8282\u5e38\u89c1\u635f\u4f24\u2014\u2014SLAP"},"content":{"rendered":"

SLAP\u635f\u4f24\uff0c\u53c8\u79f0\u80a9\u5173\u8282\u4e0a\u76c2\u5507\u6495\u8131\u635f\u4f24\uff0c\u82f1\u6587\u5168\u79f0\u4e3aSuperior labrum anterior and posterior\uff0cSnyder\u3002<\/p>\n

1990\u5e74Dr. Synder\u5bf9\u4e0a\u76c2\u5507\u635f\u4f24\u8fdb\u884c\u4e86\u63cf\u8ff0\uff0c\u5e76\u5b9a\u4e49SLAP\u662f\u635f\u4f24\u4e3a\u80a9\u5173\u8282\u4e0a\u76c2\u5507\u7684\u524d\u540e\u90e8\u7684\u635f\u4f24\uff0c\u635f\u4f24\u8d77\u4e8e\u540e\u65b9\uff0c\u5411\u524d\u5ef6\u4f38\uff0c\u5e76\u6d89\u53ca\u80b1\u4e8c\u5934\u808c\u6b62\u4e8e\u76c2\u5507\u7684\u951a\u70b9\u5904\u3002SLAP\u635f\u4f24\u662f\u80a9\u5173\u8282\u76c2\u5507\u635f\u4f24\u6700\u5e38\u89c1\u7684\u7c7b\u578b\u3002<\/p>\n

\u4e00\u3001SLAP\u635f\u4f24\u6709\u54ea\u4e9b\u75c7\u72b6\uff1f<\/p>\n

SLAP\u635f\u4f24\u7684\u75c7\u72b6\u5176\u5b9e\u4e0d\u662f\u7279\u522b\u5178\u578b\uff0c\u4e0d\u50cf\u5176\u5b83\u7684\u80a9\u8896\u6495\u88c2\u6216\u8005\u8bf4\u80a9\u5468\u708e\uff0c\u6709\u5f88\u5178\u578b\u7684\u75c7\u72b6\u3002\u4e3b\u8981\u8868\u73b0\u4e3a\u80a9\u90e8\u75bc\u75db\uff0c\u5c24\u5176\u662f\u60a3\u80a2\u5904\u4e8e\u5916\u5c55\u5916\u65cb\u4f4d\u65f6\u660e\u663e\u3002\u53e6\u5916\u8fd8\u53ef\u51fa\u73b0\u5173\u8282\u522b\u5361\u611f\u3001\u7ede\u9501\u3001\u5f39\u54cd\u3001\u6d3b\u52a8\u53d7\u9650\u3001\u65e0\u529b\u7b49\u75c7\u72b6\u3002\u5982\u679c\u4f34\u6709\u80a9\u5173\u8282\u4e0d\u7a33\u5b9a\u3001\u80a9\u8896\u635f\u4f24\u3001\u4e8c\u5934\u808c\u8171\u635f\u4f24\uff0c\u8fd8\u4f1a\u51fa\u73b0\u76f8\u5e94\u75c7\u72b6\u3002<\/p>\n

\u75db\u611f\u901a\u5e38\u4f4d\u4e8e\u80a9\u5173\u8282\u7684\u6df1\u90e8\uff0c\u5b9a\u4f4d\u5f88\u56f0\u96be\uff0c\u60a3\u8005\u5e38\u63cf\u8ff0\u8fdb\u884c\u8fc7\u9876\u6d3b\u52a8\u65f6\u6709\u5494\u5693\u58f0\u3001\u7206\u88c2\u58f0\u6216\u8005\u6709\u4ea4\u9501\u611f\u3002\u4fdd\u5b88\u6cbb\u7597\u7597\u6548\u5f80\u5f80\u6b20\u4f73\u3002<\/p>\n

\u4e8c\u3001SLAP\u635f\u4f24\u6709\u54ea\u4e9b\u7c7b\u578b\uff1f<\/p>\n

SLAP\u635f\u4f24\u5728\u4e34\u5e8a\u4e0a\u5e38\u89c1\u7684\u67094\u79cd\u5206\u578b\uff0c\u5927\u7c7b\u67094\u79cd\uff0c\u6709\u7684\u65f6\u5019\u8fd8\u6709\u4e00\u4e9b\u6bd4\u8f83\u7ec6\u5206\u7684\uff0c\u50cf8\u79cd\u768413\u79cd\u5176\u5b9e\u90fd\u6709\u3002\u6bd4\u8f83\u5e38\u7528\u7684\u662f\u56db\u79cd\u5206\u578b\u3002<\/p>\n

\u7b2c\u4e00\u578b\u5c31\u662f\u5728SLAP\u7684\u4f4d\u7f6e\u51fa\u73b0\u4e86\u8f7b\u5ea6\u7684\u78e8\u635f\uff0c\u4f46\u662f\u7ed3\u6784\u6ca1\u6709\u4ec0\u4e48\u592a\u5927\u7684\u53d8\u5316\u3002<\/p>\n

\u7b2c\u4e8c\u4e2a\u5206\u578b\u5c31\u662f\u5728\u76c2\u4e0a\u7ed3\u8282\u7684\u4f4d\u7f6e\u548c\u4e0a\u76c2\u5507\u51fa\u73b0\u4e86\u5206\u79bb\u3002\u6709\u70b9\u50cf\u8fd9\u4e2d\u95f4\u6709\u4e00\u4e2a\u53e3\u88c2\u5f00\u4e86\u4e00\u6837\u3002\u8fd9\u4e2a\u5728\u5f71\u50cf\u5b66\u4e0a\u4e5f\u662f\u80fd\u76f4\u63a5\u89c2\u5bdf\u5230\u7684\u3002<\/p>\n

\u7b2c\u4e09\u4e2a\u5c31\u662f\u4e0a\u76c2\u5507\u51fa\u73b0\u4e86\u63d0\u7bee\u6837\u635f\u4f24\uff0c\u63d0\u7bee\u6837\u635f\u4f24\u6709\u70b9\u50cf\u534a\u6708\u677f\u7684\u63d0\u52b3\u635f\u4f24\uff0c\u5b9e\u9645\u4e0a\u539f\u7406\u662f\u5dee\u4e0d\u592a\u591a\u7684\u3002<\/p>\n

\u7b2c\u56db\u79cd\u5206\u578b\u5c31\u662f\u4e0d\u5149\u51fa\u73b0\u4e86\u7b2c\u4e09\u79cd\u635f\u4f24\u7684\u57fa\u7840\u4e4b\u4e0a\uff0c\u8fd8\u51fa\u73b0\u4e86\u80b1\u4e8c\u5934\u808c\u957f\u5934\u8171\u7684\u635f\u4f24\u3002\u6240\u4ee5\u7b2c\u56db\u79cd\u76f8\u5bf9\u6765\u8bf4\u662f\u6bd4\u8f83\u4e25\u91cd\u6bd4\u8f83\u590d\u6742\u7684\u3002<\/p>\n

\u4e09\u3001\u4e34\u5e8a\u5e38\u7528\u6765\u68c0\u67e5SLAP\u7684\u65b9\u6cd5<\/p>\n

1.\u52a8\u6001\u6324\u538b\u8bd5\u9a8c(active compression test)\u6216O’Brien\u8bd5\u9a8c<\/p>\n

\u60a3\u8005\u5904\u4e8e\u5750\u4f4d\uff0c\u80a9\u5173\u8282\u524d\u5c4890\u00b0\uff0c\u5185\u653610\u00b0-15\u00b0\u3002\u7b2c\u4e00\u6b65\u4f7f\u75c5\u4eba\u524d\u81c2\u65cb\u524d\uff0c\u4ece\u800c\u4f7f\u5176\u62c7\u6307\u5411\u4e0b\uff0c\u8fd9\u65f6\u8981\u75c5\u4eba\u5bf9\u6297\u963b\u529b\u5c3d\u529b\u4e0a\u4e3e\u60a3\u80a2\u3002\u7b2c\u4e8c\u6b65\u4fdd\u6301\u80a9\u5173\u8282\u524d\u5c48\u5185\u6536\u4f4d\u7f6e\u4e0d\u53d8\u4f7f\u75c5\u4eba\u524d\u81c2\u65cb\u540e\uff0c\u638c\u5fc3\u5411\u4e0a\uff0c\u518d\u6b21\u6297\u963b\u5c3d\u529b\u4e0a\u4e3e\u60a3\u80a2\u3002\u5982\u679c\u5728\u7b2c\u4e00\u6b65\u65f6\u4f1a\u5f15\u53d1\u75c5\u4eba\u80a9\u5173\u8282\u75bc\u75db\u75c7\u72b6\uff0c\u800c\u5728\u7b2c\u4e8c\u6b65\u65f6\u8fd9\u79cd\u75bc\u75db\u75c7\u72b6\u53ef\u660e\u663e\u51cf\u8f7b\uff0c\u5219\u7ed3\u679c\u4e3a\u9633\u6027\u3002\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u5982\u679c\u75c5\u4eba\u5b58\u5728\u80a9\u9501\u5173\u8282\u7684\u75c5\u53d8\uff0c\u90a3\u4e48\u8be5\u8bd5\u9a8c\u4ea6\u53ef\u5448\u9633\u6027\uff0c\u4f46\u6b64\u65f6\u68c0\u67e5\u8fc7\u7a0b\u4e2d\u6240\u5f15\u51fa\u7684\u80a9\u5173\u8282\u7684\u75bc\u75db\u75c7\u72b6\u4ec5\u5c40\u9650\u4e8e\u80a9\u9501\u5173\u8282\u672c\u8eab\u3002<\/p>\n

2.\u4ef0\u5367\u4f4d\u6297\u963b\u5c48\u66f2\u8bd5\u9a8c(supine flexion resistance test)<\/p>\n

\u60a3\u8005\u4ef0\u5367\u4f4d\uff0c\u53cc\u4e0a\u80a2\u524d\u5c48\u4e0a\u4e3e\u7f6e\u4e8e\u68c0\u67e5\u5e8a\u4e0a\u3002\u68c0\u67e5\u8005\u7ad9\u5728\u60a3\u4fa7\uff0c\u7528\u624b\u538b\u4f4f\u60a3\u4fa7\u8098\u5173\u8282\u4ee5\u8fdc\u7684\u524d\u81c2\u90e8\u4f4d\uff0c\u4f7f\u60a3\u8005\u4e0b\u538b\u60a3\u80a2\u800c\u68c0\u67e5\u8005\u7ed9\u4e88\u5bf9\u6297\u963b\u529b\u3002\u5982\u679c\u53ef\u4ee5\u5f15\u51fa\u4f4d\u4e8e\u80a9\u5173\u8282\u6df1\u65b9\u6216\u540e\u65b9\u7684\u75bc\u75db\u4e14\u540c\u6837\u52a8\u4f5c\u5065\u4fa7\u65e0\u75db\uff0c\u5219\u7ed3\u679c\u4e3a\u9633\u6027\u3002<\/p>\n

3.\u5411\u524d\u6ed1\u52a8\u6d4b\u8bd5Anterior slide test:<\/p>\n

\u60a3\u8005\u624b\u53c9\u8170\u62c7\u6307\u671d\u540e\u65b9\uff0c\u5eb7\u590d\u5e08\u4e00\u624b\u653e\u5728\u53d7\u6d4b\u8005\u80a9\u8180\u4e0a\uff0c\u98df\u6307\u5728\u80a9\u5cf0\u524d\u65b9\u56fa\u5b9a\u4f4f\uff0c\u53e6\u4e00\u624b\u653e\u5728\u53d7\u6d4b\u8005\u624b\u8098\u540e\u4e0b\u65b9\uff0c\u65bd\u7ed9\u60a3\u8005\u624b\u81c2\u4e00\u4e2a\u5411\u4e0a\u4e0e\u5411\u524d\u7684\u63a8\u529b\uff0c\u5982\u679c\u5eb7\u590d\u5e08\u7684\u524d\u4e0a\u80a9\u5173\u8282\u5507\u6709\u635f\u4f24\u7684\u8bdd\uff0c\u4f1a\u51fa\u73b0\u75bc\u75db\u6216\u8005\u556a\u55d2\u7684\u5173\u8282\u58f0\u54cd\u3002<\/p>\n

\u56db\u3001SLAP\u5e94\u8be5\u5982\u4f55\u81ea\u6211\u953b\u70bc<\/p>\n

1.\u949f\u6446\u8fd0\u52a8<\/p>\n

\u53c8\u79f0\u67ef\u5fb7\u66fc\u6c0f\u8fd0\u52a8\uff0c\u662f\u80a9\u5173\u8282\u7684\u4e00\u79cd\u81ea\u6211\u677e\u52a8\u65b9\u6cd5\u3002<\/p>\n

\u52a8\u4f5c\u8981\u70b9\uff1a\u4f53\u524d\u5c48\uff08\u5f2f\u8170\uff09\u81f3\u4e0a\u8eab\u4e0e\u5730\u9762\u5e73\u884c\uff0c\u5728\u5065\u4fa7\u624b\u7684\u4fdd\u62a4\u4e0b\u6446\u52a8\u624b\u81c2\u3002<\/p>\n

\u9996\u5148\u662f\u524d\u540e\u65b9\u5411\u7684\uff0c\u5f85\u9002\u5e94\u57fa\u672c\u65e0\u75db\u540e\u589e\u52a0\u5de6\u53f3\u4fa7\u5411\u7684\uff0c\u6700\u540e\u589e\u52a0\u753b\u5708\u52a8\u4f5c\uff0c\u9010\u6e10\u589e\u5927\u6d3b\u52a8\u8303\u56f4\uff0c\u4f46\u4e0d\u8d85\u8fc790\u00b0\uff0c\u5728\u8fc7\u7a0b\u4e2d\u4e0d\u4f1a\u5f15\u8d77\u75bc\u75db\u4e0d\u9002\u3002<\/p>\n

2.\u6297\u963b\u7ec3\u4e60<\/p>\n

\u52a8\u4f5c\u8981\u70b9\uff1a\u80a9\u5173\u8282\u4f53\u4fa7\u6297\u963b\u5185\u5916\u65cb\u3001\u540e\u4f38\u3001\u524d\u5c48\u8bad\u7ec3\uff1a\u624b\u63e1\u4e00\u5f39\u6027\u76ae\u7b4b\u4e00\u7aef\uff0c\u76ae\u7b4b\u53e6\u4e00\u7aef\u56fa\u5b9a\u4e8e\u67d0\u5904\uff0c\u5206\u522b\u5411\u5916\u4fa7\u3001\u5411\u540e\u3001\u5411\u4e0a\u7528\u529b\u7275\u62c9\u76ae\u7b4b\u3002\u81f3\u6700\u5927\u89d2\u5ea6\u4fdd\u6301\u4e00\u5b9a\u65f6\u95f4\u6216\u5b8c\u6210\u52a8\u4f5c\u4e3a\u4e00\u6b21\u3002\u53ef\u901a\u8fc7\u76ae\u7b4b\u7684\u677e\u7d27\u8c03\u8282\u963b\u529b\u7684\u5927\u5c0f\u3002\u6ce8\u610f\u4e0d\u53ef\u8038\u80a9\uff0c\u4fdd\u6301\u62c7\u6307\u5411\u4e0a\u3002<\/p>\n

3.\u80a9\u5173\u8282\u6d3b\u52a8\u5ea6\u7ec3\u4e60<\/p>\n

\u5c06\u4e00\u624b\u653e\u5230\u80a9\u90e8\u3001\u9888\u90e8\u548c\u5bf9\u4fa7\u80a9\u90e8\uff0c\u4e24\u624b\u4ea4\u66ff\u8fdb\u884c\u7ec3\u4e60<\/p>\n

\u6ce8\u610f\uff1a\u4ee5\u4e0a\u6240\u6709\u6d3b\u52a8\u5747\u5728\u4e0d\u5f15\u8d77\u75bc\u75db\u7684\u524d\u63d0\u4e0b\u8fdb\u884c\uff0c\u82e5\u5f15\u8d77\u75bc\u75db\u5e94\u53ca\u65f6\u505c\u6b62\u3002<\/p>\n

\u4e13\u4e1a\u533b\u5b66\u5eb7\u590d\u4e13\u5bb6<\/p>\n

\u5457\u5475\u62a4\u4ee5\u5b9e\u4f53\u533b\u9662\u3001\u5eb7\u590d\u4e13\u79d1\u673a\u6784\u548c\u6b27\u7f8e\u5eb7\u590d\u4f53\u7cfb\u4e3a\u57fa\u77f3\u6784\u5efa\u5e76\u63d0\u4f9b\u5eb7\u590d\u670d\u52a1;<\/p>\n

\u7528\u533b\u5b66\u7684\u624b\u6bb5\uff0c\u89e3\u51b3\u8eab\u4f53\u52b3\u635f\u3001\u75bc\u75db\u3001\u50f5\u786c\u3001\u529f\u80fd\u969c\u788d\u6bd4\u5982\u9888\u690e\u75c5\u3001\u80a9\u5468\u708e\u3001\u843d\u6795\u3001\u8170\u690e\u75c5\u3001\u8fd0\u52a8\u635f\u4f24\u7684\u5eb7\u590d\u7b49\u95ee\u9898\u3002<\/p>\n<\/p>\n

#artContent h1#artContent p img#artContent table<\/p>\n","protected":false},"excerpt":{"rendered":"

SLAP\u635f\u4f24\uff0c\u53c8\u79f0\u80a9\u5173\u8282\u4e0a\u76c2\u5507\u6495\u8131\u635f\u4f24\uff0c\u82f1\u6587\u5168\u79f0\u4e3aSuperior labrum … \u7ee7\u7eed\u9605\u8bfb →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-61700","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/61700","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=61700"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/61700\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61700"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61700"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}