Shoulder injuries in archery.
Shoulder injuries in archery.
复制标题
射箭时肩膀受伤。
DOI：
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发表时间：
1989
期刊：
影响因子：
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通讯作者：
N. Littke
中科院分区：
文献类型：
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作者：
D. L. Mann;N. Littke
采用问卷调查和体格检查的方法，对21名优秀射箭运动员（男12名，女9名）过去和现在与射箭有关的肩关节损伤进行了调查。调查问卷显示，21名射箭运动员中有11人抱怨目前或职业生涯中严重的肩部受伤。在平均13.5年的职业生涯中，9/12的男性从未有过肩部问题，而在平均10.9年的职业生涯中，只有4/9的女性没有受伤。注意到培训方案的不足，包括缺乏培训和不具体的演习。临床检查显示肩关节不对称，牵引臂（DA）肩关节灵活性降低。功能测试显示，6/21例DA肩关节存在阳性撞击征。冈上肌测试显示4/21例DA肩关节异常。在5/21个DA肩关节中，通过撞击操作向后提及疼痛，在8/21个DA肩关节中观察到异常外旋测试。一般来说，女性比男性有更多的肩部损伤的体征和症状，特别是涉及DA肩。测试涉及冈上肌撞击/肌腱炎和冈下肌/圆肌轻微牵拉性肌腱炎。这些临床结果与尸体解剖观察结果相关。
Twenty-one elite-calibre archers (M = 12, F = 9) were investigated concerning all past and present archery-related shoulder injuries, using a questionnaire and physical examination. The questionnaire revealed that 11 of 21 archers had complained of significant shoulder injuries either currently or during their careers. While 9/12 men never had shoulder problems during an average of 13.5 years, only 4/9 women escaped injury during a mean 10.9 year competitive career. Deficits in training programs were noted, including lack of training and non-specific exercises. Clinical examination demonstrated shoulder asymmetry and decreased flexibility in the drawing arm (DA) shoulder. Functional testing revealed a positive impingement sign in 6/21 DA shoulders. Supraspinatus testing showed abnormalities in 4/21 DA shoulders. Pain was referred posteriorly with the impingement maneuver in 5/21 DA shoulders and abnormal external rotation testing was observed in 8/21 DA shoulders. Generally, the females had proportionally more signs and symptoms of shoulder injury than the men, especially involving the DA shoulder. Testing implicated supraspinatus impingement/tendonitis and infraspinatus/teres minor traction tendonitis. These clinical findings correlated with cadaver prosection observations.