岡上肌撕裂+肩周炎,MRI報告,怎麽辦?

FINDINGS: There is focal tear of the anterior articular fibers of the right supraspinatus tendon for around 0.8 cm in background of tendinopathy. The tear measures around 0.7 cm, around 0.4 cm from the insertion. No atrophy of the muscle belly seen Mild tendinopathy of the subscapularis tendon is seen Rest of the rotator cuff tendons appear normal. Soft tissue hyperintensity is seen in the rotator cuff interval with thickening of the axillary band of the inferior glenohumeral ligament- suggestive of adhesive capsulitis. Moderate acromioclavicular arthropathy is seen in form of marrow edema in the acromion and clavicle articular ends. Soft tissue edema, effusion and synovitis is seen around AC joint Mild fluid is seen in the sub-acromial bursa and moderate fluid is seen in the sub-coracoid bursa. Glenohumeral joint show no abnormality. The glenoid labrum appear normal. Neurovascular bundle shows no abnormality. IMPRESSION: 1. Focal tear of the anterior articular fibers of the right supraspinatus tendon in background of tendinopathy 2. Mild tendinopathy of the subscapularis tendon 3. Features of adhesive capsulitis 4. Moderate acromioclavicular arthropathy 5. Mild sub-acromial bursa and moderate sub-coracoid bursitis.

 

檢查結果翻譯:

  1. 右側岡上肌肌腱(supraspinatus tendon)前關節纖維局灶性撕裂(約0.8厘米),並伴有肌腱病變背景
    撕裂位置靠近肌腱止點,距離約0.4厘米,撕裂本身大小為0.7厘米。肌肉未見萎縮。

  2. 肩胛下肌肌腱(subscapularis tendon)輕度肌腱病變

  3. 旋轉袖間隙軟組織信號增強,腋帶增厚,提示凍結肩(粘連性肩關節囊炎)

  4. 肩鎖關節(AC關節)中度關節病變:鎖骨與肩峰的骨髓水腫、關節周圍軟組織水腫、積液和滑膜炎

  5. 肩峰下滑囊輕度積液,喙突下滑囊中度積液

  6. 肱盂關節和盂唇結構正常

  7. 神經血管束未見異常

請問版裏的有經驗的朋友或醫生,是否需要手術?(人在英國,約不到GP)

所有跟帖: 

年齡病史 -chinomango- 給 chinomango 發送悄悄話 chinomango 的博客首頁 (0 bytes) () 04/13/2025 postreply 12:57:33

請您先登陸,再發跟帖!