Abstract: 【Abstract】〓Subacromial impingement syndrome is a common shoulder joint disease. Though there are different causes of diseases like scapulohumeral periarthritis, the clinical symptoms, treatment and prognosis of Subacromial impingement syndrome are quite different. As a result, these diseases are often mixed up in clinical practice. Through cadaver studies, Neer first put forward the concept of subacromial impingement syndrome and divided into three phases according to pathology. In phase I and phase II, conservative treatment is commonly applied, for example, taking non-steroid anti-inflammatory drug and partial closure could achieve good results. However, for phase III patients or patients to whom phase I and phase II treatment are ineffective. Surgery is required. With the development of science and technology, acromioplasty raised by Neer as a surgical method has been replaced by arthroscopic subacromial decompression.

Key words: Subacromial impingement syndrome, Acromioplasty, Subacromial decompression

摘要： 【摘要】〓肩峰下撞击综合征是肩关节部位常见疾病,该病与肩周炎等疾病病因不同、临床症状相近,治疗方式和愈后差异较大,临床上常易混淆。Neer于1972年通过尸体研究,并首次提出肩峰下撞击综合征的概念,将其从肩周炎疾病中独立出来。Neer将该病按病理学分为三期,Ⅰ期Ⅱ期大多采用保守治疗,如服用非甾体类抗炎药、局部封闭等大多可取得良好的疗效。对于Ⅲ期或Ⅰ期Ⅱ期保守治疗无效的病人,多采用手术治疗,随时科学技术的发展,手术方式由之前neer提出的肩峰成形术渐渐被关节镜下肩峰下间隙减压术所取代。

关键词: 肩峰下撞击综合征, 肩峰成形术, 肩峰下间隙减压术