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==介绍==当由于范围不足或疼痛而无法进行内旋延迟标志(IRLS)或抬起测试时,腹部按压测试可用于评估[[肩袖|肩胛下肌]]。''' ''' ''' ''' ''' ''' '''手臂向内旋转并伸展,手放在腰部。从这个体位开始,病人被要求将手臂从背部向后抬起。''[//m.houseofhawgs.com/Internal_Rotation_Lag_Sign内部旋转滞后符号]:''与上面相同的起始位置,手臂进入几乎最大的内部旋转。然后手的背完全抬起离开身体,直到实现一个完整的内部旋转。然后要求患者主动保持这个体位。主动维持的范围和被动放置的范围之间的赤字表明测试是积极的。==操作步骤==受试者被要求平手按压腹部,同时手臂保持最大的内旋。==推断==如果[[肘关节]]向后下垂,表明失去内旋,仅通过肩伸和腕屈施加压力,则检验为阳性。这个位置被称为拿破仑标志。 == Properties == With intact external rotators, subtle lesion's of the subscapularis tendon and postoperative subscpularis weakness the belly off sign is a promising new clinical tool. With lack of external rotators, the belly off sign looses its diagnostic value as it becomes negative.Scheibel M, Magosch P, Pritsch M, Lichtenberg S, Habermeyer P. [https://scholar.google.com/scholar_url?url=https://www.sciencedirect.com/science/article/pii/S0749806305009217&hl=en&sa=T&oi=gsb&ct=res&cd=0&d=16150646502134519713&ei=QIhVYsdPzoTqtA_Py6K4Bw&scisig=AAGBfm3sUiVo9g5HqDY_VvS2Z5l252ZwbA The belly-off sign: a new clinical diagnostic sign for subscapularis lesions.] Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2005 Oct 1;21(10):1229-35.Jain NB, Wilcox III RB, Katz JN, Higgins LD. [https://scholar.google.com/scholar_url?url=https://www.sciencedirect.com/science/article/pii/S1934148212004261&hl=en&sa=T&oi=gsb&ct=res&cd=0&d=7128481926437557500&ei=XIhVYvPDNMS4ywTtzb_QDA&scisig=AAGBfm1pzL5gdDSTVxZ6j3uT7ehFSiM9AA Clinical examination of the rotator cuff.] PM&R. 2013 Jan 1;5(1):45-56.Alqunaee M, Galvin R, Fahey T. [https://scholar.google.com/scholar_url?url=https://www.sciencedirect.com/science/article/pii/S0003999311007957&hl=en&sa=T&oi=gsb&ct=res&cd=0&d=6175148450824932761&ei=d4hVYpLxG46pywSdh6agAg&scisig=AAGBfm11WBwfBcGb5h-V953vUJBZNXpyjw Diagnostic accuracy of clinical tests for subacromial impingement syndrome: a systematic review and meta-analysis.] Archives of physical medicine and rehabilitation. 2012 Feb 1;93(2):229-36. {{#ev:youtube|vmaCjhnPNHw}} == References == [[Category:Special Tests]] [[Category:Shoulder]] [[Category:Shoulder - Muscles]] [[Category:Shoulder - Assessment and Examination]]

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