歼击机飞行员双侧肩袖损伤1例并文献复习

A fighter pilot case of bilateral rotator cuff injury and literature review

目的通过分析1例歼击机飞行员肩袖损伤的发病机制、临床诊治及航空医学鉴定,为今后该病的防治提出建议。方法回顾性分析1例歼击机飞行员双侧肩袖损伤的诊断、治疗、预后及航空医学鉴定,并复习相关文献。结果该病例既往右侧肩袖损伤经保守治疗后航空医学鉴定为飞行合格,正常参加飞行。患者此次左侧肩袖损伤,经保守治疗后,左侧关节活动正常,无功能障碍,疼痛缓解后航空医学鉴定结论为飞行合格。结论航空军医要提高对肩袖损伤的认识,了解其发病原因、机制及治疗方法,熟悉相关的辅助检查和保守治疗手段,掌握相关体格检查方法,以便做好防治工作。

Objective To analyze the pathogenesis,clinical diagnosis,treatment and aeromedical identification of rotator cuff injury in a fighter pilot,and to put forward prevention and treatment suggestions.Methods The diagnosis,treatment,prognosis and aeromedical identification of bilateral rotator cuff injury in a fighter pilot were retrospectively analyzed,and the relevant literatures were reviewed.Results After conservative treatment of the right rotator cuff injury in the past,the pilot was qualified for flight and participated in normal flight.After conservative treatment of the left rotator cuff injury,the left joint activity was normal without dysfunction.After pain relief,the pilot was qualified for flight.Conclusions In order to do a good job in prevention and treatment,flight surgeons should improve the understanding of rotator cuff injury,understand its etiologies,pathogenesis and therapies,be familiar with relevant auxiliary examinations and conservative treatments,and master the necessary physical examinations.