在患有产科臂麻的患者中检查上肢长度差异
Murat Danisman1, Abdulsamet Emet2, Ismail Aykut Kocyigit2
1Department of Orthopedics and Traumatology, Faculty of Medicine, Giresun University, Giresun 28100, Turkey.
Children (Basel, Switzerland)
|May 27, 2023
概括
产科手臂麻 (OBPP) 可能导致手臂长度差异. 这项研究发现,根据受影响四肢的年龄和Narakas分类,腰部,半径和手指后肢的长度存在显著差异.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科手术 儿科手术
- 神经学 神经学
背景情况:
- 产科臂麻 (OBPP) 呈现出可变的自然过程和潜在的并发症.
- 手臂长度差异是OBPP儿童在门诊机构管理的担忧.
- 了解肢体长度变化对于有效的OBPP管理至关重要.
研究的目的:
- 在患有OBPP的儿童中,与未受影响的四肢相比,确定受影响的上肢长度的差异.
- 分析年龄,Narakas分类和手术干预如何影响四肢长度差异.
主要方法:
- 一项研究包括45名年龄在6个月至18岁的患者,他们患有单边产科手臂麻.
- 在受影响的和健康的两侧测量了腰骨,肘骨,半径,第二手指骨和第五手指骨的长度.
- 根据性别,年龄,侧面,Narakas分类和手术史 (初级和二级) 分析了数据.
主要成果:
- 在受影响/健康长度变化率的统计学上显著的差异被观察到随着年龄变化为手腕,半径和手腕下部.
- 纳拉卡斯分类与骨,半径和手指后肢长度的不同变化率有显著的相关性 (p < 0.05).
- 二次手术显示了对骨,半径和手指甲骨的受影响/健康长度变化率的统计学上显著差异 (p < 0.05).
结论:
- 产科手臂麻会导致关节/骨变形,并在产后生长过程中缩短.
- 上肢肌肉的功能性改善可能有助于减轻四肢长度差异.
- 年龄和Narakas分类是影响OBPP患者四肢长度变化的关键因素.
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