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曲肌退化影响开放触发指释放的短期结果
Mardhiyah Abdul Nasir1, Tunku Sara Ahmad1, Tze Hau Low2
1National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
PloS one
|May 30, 2023
概括
柔肌退化影响一个月后打开触发指释放结果,特别是在严重的磨损或干燥的情况下. 然而,这些影响在手术后的3个月和6个月减少.
科学领域:
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
- 整形外科 整形外科 整形外科
- 肌肉骨研究的研究.
背景情况:
- 触发指释放是一种常见的外科手术手术.
- 柔肌退化是影响手术结果的潜在因素.
- 了解这些关联可以完善手术决策和患者的期望.
研究的目的:
- 为了研究特定的柔肌退化的特征和开放触发指释放的结果之间的关系.
- 为了确定与手术期间肌退行相关的术前因素.
- 评估肌退化对功能恢复的短期和中期影响.
主要方法:
- 研究了一组162个触发数字 (136名患者) 接受开放触发数字释放的队列.
- 术内评估确定了 flexor肌退行症的六个特征.
- 患者报告的结果 (DASH评分) 和客观措施 (PIPJ运动) 在手术前和后记录.
主要成果:
- 手术前症状的持续时间与肌表面的不规则性和磨相关.
- 类固醇注射与增加肌表面不规则性和干燥有关.
- 较高的DASH分数与严重的肌脱落,干燥和肌间撕裂有关.
- 有限的PIPJ运动与严重的肌干燥相关.
- 在手术后1个月,严重的肌间撕裂与持续高的DASH得分有关,严重的肌干燥与有限的PIPJ运动有关.
结论:
- 柔肌退化的严重程度会影响开放触发指释放后的短期结果 (1个月).
- 特定的变性,如间撕裂和肌干燥,具有明显的短期功能影响.
- 这些对手术结果的退行性影响似乎在手术后3到6个月内消失.
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