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延伸肌长的自发破裂:一个系统的审查
Rachel C Lister1,2, Henry C Bradford, Alex Joo1
1University of Massachusetts, Worcester, USA.
概括
自发延伸器长 (EPL) 破裂可能发生由于除了类风湿性关节炎或骨折之外的各种因素. 建议早期手术释放EPL紧筋突炎,以防止肌破裂.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 肌肉骨研究 研究
背景情况:
- 延伸器长 (EPL) 破裂和第三个背部部位膜炎通常与类风湿性关节炎或远半径骨折有关.
- 然而,自发性EPL破裂可能是由于其他各种因素导致的,这些因素通常与这些条件无关.
研究的目的:
- 系统地审查有关自发延伸器长 (EPL) 破裂和第三背部部膜炎的文献,但不包括与类风湿性关节炎或远半径骨折有关的病例.
- 为了确定易受影响的因素,并评估自发EPL破裂的重建方法.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 搜索包括与肌损伤,肌病和手术相关的术语.
- 包括描述自发性EPL破裂或第三背部部部膜炎的文章,没有远端半径骨折或类风湿性关节炎的病史.
主要成果:
- 二十九篇文章符合纳入标准.
- 鉴定出了广泛的前性事件和诱导因素,导致EPL破裂或紧突炎.
- 重建方法包括初级修复,肌移植和肌移植,所有这些都产生了有利的结果.
结论:
- 延伸肌长 (pollicis longus) 肌表现出固有的脆弱性.
- 各种因素可以使个人倾向于发生自发EPL破裂或紧突炎.
- 在第三背部部位炎的情况下,建议对EPL肌进行早期手术释放,以防止破裂.
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