部突裂综合征:病理解剖学,诊断,非手术治疗,以及手术管理中的当前概念
Joan Sugrañes1,2, Garrett R Jackson1, Alec A Warrier1
1Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
JBJS reviews
|June 8, 2023
概括
关节断裂综合征 (SHS) 涉及疼痛的关节断裂,通常首先进行非手术治疗. 对于SHS的手术选择,如内镜手术,显示出希望,特别是对于内部关节断裂.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 无症状的关节断裂发生在5-10%的人口中.
- 症状性关节断裂被归类为关节断裂综合征 (SHS).
- SHS呈现为外部 (皮带/大三叉体) 或内部 (状肌/小三叉体) 的断裂.
研究的目的:
- 审查关节突裂综合征的诊断方法.
- 分析SHS的非手术和手术治疗策略.
- 为了比较SHS不同手术技术的结果.
主要方法:
- 临床病史和体检操作来区分SHS病因.
- 诊断成像以确认诊断并排除其他病理.
- 对非手术管理和手术程序 (开放式和关节镜/内镜) 的文献综述.
主要成果:
- 非手术治疗是SHS的首选治疗方法.
- 外科手术的目的是延长断结构.
- 与开放手术相比,内镜手术的并发症率较低,内部SHS的结果更好.
结论:
- 准确诊断SHS病因对于有效治疗至关重要.
- 内镜手术为内部SHS提供了优势.
- 需要对外部SHS外科手术技术进行进一步的比较分析.
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