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在患有上肢纵向缺陷的患者中定义肩部功能和发育不良
Sebastian Farr1, Fridolin Jauker2, Rudolf Ganger3
1Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic Hospital Speising, Vienna, Austria; Vienna Private Hospital, Vienna, Austria.
Journal of shoulder and elbow surgery
|June 28, 2023
概括
患有先天辐射和长度缺陷 (RLD/ULD) 的患者表现出肩部异常,但保持出色的肩部功能. 放射学发现并没有对本研究群体的肩带整体结果产生负面影响.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 儿科医学 儿科医学
背景情况:
- 已知先天性辐射和腰纵向缺陷 (RLD/ULD) 会导致前臂和手的限制.
- 在RLD/ULD患者的肩部解剖学和功能仍未得到充分研究.
- 这项研究解决了关于RLD/ULD肩部特征的知识差距.
研究的目的:
- 确定RLD/ULD患者肩带的放射性特征.
- 在这个患者队列中评估肩膀功能.
- 为了将放射学发现与功能性结果相关联.
主要方法:
- 预期招募RLD/ULD患者 (最低年龄为7岁).
- 临床检查包括运动范围和稳定性评估.
- 患者报告的结果测量 (PROMs) 和肩膀发育不良的放射性评估.
- 为肩膀发育不良症开发放射学分类系统.
主要成果:
- 尽管有放射性异常,如部缩短 (平均15毫米) 和腺发育不良 (50%的病例),整体肩部功能是优秀的.
- 患者报告的结果很高,平均得分表明疼痛最小,全球功能高.
- 观察到不稳定 (28%) 和运动减少 (28%) 但与功能评分不佳无关.
结论:
- 患有RLD/ULD的青少年和成年患者存在各种肩带放射性异常.
- 这些放射性发现似乎不会影响肩膀功能,正如优秀的结局得分所证明的那样.
- 开发了一个新的放射性分类系统,用于RLD/ULD的肩膀发育不良.
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