在近端骨骨折后如何治疗硬度?
J Tomás Rojas1,2, Mustafa S Rashid3, Matthias A Zumstein1,4,5,6
1Shoulder, Elbow and Orthopaedic Sports Medicine, Orthopädie Sonnenhof, Bern, Switzerland.
EFORT open reviews
|August 1, 2023
概括
靠近骨骨折后的肩部硬通常需要手术,因为粘附. 针对患者的手术干预对于改善肩部运动和功能至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨系统疾病 肌肉骨系统疾病
- 创伤学 创伤学 创伤学
背景情况:
- 肩部硬是近腰骨折后的常见并发症,影响工作和医疗费用.
- 二次性硬度涉及来自血瘤的囊外粘附,通常与其他并发症 (如恶性结合或感染) 一起存在.
- 保守治疗对于二次硬性往往是无效的,需要进行手术.
研究的目的:
- 审查近端骨骨折后二次肩部硬的特征和治疗方法.
- 突出保守治疗的局限性和手术干预的指示.
- 强调需要患者特定的外科手术方法.
主要方法:
- 文献综述侧重于近接骨骨折后的二次肩部硬.
- 对手术技术的分析,包括关节解脱,下释放和植入物切除.
- 讨论差异诊断和相关疾病.
主要成果:
- 与初级度相比,二次肩部度带来了独特的挑战.
- 经常需要进行纤维关节解脱和下释放等手术干预.
- 针对患者的具体方法,包括可能的骨关节炎肩部置换,是必不可少的.
结论:
- 二次性肩部硬需要量身定制的外科治疗,通常涉及广泛的软组织释放和硬件管理.
- 排除感染是管理这些复杂病例的关键一步.
- 优化手术策略是恢复肩部功能和减少患者负担的关键.
相关概念视频
01:27Fractures: Bone Repair
3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K
01:19Bones of the Upper Limb: Humerus
3.3K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
3.3K
01:26Flail Chest-II
203
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
203