在不可挽回的旋转手腕损伤下部梯形肌转移:一个范围审查
Veeral Desai1, Thomas Stambulic1, Parham Daneshvar2
1School of Medicine, Queen's University, Kingston, Ontario, Canada.
JSES reviews, reports, and techniques
|August 17, 2023
概括
下梯形肌 (LTT) 转移显著改善肩膀功能和运动范围的患者不可挽回的旋转手套撕裂. 这种手术选择显示了可控的18%的并发症率,主要是血清瘤形成.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨研究 研究
- 重建性手术是一种重建性手术.
背景情况:
- 旋转手套撕裂是造成肩部疼痛和残疾的常见原因.
- 无法弥补的旋转手套撕裂带来了重大的治疗挑战.
- 对于这些损伤的下形肌 (LTT) 转移结果存在有限的研究.
研究的目的:
- 审查和总结术后的功能结果.
- 为了记录与LTT转移相关的并发症,用于巨大的不可弥补的旋转手腕损伤.
主要方法:
- 在主要的医疗数据库 (Medline,Embase,Cochrane,Google Scholar) 进行了范围审查.
- 搜索术语包括"梯形"和"转移".
- 五项研究符合纳入标准,其中提取的数据包括手术技术,患者人口统计,功能结果,运动范围 (ROM) 和并发症.
主要成果:
- 在LTT转移后,功能评分 (DASH,ASES,VAS,SANE,SSV) 显著改善.
- 运动范围在曲,外部旋转和绑架方面显著增加.
- 整体并发症率为18%,血清瘤形成是最常见的 (8%).
结论:
- 转移LTT是一种有效的程序,可以改善不可挽回的旋转手套撕裂患者的功能,ROM和疼痛.
- 18%的整体并发症率被认为是可控的.
- 需要进一步的受控研究来比较LTT转移与替代外科手术技术.
相关概念视频
Muscles that Move the Arm
1.9K
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
1.9K
Muscles of the Shoulder
3.9K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
3.9K

