在为部分腰椎侧带损伤的富血小板血治疗后,肘部的腰椎神经功能障碍
Robert G Thompson1, Kendall Bradley2, Gary M Lourie1,3
1Wellstar Atlanta Medical Center, Department of Orthopedic Surgery, Atlanta, GA, USA.
JSES reviews, reports, and techniques
|August 17, 2023
概括
富血小板血 (PRP) 注射用于肘部UCL撕裂可能会导致腰椎神经纤维化和肘部道综合征. 这种风险在运动员中较高,这些运动员有先前存在的下腰部神经.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 再生医学是一种再生医学.
背景情况:
- 富于血小板的血 (PRP) 用于治疗运动员的部分侧带 (UCL) 撕裂.
- 关于PRP对肘部UCL损伤的并发症概况的研究有限.
- 这项研究涉及PRP注射后的部神经纤维化和肘部道综合征.
研究的目的:
- 为了研究在部分UCL肘部损伤后的PRP注射后部神经纤维化和随后的肘部道综合征的并发症.
- 要突出在这个患者群体中与PRP治疗相关的潜在风险.
主要方法:
- 对3名高水平棒球运动员进行了回顾性审查,他们因部分UCL肘部受伤而接受PRP治疗.
- 评估注射前的情况,包括部神经的状态.
- 对注射后结果和并发症的分析.
主要成果:
- 在所有3名被审查的运动员中,在注射PRP后,他们都患上了肘部道综合征.
- 在所有病例中都观察到围绕部神经的显著纤维化.
- 在所有患者中都发现了先前存在的无症状的部下神经.
结论:
- 针对部分UCL肘部损伤的PRP注射可能会增加由于部神经纤维化而导致注射后肘部道综合征的风险.
- 患有下腰部神经的患者可能面临这种并发症的更大风险.
- 需要进一步调查PRP的安全性和患者选择.
相关概念视频
Spinal Nerves: Plexus I
1.0K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
1.0K
Bones of the Upper Limb: Ulna
2.2K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
2.2K
Arteries of the Upper Limbs
661
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
661
Formation of the Platelet Plug
6.7K
The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
6.7K
Bones of the Upper Limb: Radius
2.3K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.3K


