逆心关节带转移对于"水平"的关节关节关节的不稳定性
Jessica L Mowbray1, Gabriela Moreno1, Christiaan G M Albers1
1Department of Orthopaedic Surgery, North Shore Hospital, Auckland, New Zealand.
JSES reviews, reports, and techniques
|August 17, 2023
概括
在创伤或关节骨切除后,可以发生状关节的关节不稳定. 反向心肌关节转移可以恢复 AC 关节重建中的水平稳定性.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 人体解剖学 解剖学 解剖学
背景情况:
- 脊椎关节 (AC) 关节的水平不稳定性会影响运动员和老年患者在手术后.
- 这种不稳定性会导致疼痛和功能缺陷,如果在重建过程中不加以解决.
- 重建必须考虑横向关节骨的不稳定性以及上层的不稳定性.
研究的目的:
- 为了调查距离关节骨切除后水平关节骨不稳定的程度.
- 评估反向心肌带转移技术在恢复水平稳定的有效性.
主要方法:
- 对AC关节囊及其附件进行尸体解剖.
- 模拟远端关节骨切除和测量负载下的横向关节骨位移.
- 应用和评估一个逆心肌带重建技术.
主要成果:
- 横向关节骨翻译显著增加,随着距离关节骨切除的增加.
- 观察到明显的水平不稳定性,切割超过10毫米.
- 反向心肌带转移显示了恢复水平稳定的潜力.
结论:
- 距离关节骨切除大于10毫米,导致明显的水平关节骨不稳定.
- 逆心关节带转移是解决疼痛不稳定的AC关节重建中水平稳定的可行选择.
相关概念视频
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
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

