慢性胸部大撕裂的回顾:有哪些选择可用?
Joshua R Giordano1,2, Brandon Klein1, Benjamin Hershfeld3
1Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Clinics in shoulder and elbow
|August 22, 2023
概括
慢性乳房大需要谨慎管理. 虽然非手术护理适合需求较低的患者,但使用移植的手术修复为活跃个体提供了更好的结果,尽管手术具有挑战.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨成像系统的成像
背景情况:
- 胸部主要肌肉破裂在年轻,活跃的男性中很常见.
- 急性伤害通常会得到及时的治疗.
- 慢性眼带来了独特的诊断和管理挑战.
研究的目的:
- 审查慢性胸部主要撕裂的管理.
- 讨论慢性胸部重大损伤的诊断方法.
- 探索外科考虑,包括移植选择和慢性撕裂的固定技术.
主要方法:
- 对慢性胸部主要撕裂的体检结果的审查.
- 评估磁共振成像 (MRI) 在诊断慢性撕裂的实用性.
- 对非操作性和操作性管理策略的分析.
- 评估移植选择 (自动和合移植) 和用于手术修复的固定方法.
主要成果:
- 非手术治疗对于老年人,需求较低的患者来说是一个可行的选择.
- 手术修复为年轻,高要求的患者带来了优越的功能结果.
- 慢性撕裂带来了手术复杂性:肌收缩,组织质量差,缩和痕形成.
- 移植增强通常是成功修复慢性胸部大撕裂的必要条件.
结论:
- 慢性乳房大需要个性化治疗计划.
- 诊断依赖于临床评估和像MRI这样的先进成像.
- 建议在活跃的患者寻求最佳功能时进行手术修复,通常需要移植.
- 了解慢性眼所带来的挑战,有助于选择合适的手术技术和材料.
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