关节关节的不稳定性和骨关节炎
Johannes E Plath1, Frank Martetschläger2, Philipp Moroder3
1Orthopädisches Fachzentrum (OFZ), Weilheim, Deutschland.
Zeitschrift fur Orthopadie und Unfallchirurgie
|August 30, 2023
概括
关节关节 (SCG) 损伤很少见,但可能导致显著的不稳定性. 使用肌移植的手术重建在慢性SCG不稳定性方面越来越受欢迎.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 关节关节 (SCG) 损伤不常见,占关节不稳定的不到1%.
- 包括SCG关节炎在内的急性和慢性SCG不稳定性的治疗仍然存在争议.
- 观察到SCG损伤的手术干预的转变,从传统的保守管理转移.
研究的目的:
- 审查目前对关节关节损伤的理解和治疗策略.
- 突出管理急性SCG不稳定及其后果的挑战.
- 讨论SCG损伤的手术与保守治疗的不断变化的作用.
主要方法:
- 关于关节关节损伤,不稳定性和关节炎的文献综述.
- 对保守方法和手术方法治疗结果的分析.
- 讨论SCG重建的解剖学考虑和外科手术技术.
主要成果:
- 前部SCG脱位通常是可减少的,但高达50%可能导致持续的不稳定性.
- 后部SCG脱位需要由于靠近重要胸部结构而迅速减少.
- "8的图形"肌移植配置正在成为慢性SCG不稳定性重建的标准.
结论:
- 虽然SCG受伤很少见,但它会带来重大管理挑战.
- 对于后部SCG脱位来说,迅速减少至关重要,以防止并发症.
- 手术重建,特别是使用"Figure of 8"技术,正在成为慢性SCG不稳定的标准.
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