关节综合体在外部股中很重要:术内鉴定综合征起源和内镜逐步释放 - 一个案例系列
Konrad Malinowski1,2, Marcin Mostowy3,4, Dong Woon Kim5
1Department of Anatomy, Jagiellonian University Medical College, International Evidence-Based Anatomy Working Group, Kraków, Poland. malwin8@wp.pl.
International orthopaedics
|September 5, 2023
概括
外部突破关节综合征 (ESHS) 通过内镜释放 iliotibial 带和 gluteus maximus 综合体有效治疗. 这种量身定制的方法解决了断裂并改善了部功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 外部突破关节综合征 (ESHS) 传统上与 iliotibial 带 (ITB) 紧张有关.
- 大关节综合体 (GMC) 也可能导致ESHS病因.
- 保守的治疗方法经常失败的症状ESHS.
研究的目的:
- 为了在手术内确定ESHS的具体原因.
- 评估根据确定的病因类型量身定制的内镜治疗的疗效.
- 评估内镜释放后的功能结果.
主要方法:
- 一项从2008年至2014年对30名耐火ESHS患者 (34个部) 的前性研究.
- 内镜逐步"风扇式"释放,解决ITB,带GMC和部最大关节的附着部位.
- 使用MHOT-14进行切断分辨率和前性功能评估的术内评估.
主要成果:
- 在所有31个可供随访的部中 (24-56个月) 获得完整的手术内断裂分辨率.
- 通过孤立的ITB释放 (22.6%),ITB + 形GMC释放 (70.9%) 或ITB + 形GMC + 部分GM释放 (6.5%) 解决了断裂.
- 随访时没有复发;MHOT-14得分显著改善 (46到93,p<0.001).
结论:
- 在外科手术中确定ESHS来源,可以进行精确的,节约组织的内镜治疗.
- 逐步内镜释放ITB和GMC是一种有效的,个性化的ESHS治疗方法.
- 这种方法提供了出色的功能结果,并解决了无论具体原因如何.
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