较大的状体中部错位:它是否会影响肩膀移动的时刻?
Taner Bekmezci1, Serdar Kamil Çepni2, Tuğcan Demir3
1Physiotheraphy and Rehabilitation Department, T.C. Istanbul Yeni Yüzyıl University Faculty of Health Sciences, Maltepe Mahallesi, Yılanlı Ayazma Caddesi, No: 26 P.K. 34010 Cevizlibağ, Zeytinburnu, İstanbul, Turkey. tanerbekmezci@hotmail.com.
International orthopaedics
|September 5, 2023
概括
在近腰骨骨折固定后,大结骨的媒介化可以通过缩短旋转手套运动臂来降低功能评分. 这一发现与上部或后部错位相似,需要进行临床考虑.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 创伤学 创伤学 创伤学
背景情况:
- 较大的结节错位会对近腰骨骨折后的功能结果产生负面影响.
- 上部或后部错位超过5毫米会增加骨骨的负荷.
- 由于锁定板固定,大结节的媒介化的效果,特别是在具有甲基细胞死空间的骨折中,尚未得到充分研究.
研究的目的:
- 为了研究这样的假设,即大结节的介质化可能会缩短旋转器袖口的动量臂.
- 为了评估中枢大结节位移对靠近腰骨骨折的功能评分的影响,用锁定板处理.
主要方法:
- 在52名患者 (平均年龄为65.28岁) 的回顾性研究中,近腰骨骨折在2012年至2018年期间接受了锁定板固定治疗.
- 评价了头二形角,较大的管位移,患者报告的结果,以及Constant-Murley得分.
- 统计分析包括克鲁斯卡尔-瓦利斯试验来比较骨折类型.
主要成果:
- 平均Constant-Murley得分为78.76;患者报告的结果包括39个优秀,5个好,2个公平,和6个糟糕的结果.
- 较大的结核位移范围从6毫米的后上部到-13毫米的中部,在三名患者中观察到显著的中介化.
- 在头二叶角,较大的结核介质化和功能评分之间发现了微弱的相关性;骨类型3和4的骨折与类型2有显著差异.
结论:
- 大结节的中间冲击是功能评分下降的潜在原因,类似于上部或后部错位.
- 较大的结节介质化应该被认为是旋转器袖口阻断器动量臂缩短的一个因素.
- 需要进一步的研究,以充分阐明中枢大结位移的临床影响.
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