腹部压力角度的诊断性能在预测 subscapularis 撕裂的严重性
Hyun Gon Kim1, Su Cheol Kim1, Jong Hun Park1
1Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
The American journal of sports medicine
|September 8, 2023
概括
部分甲下肢撕裂可能导致显著的功能障碍. 经过修改的15度切断角的腹压试验显示,在检测更严重的下骨裂时,其准确度为69.6%,有助于进行手术决策.
科学领域:
- 整形外科手术 整形外科手术
- 肩部生物力学 肩部生物力学
- 诊断成像诊断成像的使用
背景情况:
- 部分甲下的撕裂往往导致功能缺陷,即使在其他旋转手套肌的修复后.
- 准确的诊断这些眼对于有效的治疗和患者的结果至关重要.
研究的目的:
- 为了将手术前的临床发现与部分甲下骨撕裂的严重程度相关联.
- 为了确定患者的诊断指标,他们可能需要 subscapularis肌修复.
主要方法:
- 对286名接受关节镜肩部手术的患者进行了回顾性分析.
- 评估手术前的临床特征:运动范围,功能评分,肌肉强度比,修改的腹部压力测试 (角度) 和熊拥抱测试.
- 使用Yoo和Rhee系统对 subscapularis撕裂的分类;与临床测试和磁共振成像 (MRI) 的相关性.
主要成果:
- 189名患者 (66.1%) 患有2A型或更大类型的骨下撕裂.
- 在需要和不需要子骨修复的组之间观察到腹部压力强度比,腹部压力角度和熊拥抱测试结果的显著差异.
- 腹部压力角度的15度切线显示了67.6%的灵敏度,73.9%的特异性和69.6%的精度来检测2B型或更高的撕裂.
结论:
- 术前的临床评估,包括修改的腹压和熊拥抱测试,可以区分部分骨下裂的严重程度.
- 15°的腹部压力角度作为一个有用的诊断值,用于识别需要手术干预的撕裂.
相关概念视频
01:23Assessment of the Abdomen III: Palpation
732
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
732
01:22Appendicitis-I: Introduction
221
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
221