创伤性硬骨关节关节不稳定性:流行,病因和管理
Wade Gobbell1, Christopher M Edwards1, Samuel R Engel1
1Department of Orthopedic Surgery, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT 06030, USA.
Clinics in sports medicine
|September 16, 2023
概括
硬关节关节的不稳定性会导致慢性疼痛和功能问题. 虽然先尝试保守的治疗方法,但可能需要进行手术重建,新方法提供更安全的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物机械工程 生物机械工程
背景情况:
- 硬关节关节不稳定是一种罕见的骨科疾病.
- 它可以导致慢性疼痛和显著的功能障碍.
- 不稳定性可能源于创伤,感染,自身免疫性疾病,退化或松.
研究的目的:
- 审查结核关节关节不稳定性的管理.
- 为了比较手术重建技巧,以表关节关节不稳定.
- 突出不同手术方法的风险和益处.
主要方法:
- 关于关节关节不稳定管理的文献综述.
- 对保守治疗方式的分析.
- 评估手术重建技术,包括八号法和替代方法.
主要成果:
- 保守的管理包括活动修改,物理治疗,NSAID和皮质类固醇注射.
- 外科手术只适用于对保守治疗不耐药的病例.
- 八的重建提供生物力学强度,但带有神经血管风险;其他方法显示减少风险和良好的短期结果的希望.
结论:
- 保守治疗是对关节关节不稳定的第一线治疗.
- 手术重建是持续症状的一个选择.
- 新兴的重建技术可能为传统方法提供更安全的替代方案.
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