轻微的双肌炎在肩部缩镜检查期间可以进行非手术治疗.
Jonathan J Light1, Wihan du Plessis1,2, Matthew H Adsit1,3
1Eastern Virginia Medical School, Norfolk, Virginia, U.S.A.
Arthroscopy, sports medicine, and rehabilitation
|September 27, 2023
概括
由于其他病症而接受肩膀关节透视手术的患者中,轻微的双肩肌炎的修复手术率较低. 手术前沟疼痛没有影响患者的结果或满意度,这表明非手术治疗是有效的.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩部关节镜检查 肩部关节镜检查
背景情况:
- 双肌炎往往与旋转手腕病理共存.
- 在肩膀关节镜检查期间轻微的双肩肌炎的最佳管理仍在争论中.
- 对于轻微的肌病理,经常考虑非手术治疗.
研究的目的:
- 为了确定轻度二头肌肌炎的修复手术率,当肌没有进行手术时.
- 评估手术前双脚沟疼痛对患者报告结果的影响.
- 评估关节镜治疗并发肩部病理后的结果.
主要方法:
- 对于旋转手腕病理,脱bridement和/或远端关节切除术的肩膀透镜 (2015-2018) 的回顾性审查.
- 纳入标准:轻微的双肩肌炎 (<50%肌高血症) 和≥2年的随访.
- 结果:修复手术发生率,ASES得分,SST,疼痛和满意度;基于双头沟柔软性的比较.
主要成果:
- 在64名符合条件的患者 (1.6%) 中,发生了一次修复手术 (双腿形).
- 高患者报告的结果指标 (PROM) 和97%的愿意重复手术.
- 手术前的双头沟疼痛没有显著影响ASES分数,SST分数,术后疼痛或满意度.
结论:
- 轻微的双肩肌炎可以在肩膀关节镜检查期间进行非手术治疗,结果有利.
- 低的修订率和高的患者满意度是可以实现的,没有直接的双肩肌干预.
- 手术前的双头沟疼痛并不是这个队列中较差的结果的预测因素.
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