无可挽回的下骨撕裂的管理:当前的概念
Hannes Tytgat1, Peter Macdonald2, Filip Verhaegen3
1AZ St. Dimpna Geel, J.-B. Stessenstraat 2, 2440 Geel, Belgium.
Journal of ISAKOS : joint disorders & orthopaedic sports medicine
|October 25, 2023
概括
无法修复的肩下 (SSC) 撕裂带来了挑战,但诸如逆转肩关节整形和肌移动等治疗方法提供了解决方案. 需要进一步的研究来完善诊断,并比较治疗疗效,以获得更好的患者结果.
科学领域:
- 整形外科手术 整形外科手术
- 肩膀的重建 肩膀的重建
- 运动医学 运动医学
背景情况:
- 急性下 (SSC) 撕裂可以通过初级修复来治疗,但慢性撕裂可能由于收缩,缩和脂肪透而变得不可挽回.
- 诊断不可挽回的SSC撕裂是具有挑战性的,目前的体检和成像方法在可靠性上有局限性.
- 无法弥补的SSC撕裂给整形外科医生带来了重大的诊断和治疗障碍.
研究的目的:
- 审查目前对不可弥补的下骨 (SSC) 撕裂的诊断和治疗策略.
- 突出预测撕裂不可修复性的局限性,并建议未来的研究方向.
- 为了比较不同手术干预不可修复的SSC撕裂的疗效.
主要方法:
- 对 subscapularis (SSC) 撕裂诊断和管理的当前文献的综述.
- 分析治疗选择,包括逆肩关节整形和肌移动.
- 讨论新出现的技术,如前囊重建.
主要成果:
- 反向肩关节整形术对老年,低需求的关节病患者有效.
- 肌移动 (例如,大背) 对年轻患者有希望,尽管胸部主要移动在恢复力量方面存在局限性.
- 前囊体重建是一种较新的选择,临床数据有限.
结论:
- 准确预测SSC撕裂不可修复性的需要先进的成像和定量技术.
- 无法修复的SSC撕裂的治疗选择取决于患者的年龄,活动水平和关节病的存在.
- 高质量的随机对照试验对于比较肌移动和前囊重建的有效性至关重要.
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