相关实验视频
Updated: Jul 11, 2025
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.2K
肩关节镜术后的外围神经病变:一个系统的审查
Richard D J Smith1, Casey L Wright1, Brian Shaw2
1Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
JSES reviews, reports, and techniques
|November 6, 2023
概括
肩关节镜术后的外围神经病变并不常见,但可能导致持久的缺陷. 虽然许多病例得到解决,但很大一部分可能会出现持续的症状,需要仔细监测和及时评估.
科学领域:
- 整形外科手术 整形外科手术
- 神经学 神经学
- 医学研究 医学研究
背景情况:
- 周围神经病变是肩膀关节镜术后的罕见并发症.
- 虽然往往会自发地消失,但有些病例会导致永久的神经缺陷.
研究的目的:
- 在肩膀关节镜检查后,对患有外围神经病变的患者进行表征.
- 审查诊断方法,手术干预和临床结果.
主要方法:
- 进行了系统的文献审查.
- 在PubMed,EMBASE和CINAHL搜索相关的英语文章.
- 从涉及91名患者的17篇确定文章中提取了数据.
主要成果:
- 旋转手套修复是最常见的手术 (62%).
- 神经病变发生在手术后80天的中位数,主要影响中位和部神经.
- 55%的神经病变消失了,14%改善了,22%在随访时没有改善.
结论:
- 肩膀关节镜术后的外围神经病变很罕见,但可能有持续的症状.
- 在术后期,高度的怀疑指数至关重要.
- 对于发现的神经学缺陷,建议立即进行诊断和转诊给子专家.
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
11
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
11
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
14
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
14