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修复单行或双行旋转手套
Andres Felipe Cobaleda-Aristizabal1, Michell Ruiz-Suarez1, F Alan Barber2
1Traumatología Deportiva de Mexico- Hospital Ángeles Metropolitano.
Sports medicine and arthroscopy review
|December 18, 2023
概括
旋转手套撕裂可以影响运动员.
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:
- 旋转手套撕裂代表了运动员的重大伤害,可能会影响职业生涯的长寿.
- 准确选择患者进行手术修复至关重要,考虑到各种临床和患者特定因素.
- 区分过度使用和创伤伤害是手术决策的关键决定因素.
研究的目的:
- 概述影响运动员旋转手套撕裂手术修复决定的关键因素.
- 讨论运动类型,受伤机制和运动员水平对恢复参与率的影响.
- 提供关于外科手术技术考虑的指导,包括单排和双排修复.
主要方法:
- 对临床因素的审查,包括患者的年龄,运动,受伤以来的时间,以及运动员受伤前的水平.
- 分析伤害病因 (过度使用与创伤) 作为一个独立的因素进行手术考虑.
- 检查体育特异性发病率和运动员水平依赖的回归参与 (RTP) 数据.
主要成果:
- 参与回报率 (RTP) 根据体育需求和运动员水平 (例如,专业61%,娱乐73%) 差异很大.
- 旋转带撕裂的发生率在各个运动中不同,足球为12%,网球为4-17%.
- 患者的期望和损伤机制 (过度使用与创伤) 是临床因素之外的重要考虑因素.
结论:
- 对于旋转袖口撕裂的手术决定需要对患者的因素,损伤特征和预期结果进行全面评估.
- 了解运动特定的受伤模式和RTP期望对于优化治疗策略至关重要.
- 单行和双行修复技术之间的选择应根据整体治疗计划进行个性化.
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