肩下肌撕裂:如何最好地处理这个问题
Justin A Magnuson1, Christian J Coulson2, Luke S Oh1
1Rothman Orthopaedics Florida at AdventHealth, Orlando, FL.
Sports medicine and arthroscopy review
|December 18, 2023
概括
下骨的撕裂会导致肩膀疼痛和功能障碍,通常需要手术. 虽然一些撕裂通过保守护理得到改善,但许多需要手术修复,通常是通过关节镜进行的.
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:
- 肩下裂是造成肩部疼痛和功能障碍的常见原因.
- 治疗方法从保守管理到手术干预各不相同.
- 撕裂的严重程度从部分到不可挽回的全厚撕裂不等.
研究的目的:
- 审查 subscapularis 撕裂的管理.
- 讨论眼类型的范围及其治疗影响.
- 突出关节镜技术在 subscapularis 修复中的作用.
主要方法:
- 关于 subscapularis 撕裂治疗的文献综述.
- 对保守与外科手术治疗选择的分析.
- 对开放式与关节镜修复技术的评估.
主要成果:
- 保守治疗对一些部分撕裂是有效的,特别是在老年患者中.
- 许多 subscapularis 撕裂需要针对疼痛和功能障碍进行手术干预.
- 关节镜技术越来越多地被偏爱为 subscapularis 修复,而不是开放程序.
结论:
- 下的撕裂呈现了一系列的病理,需要量身定制的治疗.
- 对于症状性撕裂,外科干预通常是必要的.
- 关节镜修复为大多数 subscapularis 撕裂提供了可行的和成功的方法.
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