相关实验视频
Updated: Jul 6, 2025

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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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甲状腺逆转,部下和沃尔赫分类与肌肉失衡有关吗?
Jean-David Werthel1, Maryama Dufrenot2, Bradley S Schoch3
1Hôpital Ambroise Paré, Boulogne-Billancourt, France.
Journal of shoulder and elbow surgery
|December 29, 2023
概括
旋转手套肌肉不平衡与关节炎肩膀的后部部外置无关. 然而,较大的后骨可能会导致后部脱,需要进一步调查.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 背部部下的原因尚不清楚,假设是肌肉失衡.
- 这项研究调查了旋转手套和骨髓肌肉体积比率与部下和状腺形态的关系.
研究的目的:
- 为了比较前部到后部旋转器袖口和骨髓肌肉体积比率.
- 分析这些比率在关节炎的肩膀不同程度的部下和状腺形态.
主要方法:
- 分析了333张肩部CT扫描 (273名关节炎患者,60名健康患者).
- 测量了肌肉体积 (不包括脂肪),并计算了前后 (AP) 比率.
- 统计分析将AP比率与状腺体版本,部外置和Walch分类相关联.
主要成果:
- 在关节炎的肩膀中,在状腺类型 (A,B,C,D) 之间没有发现旋转手套肌肉的AP比率的显著差异.
- 没有观察到AP比率与状腺体版本或关节炎肩膀部外置之间的相关性.
- 在结合的队列中,在甲状腺类型之间发现了APdeltoid比率的显著差异,在APdeltoid比率和甲状腺版本/部下之间存在温和的相关性.
结论:
- 旋转袖口肌肉不平衡似乎不会导致后部部下或在Walch B状腺体中看到的逆转.
- 一个较大的后骨可能会导致后部脱,但由于潜在的二次不对称性,这需要进一步研究.
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