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相关概念视频

Muscles that Move the Arm01:31

Muscles that Move the Arm

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
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Muscles of the Shoulder01:23

Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
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Updated: Jul 6, 2025

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
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无法弥补的肩下撕裂:目前的肌移植选择

Jared J Reid1, Grant E Garrigues2, Richard J Friedman3

  • 1Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston SC 29412, Clinical Science Building MSC, Code 708, Charleston, SC, USA. reidj@musc.edu.

Current reviews in musculoskeletal medicine
|January 5, 2024
PubMed
概括

无可修复的下骨撕裂的手术治疗包括肌移植. 胸部大胸部和背脊大胸部的移植都改善了结果,但需要进一步的研究来确定肩部功能的优越技术.

关键词:
无法修复的下肌撕裂拉提西姆斯背部移动转移.胸部主要转移点倾向转移的倾向转移

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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
  • 肌转移技巧 肌转移技巧

背景情况:

  • 无法修复的骨下裂是一个重大挑战,特别是在活跃的年轻患者中.
  • 胸部大和背脊移动是常见的手术选择,但对最佳技术缺乏最终共识.

研究的目的:

  • 审查和分析当前的肌转移技术,无法修复的下骨撕裂.
  • 为了比较 pectoralis major 与 latissimus dorsi 肌移植的疗效和结果.

主要方法:

  • 目前关于移动手术的文献综述,用于无法修复的下骨撕裂.
  • 对大胸部和大背脊移动的临床结果和生物力学数据的分析.

主要成果:

  • 胸部大肌转移,历史上被认为是黄金标准,在疼痛和功能方面有所改善,但可能不会长期恢复全范围的运动或内部旋转力量.
  • 斜背肌转移在尸体研究中显示出生物力学优势,并显示出有希望的短期临床结果.
  • 这两种转移技术都改善了无可挽回的下骨撕裂患者的治疗结果.

结论:

  • 胸前大肌和背大肌移植都是不可修复的子肩肌撕裂的可行的手术选择.
  • 进一步的比较研究是必不可少的,以确定一种技术在长期肩部功能和患者报告结果方面比另一种技术更优越.