相关实验视频
Updated: Jul 6, 2025

10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.2K
在异常变形的骨关节炎肩膀中,TSA后的外部旋转强度不会受到后部旋转手套缺陷的影响
Margaret S Coats-Thomas1,2,3, Guido Marra4, Daniel Ludvig1,2
1Biomedical Engineering, Northwestern University, Evanston, Illinois.
JB & JS open access
|January 10, 2024
概括
肩膀整形术 (TSA) 的异常变形患者没有表现出外部旋转的弱点. 然而,这些患者中TSA后,下脊椎活动的减少表明后侧旋转缺陷在这些患者中持续.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 肩膀的重建 肩膀的重建
背景情况:
- 全肩关节整形术 (TSA) 是一种治疗持续性关节骨关节炎的选择.
- 与集中性相比,在异常状腺形变形的患者中,TSA修订率较高.
- 持续的后旋转缺陷可能会导致TSA故障.
研究的目的:
- 调查特异性状腺形变形患者在TSA后是否表现出相对外部旋转弱点.
- 为了确定这种潜在的弱点是否与后旋转手腕缺陷有关.
主要方法:
- 在TSA治疗骨关节炎后一年以上的患者的潜在招募.
- 在同度收缩过程中测量扭矩和电肌图.
- 异常和同心变形组之间的力量平衡和旋转手臂肌肉活动的比较.
主要成果:
- 在异常和同心变形组之间没有发现相对外部旋转强度的显著差异.
- 与集中形状 (51.3% MVC) 相比,异常形状的患者显示下降的脊髓内活动 (43.9% MVC).
结论:
- 在TSA后,在异常变形患者中没有观察到相对外部旋转的弱点.
- 减少的脊内活动表明潜在的持续的后侧旋转缺陷.
- 需要进一步的纵向研究来评估肌肉失衡和TSA失效率.
相关概念视频
Muscles of the Shoulder
3.8K
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...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
3.8K
Muscles that Move the Arm
1.8K
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...
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...
1.8K
Muscle Coordination and Action
1.5K
Muscle coordination is a complex and finely tuned process essential for smooth and purposeful movements like flexion, extension, adduction, abduction, and rotation. The human body orchestrates the actions of various muscles working in concert, each with a specific role. Four functional types describe how muscles work together: agonist, antagonist, synergist, and fixator.
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
1.5K
Residual Stresses in Circular Shafts
176
In materials that exhibit elastic and plastic behavior, known as elastoplastic materials, residual stresses can accumulate when these materials experience plastic deformation. This deformation arises from either high levels of shearing stress or significant strains. Residual stresses are internal stresses that persist within a material after removing the external force causing deformation. This phenomenon is demonstrated when observing the behavior of a shaft under torque; notably, the...
176
