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在远距离二头肌肌修复后异型骨化发生的患病率和临床影响

W Geuskens, P Caekebeke, R VAN Riet

Acta orthopaedica Belgica

|January 11, 2024

概括

在远距离双肩肌修复后异型骨化 (HO) 是常见的,影响54%的患者. 然而,这项研究发现HO对患者的结果或肘部功能没有显著的影响.

科学领域:

整形外科手术整形外科手术
肌肉骨研究研究
放射学放射学是一门学科.

背景情况:

远距离双肩肌破裂通常需要手术修复以恢复力量.
并发症包括神经损伤,再破裂和异型骨化 (HO).
由于成像通常只用于有症状的病例,HO患病率可能被低估.

研究的目的:

为了确定远距离双肩肌修复后HO的患病率和临床意义.
评估HO对患者报告结果和肘部功能的影响.

主要方法:

在远距离双肩肌修复后评估术后HO的回顾性研究.
用于评估HO大小和位置的CT扫描.
收集的VAS,DASH,MEPI得分和ROM测量用于评估疼痛,满意度和功能.

主要成果:

在35名患者中,HO在19名患者 (54%) 通过CT扫描检测到.
没有发现HO患病率与手术技术,时间或放射性评估时间之间的相关性.
存在HO并没有显著影响VAS,ROM,MEPI或DASH分数.

结论:

远距离双肩肌修复后HO的发生率高于之前报告的.
术后HO似乎不会对临床结果或肘部功能产生负面影响.

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