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旋转袖口撕裂模式在关节镜上层囊重建后肩膀稳定性的影响:一个计算分析

Madalena Antunes¹, Carlos Quental¹, João Folgado¹

¹IDMEC, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001, Lisbon, Portugal.

Journal of ISAKOS : joint disorders & orthopaedic sports medicine

|February 2, 2024

概括

关节镜上囊重建 (SCR) 改善了单独的上裂的膜稳定性,但不是延伸到其他旋转手袖肌肉的裂. 对于复杂的眼,需要进一步的研究.

科学领域:

整形外科手术整形外科手术
生物力学生物力学
肌肉骨系统的建模

背景情况:

旋转手套撕裂 (RCT) 可能导致膜部不稳定.
关节镜上层囊重建 (SCR) 是不可修复的RCT的外科选择.
根据撕裂的程度,SCR的有效性会有所不同.

研究的目的:

评估关节镜SCR在恢复膜部稳定的有效性.
评估SCR在不可挽回的旋转手套撕裂 (RCT) 的不同模式中的影响.

主要方法:

一个计算的肌肉骨 (MSK) 模型模拟了SCR在四个不可挽回的RCT模式:只有Supraspinatus (SSP),SSP + Subscapularis (SSC),SSP + Infraspinatus (ISP) 和SSP + SSC + ISP.
在模拟的手臂运动中,使用腺关节反应力估计了肩部稳定性.
统计分析 (ANOVA,Tukey测试) 比较了手术前和手术后的稳定性.

主要成果:

对于孤立的不可修复的SSP撕裂,SCR显著提高了稳定性 (p < 0.001).
SCR导致SSP+SSC撕裂的稳定性显著丧失 (p < 0.001).
对于SSP + ISP和SSP + SSC + ISP撕裂,SCR显示了不显著的稳定性改善.

结论:

隔离的SCR是有效的隔离不可挽回的超脊椎裂.
在涉及超脊椎肌肉之外的不可挽回的RCT中,SCR并不能显著改善膜部稳定性.

关键词:

关节镜上层囊重建关节镜上层囊重建自动移植的Fascia 拉塔.肌肉骨模型的模型旋转器袖口撕裂的情况肩膀的稳定性肩膀的稳定性

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