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相关概念视频

Bones of the Upper Limb: Humerus01:19

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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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.
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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.
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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.
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旋转器袖口撕裂的发生

Asheesh Bedi1,2, Julie Bishop3, Jay Keener4

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此摘要是机器生成的。

旋转手套撕裂,常见于上肢,往往源于退化,并不总是需要手术. 了解撕裂进展和肌肉质量是有效的患者管理和手术结果的关键.

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科学领域:

  • 整形医生 整形医生 整形医生
  • 肌肉骨研究 研究

背景情况:

  • 旋转手套撕裂是普遍存在的上肢疾病,从肌病变到全厚撕裂.
  • 大多数旋转手套问题都是退行性的,尽管有些是创伤性的.
  • 撕裂进展和症状并不总是相关的,这使管理算法复杂化.

研究的目的:

  • 为了探索旋转手套撕裂的复杂病理生理学.
  • 调查影响撕裂进展和患者症状的因素.
  • 审查当前的治疗策略,并确定改善肌至骨愈合的领域.

主要方法:

  • 关于旋转部撕裂病理生理学和管理的当前文献的综述.
  • 分析肌,骨和肌肉在撕裂发育中的相互作用.
  • 评估肌肉质量指标,如尺寸和脂肪透等.

主要成果:

  • 旋转袖口撕裂是由于肌变化的退行性变化,与矩阵失调和炎症一起开始的.
  • 撕裂的进展包括部分厚度到全厚度的撕裂.
  • 肌肉质量显著影响症状,撕裂进展和手术结果.

结论:

  • 对于大多数有症状的旋转手套问题,非手术治疗就足够了.
  • 虽然关节镜修复已经进步,但改善肌到骨的愈合仍然是一个挑战.
  • 需要进一步了解旋转手套撕裂病理生理学,以优化患者护理.