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旋转器袖口撕裂的发生
Asheesh Bedi1,2, Julie Bishop3, Jay Keener4
1Department of Orthopedic Surgery, University of Chicago, Chicago, IL, USA.
Nature reviews. Disease primers
|February 8, 2024
概括
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.
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.
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