目前关于儿童和青少年群体肩部不稳定的证据
Aziz Rawal1, Franziska Eckers1,2, Olivia S H Lee3
1Melbourne Orthopaedic Group, Windsor, Melbourne, VIC 3181, Australia.
Journal of clinical medicine
|February 10, 2024
概括
儿科和青少年肩部不稳定性需要量身定制的治疗. 患有创伤性不稳定性和结构问题的年轻运动员可能需要早期手术稳定,而其他人则可以从物理治疗中受益.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 儿科手术 儿科手术
背景情况:
- 年轻患者的肩部不稳定是多因素的,包括创伤,带松和肌肉活动.
- 多样化的命名法和复杂的病因学使文学解释复杂化.
研究的目的:
- 审查有关儿科和青少年肩部不稳定的当前文献.
- 为了澄清流行病学,临床表现,成像和管理策略.
主要方法:
- 对有关儿科和青少年肩部不稳定的现有文献进行系统审查.
- 对流行病学数据,临床发现,诊断成像和治疗结果的分析.
主要成果:
- 在青春期前的儿童中,脱后的结构异常很少见.
- 患有创伤性不稳定性和结构损伤的青春期后青少年在非手术治疗中失败率很高.
- 补充剂和Latarjet手术是高风险青少年的选择,但需要考虑副作用.
- 总化的带松最好响应物理治疗;关节镜折叠是最后的手段.
- 肌肉模式病理需要神经肌肉控制康复,而不是手术.
结论:
- 儿童和青少年肩部不稳定的管理必须根据病因学进行个性化.
- 在特定的青少年病例中,建议对创伤性不稳定性和结构异常进行早期手术稳定.
- 不同的亚型存在非手术和手术选择,强调量身定制的康复和程序考虑.
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