脚角偏差对旋转器袖口肌机械压缩潜力的影响
Rebekah L Lawrence1,2, Laura B Richardson3, Hannah L Bilodeau3
1Program in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Orthopaedic journal of sports medicine
|March 4, 2024
概括
减小骨上方旋转,降低了在手臂升高120°时旋转手套碰撞的风险. 脚运动的偏差显著影响旋转手套肌的近距离,为冲击综合征的临床决定提供了信息.
科学领域:
- 肩关节的生物力学.
- 肌肉骨模型和模拟.
背景情况:
- 旋转手套疾病可能源于脚运动受损,导致压缩和退行.
- 骨动力障碍与旋转手套病理的进展有关.
研究的目的:
- 为了建模脚角偏差对旋转手套肌附近的影响.
- 为了评估手臂绑架期间下和内部冲击的风险.
主要方法:
- 使用了无症状和症状肩膀的3DCT模型.
- 肩面向与旋转和倾斜的渐进偏差进行模拟.
- 计算了旋转器袖口插入和撞击结构之间的最小距离.
主要成果:
- 降低了向上的头巾旋转,降低了在120°升高处的旋转器袖口 - 脊髓距离.
- 观察到肌靠近/心肌关节的显著增加,在较低的角度有偏差.
结论:
- 骨的向上旋转在保持旋转的空间在较高的臂部高度上起着至关重要的作用.
- 了解脚运动偏差对于管理旋转手腕病理和冲击综合征至关重要.
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