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同时的双肩形不影响关节镜旋转手套修复结果
Samuel Kim1, Kyle T Deivert2, Teigen Goodeill3
1Eastern Virginia Medical School, Norfolk, Virginia, U.S.A..
概括
在旋转手腕修复 (RCR) 中添加双肩度术不会对两年后的患者结果产生负面影响. 这甚至适用于经历联合手术的更大旋转手套撕裂的患者.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩膀重建的重建 肩膀重建的重建
背景情况:
- 旋转部撕裂很常见,通常需要手术干预.
- 双肩切术有时与旋转手套修复 (RCR) 一起进行.
- 与此同时进行的双肩形术对RCR结果的影响需要进一步研究.
研究的目的:
- 为了比较功能结果和RCR后的患者满意度与双肩度与孤立的RCR.
- 为了评估撕裂大小对接受两种手术的患者结果的影响.
主要方法:
- 追溯案例研究比较了两个组:RCR与 biceps tenodesis 和孤立的RCR.
- 排除标准包括之前的肩膀手术,无法修复的撕裂和晚期关节炎.
- 主要结局包括验证的肩部分数 (ASES,SST) 和患者在2年随访后报告的满意度.
主要成果:
- 在两年后,两组之间没有观察到疼痛,ASES分数或SST分数的显著差异.
- 接受双肩紧张术的RCR患者的旋转器袖口撕裂明显更大.
- 尽管流了更多的眼,但联合手术组报告了相似的结果.
结论:
- 同时的双肩度是RCR的安全补充,不影响功能结果.
- 该程序的结果与单独的RCR相提并论,即使在有较大的撕裂的情况下.
- 这表明,可以可靠地执行双肩肌切除,而不会对RCR后的肩部功能产生负面影响.
相关概念视频
Muscle Coordination and Action
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.
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement.
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Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement.
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The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...