在慢性前肩不稳定的患者中,旋转手套肌肉失衡
Du-Han Kim1, Ji-Hoon Kim1, Chul-Hyun Cho1
1Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu 42601, Republic of Korea.
Diagnostics (Basel, Switzerland)
|March 27, 2024
概括
慢性肩部不稳定与更大的上和更小的下肌肉区域有关. 这种旋转手套不平衡可能表明在前肩部脱后的长期问题.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 放射学 放射学是一门学科.
背景情况:
- 肩部不稳定可能源于关节内问题或肌肉失衡.
- 旋转手套肌肉失衡是肩部不稳定性慢性化的潜在因素.
研究的目的:
- 为了评估轮肌肉的横截面区域在急性或慢性前肩部不稳定的患者.
- 为了研究旋转手套肌肉失衡和肩膀不稳定性的慢性关系.
主要方法:
- 磁共振成像 (MRI) 用于测量旋转手套肌肉区域.
- 患者被分为急性和慢性组,根据最初前肩部脱后的MRI时间.
主要成果:
- 与急性组相比,慢性不稳定的患者表现出更大的上肌肉区域 (Y视图:17.2%与15.6%相比;Glenoid视图:18.5%与15.8%相比).
- 与急性组相比,慢性不稳定的患者表现出较小的 subscapularis 肌肉区域 (Y 视图: 47.1% 与 49.6% 相比; Glenoid 视图: 41.6% 与 45.6% 相比).
结论:
- 慢性前肩部不稳定与上肌肌面积增加有关.
- 在慢性前肩部不稳定时观察到 subscapularis 肌肉区域的减少.
- 这些发现表明旋转手套肌肉失衡模式与肩膀不稳定的慢性有关.
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