患有大结节关节脱位症的患者同时发生的小结节病理:急性和慢性不稳定有什么区别?
Philipp Vetter1, Manije Massih2, Frederik Bellmann3
1Department of Traumatology, University Hospital Zurich, Rämistrasse 100, 8091 Zurich, Switzerland.
Journal of clinical medicine
|March 28, 2024
概括
大约三分之一的关节关节 (ACJ) 不稳定的患者同时患有关节病理 (CGP). 在老年患者中,CGP的患病率更高,并且经常使用脱bridement而不是重建来治疗.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩关节病理学 肩关节病理学
背景情况:
- 脊椎关节 (ACJ) 脱位可能会发生与相关的腺关节病理 (CGP).
- 了解急性与慢性ACJ脱位症中CGP的患病率和管理对于有效的治疗策略至关重要.
研究的目的:
- 确定和比较患有急性和慢性ACJ脱位的患者中CGP的患病率.
- 分析这些患者群体中CGP所采用的治疗方式.
主要方法:
- 对540名患者进行急性 (n=410) 和慢性 (n=130) 位移的关节动脉动脉稳定术的回顾性分析.
- 在手术期间记录CGP的存在和随后的治疗 (脱bridement或重建).
主要成果:
- 整体CGP患病率为30.7%,急性和慢性ACJ脱位之间没有显著差异.
- 脊上和部病变是最常见的CGP,特别是在老年患者和那些罗克伍德型IIIB损伤的患者中.
- 大多数CGP的管理是通过脱bridement而不是重建程序进行的.
结论:
- 在ACJ不稳定性中,同时出现的膜关病理很常见,影响大约三分之一的患者.
- 年龄是与CGP患病率增加相关的重要因素.
- 脱皮是ACJ脱位病例中被确定的CGP的主要治疗策略.
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