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对于亚临界骨质损失的状腺增强:一个叙述性回顾

Daniel J Cognetti¹, Mikalyn T DeFoor¹, Robert U Hartzler²

¹San Antonio Military Medical Center, Fort Sam Houston, TX, USA.

Annals of joint

|May 1, 2024

概括

在前肩部不稳定性下,关节骨下临界骨质损失 (GBL) 的最佳治疗方法尚不清楚. 对这些病例来说,越来越多地考虑了状腺增强,超越了单独的软组织修复.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
生物力学生物力学

背景情况:

前肩部的不稳定性在年轻,活跃的人群中很常见.
显著的状骨损失 (GBL) (>25%) 通常需要骨移植.
对于临界下GBL (>13.5%) 的最佳管理缺乏共识.

研究的目的:

审查前肩部不稳定性和亚临界GBL的病理学.
突出显示开放增强手术与其他治疗方法的证据.
提供关于管理亚临界GBL的见解.

主要方法:

叙事文学评论. 叙事文学评论. 叙事文学评论. 叙事文学评论.
专注于前腺稳定中的次临界GBL.
包括引用和参考列表分析.

主要成果:

计算机断层扫描 (CT) 是测量亚临界GBL (<13.5%) 的标准.
关节镜Bankart修复 (ABR) 是常见的,但单独的ABR可能不足以进行次临界GBL.
格莱诺伊德增强和拉达喷气程序正在得到考虑.

结论:

对于用次临界GBL治疗复发性肩部不稳定性,目前还没有共识.
孤立的ABR可能不足以用于临界以下的GBL.
格莱诺伊德骨增强是恢复稳定性的兴趣日益增长的领域.

关键词:

这是一架Latarjet飞机.肩膀的不稳定性肩膀的不稳定性骨质损失导致骨质损失.腺增大腺增大的方法这是次临界的子临界.

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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...