编辑评论:旋转袖口撕裂期间的双臂管理:混变量导致不明确的指示
Matthew Miller1, Michael D Feldman1
1University of Arizona College of Medicine (M.M.).
概括
在旋转手套修复过程中对双肩肌的最佳方法仍在争论中. 目前的证据不足以最终得出结论,为了获得最佳的外科治疗结果,是否应该节省,切断或执行切断.
科学领域:
- 整形外科手术 整形外科手术
- 肩部外科手术 肩部外科手术
- 运动医学 运动医学
背景情况:
- 在旋转手套修复过程中,双肩肌的长头的管理是肩膀手术中一个有争议的问题.
- 旋转手套修复的结果往往不理想,大量撕裂报告的高失败率,促使重新评估手术技术.
研究的目的:
- 探讨围绕在旋转手套修复过程中双肩肌的管理正在进行的辩论.
- 突出双腿节约的潜在好处,例如保持部头部压缩功能,并将肌作为修复手术的移植物.
主要方法:
- 在旋转手腕修复中,对双肩缩与双肩节省的现有文献的审查.
- 识别影响旋转手腕修复结果的混变量,包括撕裂大小,患者的并发症,年龄和组织质量.
主要成果:
- 文献中提出了相互矛盾的证据,关于节与双肩节省的优越性.
- 许多因素使研究结果的解释变得复杂,使得最终的结论具有挑战性.
结论:
- 围绕在旋转手腕修复中双肩管理的争议仍然存在,原因是缺乏高质量的证据.
- 随机化,与匹配组进行前性研究是必要的,以提供关于双肩肌最佳手术策略的最终判决.
相关概念视频
Bones of the Upper Limb: Humerus
11.3K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
11.3K
Muscle Coordination and Action
3.8K
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....
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
3.8K
Muscles of the Shoulder
9.4K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
9.4K
Muscles that Move the Arm
5.5K
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
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...
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...
5.5K

