在空中运动员中出现胸腔出口综合征
Tadanao Funakoshi1, Kozo Furushima1, Azusa Miyamoto1
1Keiyu Orthopaedic Hospital, Tatebayashi, Japan.
JSES international
|May 6, 2024
概括
胸部外出综合征 (TOS) 的内镜辅助第一肋切除为空头运动员提供了优异的结果,与非运动员相比. 这种微创手术也促进了受影响运动员的高回归率.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 神经外科 神经外科
背景情况:
- 胸腔出口综合征 (TOS) 可以显著影响运动员,特别是那些参与空中活动的人.
- 内镜前肋切除是治疗TOS的一种手术选择.
- 运动员和非运动员群体之间的结果比较对于了解治疗疗效至关重要.
研究的目的:
- 为了比较体外运动员和非运动员之间对TOS进行内镜辅助第一肋切除的临床结果.
- 为了研究手术后在头部运动员中恢复同级别运动的速度.
主要方法:
- 181名患者 (79名运动员,102名非运动员) 进行了内镜辅助的第一肋切除术的回顾性审查.
- 肋骨切除和神经血管减压的交叉式方法.
- 使用Roos和手臂,肩膀和手的残疾 (DASH) 评分和回归体育比率进行评估.
主要成果:
- 头部运动员更年轻,更常见的是男性,症状持续时间更短.
- 在Roos得分上,空中运动员在Roos得分上显示出明显更高的优秀/好成绩 (91.1%对62.8%).
- 在手术前和手术后的DASH分数和康复率之间观察到显著的差异.
结论:
- 用内镜辅助的交叉骨头前肋切除和神经溶解在TOS的头部运动员中产生了优异的临床结果,与非运动员相比.
- 该程序表明,在空中运动员中,返回同级别运动的速度很高.
- 这种外科手术方法在运动群体中有效管理TOS.
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