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基于ABC分类的后肩不稳定的诊断和治疗

Alp Paksoy¹, Doruk Akgün¹, Sebastian Lappen²

¹Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany.

EFORT open reviews

|May 10, 2024

概括

后肩部不稳定性 (PSI) 经常被误诊,原因是模糊的症状,如运动时的疼痛. 早期识别和准确诊断对于年轻活跃患者的有效治疗策略至关重要.

科学领域:

整形外科整形外科整形外科
运动医学运动医学
生物力学生物力学

背景情况:

后肩部不稳定性 (PSI) 较前肩部不稳定性少见,历史上报告的病例为2-12%.
最近的数据表明,PSI可能在年轻,活跃的个体中占肩部不稳定性手术的比例高达24%.
模糊的症状,如炼性肩膀疼痛或有限的运动范围,往往导致PSI的误诊.

研究的目的:

要突出PSI的各种临床表现.
强调准确诊断对于优化治疗的重要性.
引导临床医生识别和管理PSI.

主要方法:

本综述综合了关于后肩部不稳定的当前文献.
它侧重于诊断标准和临床表现.
讨论了已识别的PSI子组的治疗策略.

主要成果:

PSI经常表现为非特异性症状,使诊断复杂化.
准确识别不稳定机制是关键.
将PSI分组为小组对于量身定制的治疗至关重要.

结论:

识别微妙和多样化的症状对于诊断PSI至关重要.
对诊断和理解不稳定机制的系统方法可以改善患者的治疗结果.
本综述为识别和治疗后肩部不稳定提供了一个框架.

关键词:

这是分类分类的分类.病态机制的病理机制.后肩部的不稳定性后肩部的不稳定性治疗疗法治疗疗法治疗疗法

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