了解Remplissage:历史,生物力学,结果和当前的迹象
Ryan Freshman1, Benjamin Lurie2, Grant Garcia3
1USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, CA, 90033, USA.
Current reviews in musculoskeletal medicine
|May 20, 2024
概括
关节镜补充有效地治疗前肩部不稳定性,高达15%的状骨损失. 除此之外,骨重建可能会受到青,尽管需要进一步的研究来确定指示.
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:
- 关节镜补充越来越多地用于Bankart修复前肩部不稳定.
- 了解它的应用和对肩膀生物力学的影响正在不断发展.
研究的目的:
- 审查填充对肩膀生物力学的影响.
- 将补充术的临床结果与其他不稳定性手术进行比较.
- 讨论关节镜补充术的当前指示.
主要方法:
- 关于关节镜补充技术的文献综述.
- 对生物力学和临床结果研究的分析.
- 补充与骨重建的比较,用于状腺骨损失.
主要成果:
- 补充术对高达15%的骨损失有效;对于>15%的损失,骨重建是最受欢迎的.
- 生物力学研究显示了运动范围 (ROM) 的混合结果,但临床研究报告没有显著的ROM限制.
- 在Bankart修复中添加补充可能会改善结果并减少复发,而不会显著改变ROM.
结论:
- 关节镜补充可以改善前肩部不稳定的结果,骨损失有限.
- 外科医生必须考虑在显著的状腺骨损失的情况下的限制.
- 需要进一步的研究来确定明确的指示和禁忌.
相关概念视频
The Replisome
DNA replication is carried out by a large complex of proteins that act in a coordinated matter to achieve high-fidelity DNA replication. Together this complex is known as the DNA replication machinery or the replisome.
The synthesis of the leading and lagging strands is a highly coordinated process. To explain this, the “Trombone model” was proposed by Bruce Alberts in 1980. The DNA loop formation starts when a primer is synthesized on the parent lagging strand. The loop grows with the...
The synthesis of the leading and lagging strands is a highly coordinated process. To explain this, the “Trombone model” was proposed by Bruce Alberts in 1980. The DNA loop formation starts when a primer is synthesized on the parent lagging strand. The loop grows with the...
The Replisome
DNA replication is carried out by a large complex of proteins that act in a coordinated matter to achieve high-fidelity DNA replication. Together this complex is known as the DNA replication machinery or the replisome.
The synthesis of the leading and lagging strands is a highly coordinated process. To explain this, the “Trombone model” was proposed by Bruce Alberts in 1980. The DNA loop formation starts when a primer is synthesized on the parent lagging strand. The loop grows with the...
The synthesis of the leading and lagging strands is a highly coordinated process. To explain this, the “Trombone model” was proposed by Bruce Alberts in 1980. The DNA loop formation starts when a primer is synthesized on the parent lagging strand. The loop grows with the...
Displacement Current
Ampère's law, in its usual form, does not work in places where the current changes with time and is not steady. Thus, Maxwell suggested including an additional contribution, called the displacement current, Id, to the real conduction current I.
Significance of Displacement Current
A displacement current is analogous to a real current in Ampère's law, participating in Ampère's law the same way as the usual conduction current. However, it is produced by a changing electric field. Displacement current is defined in terms of a time-varying electric field, and also has an associated displacement current density. By adding a term accounting for displacement current, Maxwell modified the existing Ampère's law, which is now called generalized Ampère's law.
Resting Potential Decay
The resting membrane potential of a neuron (-70mV) is sustained due to the selective ion permeability of the membrane. At the resting potential, the membrane is slightly permeable to ions like sodium (Na+) and chloride (Cl−) and highly permeable to potassium ions (K+). Differences in the ions' concentration inside the cell compared to the outside are maintained by membrane transport proteins like channels and pumps.
At rest, the K+ is the main ion that moves across the membrane through...
At rest, the K+ is the main ion that moves across the membrane through...
Reynolds Transport Theorem
The Reynolds transport theorem provides a framework to relate the time rate of change of an extensive property within a system to that in a control volume, which is crucial for analyzing fluid dynamics. Extensive properties, such as mass, velocity, acceleration, temperature, and momentum, can be expressed in terms of the mass of a fluid portion. These properties are called extensive because they depend on the system's size, while intensive properties are their corresponding values per unit mass.

