在旋转手腕缺陷的肩膀肌肉和关节功能
Angus Yeung1, Ashen Fernando1, Minoo Patel2
1Department of Biomedical Engineering, University of Melbourne, Parkville, Australia.
概括
全厚的旋转手套撕裂破坏了肩膀的稳定性,增加了三角形肌肉的力量,并在绑架过程中引起了部上部头部翻译. 脊椎下部-小体综合体对于膜关节的稳定性至关重要.
科学领域:
- 生物力学 生物力学
- 整形外科手术 整形外科手术
- 人类解剖学 人类解剖学
背景情况:
- 全厚旋转手套撕裂损害了关节的稳定性,因为它损害了关节头部的合作.
- 眼会扰乱正常的肌肉力动力学,可能导致关节脱和关节力学变化.
研究的目的:
- 为了量化肌肉力量的变化和glenohumeral关节翻译在手臂升高时与各种旋转手套撕裂配置.
- 为了研究单独和联合的旋转手套撕裂对肩关节稳定性的生物力学后果.
主要方法:
- 使用计算机控制的测试装置模拟肌肉力量和肩部绑架在八个新鲜冷的上肢.
- 在完整的和模拟的撕裂条件下使用光电子系统测量膜关节翻译 (上,下,下,小).
主要成果:
- 与完整的肩膀相比,旋转袖口撕裂在绑架过程中 (30°,60°,90°) 显著增加了中部形体力 (p < 0.05).
- 结合上脊和下脊的撕裂导致在30°和60°的绑架处显著更大的上部头部翻译 (p <0.05).
- 脊椎下部-小体综合体证明了作为部头部压缩器的重要作用.
结论:
- 旋转部撕裂时体力增加加剧了部上部头部迁移.
- 脊椎下部-小体综合体对于维持膜关节稳定性至关重要.
- 这些发现支持改进的诊断工具,手术规划和旋转手套受伤的康复策略.
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