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靠近腿筋损伤的管理:非手术和手术治疗

Thomas R Yetter¹, Ryan T Halvorson², Stephanie E Wong²

¹Houston Methodist Hospital, Houston, TX, USA.

Current reviews in musculoskeletal medicine

|July 15, 2024

概括

运动员近端腿筋损伤可以通过非手术或手术治疗. 手术修复为特定伤害提供了更好的结果和更快的回归体育运动,内镜和开放方法都显示出成功.

科学领域:

运动医学运动医学
整形外科手术整形外科手术
康复科学康复科学康复科学

背景情况:

靠近腿筋的伤害在运动员中很常见,由于强烈的偏心收缩.
这些伤害的严重程度和慢性程度各不相同,其特点是缺骨结核发,,腿筋软弱.

研究的目的:

审查当前关于近端腿筋损伤治疗选择的证据.
评估手术和非手术管理策略及其结果.

主要方法:

关于近端腿筋损伤的研究的文献综述.
分析患者报告的结果,并发症率和回归体育数据.

主要成果:

具有显著收缩的完整撕裂具有较差的结果.
内镜和开放式近端腿筋修复都显示了患者报告的5年良好结果.
患有孤立半膜体损伤或自由肌破裂的男性运动员在修复后可能会更快地恢复运动.
巴黎腿筋伤得分 (PHAS) 预测可以恢复体育运动.

结论:

对于许多近端腿筋损伤,非手术治疗是有效的.
手术修复,内镜和开放,可以导致更好的功能结果和更快的回归体育的指示伤害.
需要进一步的研究来优化术后康复方案,特别是在异常强化方面.

关键词:

内镜修复进行内镜修复.腿筋腿筋腿筋腿筋开放式维修开放式维修肌受伤肌受伤肌受伤治疗结果的结果.

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