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第三类关节关节脱位的管理:印度肩膀和肘部协会 (SESI) 的德尔菲共识调查
Darshil Shah1, Dipit Sahu2, Raju Easwaran3
1Sportsmed, Mumbai, Opp. Motilal Oswal Towers, Parel, Mumbai, India.
Injury
|August 4, 2024
概括
达成共识的是管理III型关节 (ACJ) 脱位,包括成像和治疗. 关于ACJ损伤的慢性和保守的治疗持续时间,仍然存在一些模两可.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 放射学 放射学是一门学科.
背景情况:
- 第三种类型的关节 (ACJ) 位移存在管理模两可的情况.
- 印度肩膀,肘部协会 (SESI) 发起了德尔菲调查,以解决这些问题.
研究的目的:
- 通过使用Delphi调查,在管理III型ACJ位移的模两可方面的问题上达成专家共识.
- 建立ACJ损伤的诊断和治疗指南.
主要方法:
- 德尔菲在20名高级骨科外科医生中进行了一项调查,他们专门从事肩膀和肘部手术.
- 为了达成共识,使用了两轮调查,定义为在5分利克特级别上至少70%的共识.
主要成果:
- 在与III型ACJ失调有关的七个关键话题上达成共识.
- 标准的X射线 (AP和下视图) 是足够的;MRI不是常规指示.
- 交叉臂引视图或临床检查可以区分ISAKOS IIIA和IIIBACJ损伤.
- 保守治疗适用于稳定,急性III型ACJ脱位,用两周的吊带.
- 自体移植重建可用于症状性,慢性III级ACJ脱位.
结论:
- 德尔菲调查成功达成共识,在第三类ACJ失调管理的几个有争议的领域.
- 需要进一步澄清的领域包括慢性病的定义,需要双边Zanca观点以及最佳的保守治疗持续时间.
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