梯形肌的:评估和手术管理
Jesse O'Driscoll1, José Carlos Minarro2, Joaquin Sanchez-Sotelo3
1Biomechanics Research Laboratory, Mayo Clinic Rochester, Rochester, MN, USA.
JSES reviews, reports, and techniques
|August 19, 2024
概括
梯形,通常是由脊柱辅助神经损伤引起的,经常被误诊. 及时诊断和适当的治疗,包括神经修复或移植,可以改善患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 神经学 神经学
- 运动医学 运动医学
背景情况:
- 梯形肌通常源于脊柱辅助神经的阳性损伤.
- 梯形的临床表现得到了充分的证据,但诊断往往会延迟或错过.
- 延迟诊断可能会导致旋转或双肩肌问题不必要的手术.
研究的目的:
- 为了突出准确和及时诊断梯形的重要性.
- 审查形的诊断方法和治疗选择.
- 强调适当管理的好处,以改善患者的治疗结果.
主要方法:
- 通过电肌图 (EMG) 和神经传导研究 (NCS) 证实了诊断.
- 讨论的治疗策略包括非手术管理,神经修复/移植,神经移植和肌移植.
- 详细介绍了慢性病例的手术选择,如肩膀升起器和骨头移动.
主要成果:
- 带有神经传导研究的肌电图可以证实诊断.
- 建议在疑似神经切割的情况下进行早期神经修复或移植.
- 如果初级修复是不可行的,神经移植在一年内是可行的.
- 肌移植 (肩膀升起器,脊柱体) 在慢性梯形中表现出成功.
- 头皮胸部关节骨折是复杂病例的罕见选择.
结论:
- 梯形经常被忽视,这强调了需要提高认识的必要性.
- 准确的诊断对于选择有效的治疗方法至关重要.
- 对于经过精心挑选的形患者来说,各种治疗方法都提供了良好的结果.
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