双边孤立地带分阶段修复重大撕裂:一个案例报告
Ryan A Hoffman1, Michael J Kutschke, Brandon Portnoff
1Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island.
JBJS case connector
|August 29, 2024
概括
本案例研究表明,双边大 (TM) 肌撕裂的手术修复可以带来很好的结果. 活跃的患者可以在手术治疗和康复后恢复高水平的活动.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 肌的修复 肌的修复
背景情况:
- 双边孤立的大 (TM) 肌撕裂是不常见的伤害.
- 对于急性TM撕裂的最佳治疗策略仍在争论中,一些文献赞成保守的管理.
研究的目的:
- 介绍双边孤立大肌撕裂的成功操作管理的案例.
- 突出手术干预后恢复高水平活动的潜力.
主要方法:
- 一名58岁活跃的男性双边隔离大肌撕裂,经历了分阶段的手术修复.
- 在术后实施了一项渐进的康复方案.
主要成果:
- 手术7个月后,患者恢复了高水平的活动.
- 在1年的随访中,结果得分很好:DASH 0,SST 12,ASES 100和EQ-5D 1.0.
结论:
- 对急性,孤立的大肌撕裂的手术治疗可以产生非常成功的结果.
- 有动力,活跃的患者可以通过手术修复和康复实现出色的功能恢复.
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