肌移植用于治疗不可挽回的下骨撕裂
Ignacio De Rus Aznar1, José L Ávila Lafuente2, Abdul-Ilah Hachem3
1Clinica CEMTRO, Madrid, Spain.
The bone & joint journal
|August 31, 2024
概括
肌移植为无法弥补的下骨撕裂提供了一个解决方案,这是造成肩部疼痛的严重原因. 斜背肌转移显示了减轻疼痛和改善肩部功能的有希望的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩膀重建的重建 肩膀重建的重建
背景情况:
- 旋转手套病理是造成肩部疼痛和功能障碍的主要原因,特别是在老年人中.
- 下肌撕裂往往导致更严重的症状和警的手术预后.
- 在所有旋转部撕裂中,隔离的小骨撕裂占18%,关节镜修复是可行的初级治疗方法.
研究的目的:
- 审查指标,生物力学原理,以及不可弥补的下裂的肌移植报告的结果.
- 评估不同肌转移选项的有效性,以管理这种特定的旋转手套病理.
主要方法:
- 文献综述研究报告的移动无可弥补的 subscapularis 撕裂.
- 生物力学原理和临床结果的分析与大胸部,大背,小胸部和上形肌转移相关.
主要成果:
- 胸部主要转移提供疼痛缓解和适度的力量/功能恢复,但它的轴平面定位是不理想的.
- 斜背肌转移,演变为关节镜技术,报告了令人满意的疼痛缓解和功能改善.
- 小胸部和上形转移的支持结果数据有限,这表明它们不被广泛推.
结论:
- 肌移植是年轻或高功能患者的关键选择,这些患者有不可挽回的下骨撕裂.
- 与乳房大,乳房小或上梯形转移相比,乳房大背部转移似乎是一个更有效的选择,用于无法修复的 subscapularis 撕裂.
相关概念视频
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