开放银行卡特维修:高水平运动员的技术和结果
Michael R Mancini1, Robert A Arciero2
1Department of Orthopaedic Surgery, University of Connecticut Health Center, University of Connecticut Health Musculoskeletal Institute, 263 Farmington Avenue, Farmington, CT 06030, USA.
Clinics in sports medicine
|September 4, 2024
概括
开放的Bankart修复,肩部不稳定的黄金标准,正在下降. 然而,它可能为高风险运动员提供更好的结果,这需要进一步研究其特定的指示和比较有效性.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩膀的不稳定性 肩膀的不稳定性
背景情况:
- 开放的班卡特修复在历史上是治疗膜部不稳定的黄金标准.
- 目前的趋势有利于关节镜Bankart修复,导致开放手术率下降,开放技术培训减少.
- 开放的Bankart修复可能更适合特定的高风险人群,如高水平的碰撞运动员,由于可能较低的反复不稳定率.
研究的目的:
- 审查运动员开放的Bankart修复的指示,手术技术和临床结果.
- 突出在特定的运动群体中开放的Bankart修复的潜在好处.
- 为了强调需要进一步研究在高水平运动员中开放式和关节镜式班卡特修复的比较有效性.
主要方法:
- 本研究是对关于开放的Bankart维修的现有文献的综述.
- 审查的重点是确定指示,手术技术和临床结果.
- 该范围包括与运动员有关的研究,特别是高水平碰撞运动员.
主要成果:
- 在某些高风险运动群体中,Open Bankart修复可能与减少反复的不稳定率有关.
- 该审查详细介绍了开放的Bankart修复的已确定的外科手术技术.
- 讨论了运动员开放班卡特修复后的临床结果,尽管对关节镜方法的比较数据有限.
结论:
- 开放的Bankart修复仍然是特定患者群体的可行选择,特别是高水平的碰撞运动员,尽管程序率下降.
- 需要进一步的研究,最终确定开放与关节镜班卡特修复的指示,并对精英运动员的结果进行比较.
- 了解开放技术的具体优势对于优化运动员肩部不稳定的治疗策略至关重要.
相关概念视频
01:27Exercise and Muscle Performance
Exercise induces a range of adaptations in muscle tissue, depending on the type and duration of activity. Such physical training can be broadly categorized into two types: endurance exercises and resistance exercises.
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
01:27Specialized Characteristics of Cardiac Muscles
The primary role of cardiac muscles is to propel blood throughout the cardiovascular system. The cardiac muscle cells, or cardiomyocytes, exhibit specialized characteristics that allow them to perform this function.
Cardiac muscle cells are smaller than skeletal muscles, averaging 10–20 mm in diameter and 50–100 mm in length. However, they have large energy demands for continuous contraction and relaxation. This energy is almost exclusively derived from aerobic metabolism of energy reserves in...
Cardiac muscle cells are smaller than skeletal muscles, averaging 10–20 mm in diameter and 50–100 mm in length. However, they have large energy demands for continuous contraction and relaxation. This energy is almost exclusively derived from aerobic metabolism of energy reserves in...
01:11Cardiac Output and Stroke Volume
Cardiac output (CO) is an integral aspect of human physiology, reflecting the heart's efficiency and responsiveness to the body's needs. It represents the volume of blood that the left or right ventricle ejects into the aorta or pulmonary trunk each minute. The CO is calculated by multiplying the heart rate (HR)—the number of heartbeats per minute—by the stroke volume (SV)—the amount of blood pumped out with each heartbeat.
In an average resting adult male, the typical cardiac output averages...
In an average resting adult male, the typical cardiac output averages...
01:17Exercise and Cardiac Output
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be met...
Sustained exercise increases the muscles' oxygen demand, which can be met...
01:20Exercise and Cardiovascular Response
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
01:26Exercise Stress Test
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes