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Geoffroi Lallemand¹, Madu N Soares², Erica Lante³

¹Division of Orthopaedics and Trauma Surgery, Clinique Générale Annecy, Annecy, France; Department of Orthopaedics and Traumatology, Hôpital Riviera Chablais, Rennaz, Switzerland.

Journal of shoulder and elbow surgery

|September 8, 2024

概括

在开放式和关节镜拉达喷气手术后,肩部自感受仍然不受影响. 在关节镜后喷射手术中,前侧膜囊的完全切除与开放手术相比,不会显著影响肩部自觉.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
人类解剖学人类解剖学

背景情况:

肩部自身感受对于肩部功能至关重要,并且严重依赖于前侧膜囊.
开放式后喷射手术 (OLP) 保存前囊,而全关节镜后喷射手术 (ALP) 通常涉及其完整切除,以改善手术访问.
囊管理中的这种差异引发了关于潜在的术后亲感缺陷的问题.

研究的目的:

为了评估经手术后的肩部自知觉在OLP和ALP之后的经手术和健康侧面之间的差异.
为了比较经过OLP和ALP的患者在手术侧的自身感知结果.

主要方法:

对91名经过OLP或ALP后进行自身感知测试的患者进行了回顾性分析.
通过测量用激光指针指向目标时的误差而评估自身感知,而眼睛被绑住.
在水平和垂直测量中,错误被分为<4厘米,4-8厘米,8-16厘米和>16厘米.

主要成果:

在OLP或ALP后,在健康和经过手术的两侧之间没有观察到错误分布的显著差异.
与ALP相比,在OLP后的经过手术的侧面之间没有统计学上显著的自身感知差异.
这些发现表明,手术方法和前囊切除的程度并没有导致可测量的自感缺陷.

结论:

手术后的肩部自知觉在经过手术和健康的一侧是可比的,不管是进行OLP还是ALP.
在ALP过程中,前侧膜囊的完全切除可能不会对肩部自感受产生不利影响.
建议进行进一步的前性研究,以探索机械受体再生和前囊在肩部自感受中的精确作用.

关键词:

后飞行程序后飞行程序肩膀的不稳定性肩膀的不稳定性前侧膜膜囊的前部膜囊关节镜后喷射手术关节镜后喷射手术自己的感觉 (proprioception),就是感觉.肩膀脱位肩膀脱位

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