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相关概念视频

Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Muscles that Move the Arm01:31

Muscles that Move the Arm

Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...

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相关实验视频

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Reverse Total Shoulder Arthroplasty
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开放的班卡特修复与 subscapularis 分裂

Alex M Meyer1, Benjamin W Hoyt2, Temitope Adebayo1

  • 1Duke University Medical Center, Durham, North Carolina.

JBJS essential surgical techniques
|September 16, 2024
PubMed
概括

使用 subscapularis 分裂的开放 Bankart 修复为肩膀不稳定提供了强大的手术选择,可能降低复发率. 这种技术可以避免 subscapularis 肌切除,最大限度地降低受伤风险并简化手术.

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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:

  • 前肩部脱位很常见,特别是在年轻,活跃的男性中.
  • 从历史上看,Open Bankart修复的复发和重新操作率低于关节镜修复.
  • 由于增强的囊移位,在经常出现的不稳定性和高风险运动中可能更喜欢开放式修复.

研究的目的:

  • 描述一个使用 subscapularis 分裂的开放的 Bankart 修复技术.
  • 为了突出这种方法在传统的关节切除和关节镜方法上的优势.

主要方法:

  • 这种手术涉及到一个deltopectoral方法与一个纵向分裂 subscapularis肌.
  • 创建一个T形的囊切除术,以获得膜关节的接入.
  • 使用结结的接,用囊内进行闭合来修复腹腔.

主要成果:

  • 这种技术提供了足够的囊移位和Bankart病变的可视化.
  • 它避免了 subscapularis 肌修复的需要,降低了脱骨风险.
  • 头骨下部的分裂与周围神经受到阳性损伤的风险较低有关.

结论:

  • 用 subscapularis 分裂进行开放的 Bankart 修复是一种安全有效的治疗肩部不稳定的方法.
  • 与其他方法相比,它提供了强大的修复,潜在的复发率较低,肌损伤风险降低.