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在患有广泛的慢性和非创伤性旋转手腕损伤的患者中,与伪麻痺相关的因素
Raphael Fonseca1, Geraldo da Rocha Motta Filho2, Marcio Cohen3
1Teaching and Research Division of the National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.
Journal of shoulder and elbow surgery
|September 20, 2024
概括
巨大的旋转手套撕裂中的伪与特定因素有关. 肩标志和轮肌肉的严重脂肪透增加了风险,影响了积极的向前曲.
科学领域:
- 整形外科手术 整形外科手术
- 肩部关节镜检查 肩部关节镜检查
- 旋转手套病理学 旋转手套病理学
背景情况:
- 大规模的慢性无创性旋转手套损伤可能导致伪,严重的肩部功能障碍.
- 患者呈现的情况从无症状到显著的功能限制各不相同.
- 了解影响伪的因素对于有效管理至关重要.
研究的目的:
- 为了确定与大量慢性无创性旋转手腕损伤的患者的伪麻痺相关的因素.
- 评估特定旋转手套完整性与主动向前曲之间的关系.
- 为了区分真假假的伪分析.
主要方法:
- 一个单中心的横截面研究,对患有大量慢性无创性旋转手套损伤的患者进行.
- 收集的数据包括运动范围,人口统计信息,旋转手套评估测试和成像.
- 使用局部麻醉剂注射用于评估伪症的解决方案.
主要成果:
- 分析了68名患者 (71个肩膀).
- 伪麻症最初存在于29名患者中,在评估后,有14人被归类为真伪麻症.
- 肩的标志,Gautallier III/IV级脂肪透,以及 subscapularis 撕裂与伪麻有关.
结论:
- 肩标志和先进的脂肪透 (Gautallier等级III/IV) 是伪的危险因素.
- 完全厚度的肩下裂和较大的撕裂延伸与真正的伪相对应.
- 这些发现有助于理解伪的病理生理学和临床表现.
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