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在关节镜旋转手套修复后,deltoid肌肉的结构和功能变化:为期2年的纵向观察研究

Tetsuya Seto¹, Kiminori Yukata¹, Kenzo Fujii¹

¹Department of Orthopedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.

Orthopaedic journal of sports medicine

|October 9, 2024

概括

关节肌肉体积和功能在关节镜旋转手腕修复后很早就会下降,但在一年内完全恢复. 这项研究证实,关节镜旋转手套的修复不会对端状肌肉长期产生负面影响.

科学领域:

整形外科手术整形外科手术
肌肉骨成像系统的成像
康复医学康复医学康复医学

背景情况:

背骨肌肉脱落和缩是肩部手术后的潜在并发症.
了解关节镜旋转手套修复 (ARCR) 对三角形肌的长期影响对于患者的治疗结果至关重要.

研究的目的:

为了评估在ARCR之后,deltoid肌肉的2年结构和功能变化.
为了将乳头肌肉变化与功能恢复指标相关联.

主要方法:

磁共振成像 (MRI) 和电生理学检查被用来评估肌体积,厚度和复合肌动力潜力 (CMAP).
72名接受ARCR治疗的患者接受了24个月的随访,在多次术后间隔进行评估.
肩部绑架强度和恒定分数与肌肉参数相关.

主要成果:

在ARCR后1个月内,deltoid肌肉体积在受影响侧减少了14%,在逆侧减少了7%,在12个月内完全恢复.
前部三角形骨的厚度也显示出早期的下降,在12个月后恢复.
观察到CMAP幅度和肩膀强度的早期下降,但功能参数在12个月后恢复,并且与骨肌体积呈正相关性.

结论:

甲状腺肌肉在ARCR后表现出显著的早期结构和功能衰退.
这些变化是短暂的,在手术后1年内,deltoid肌肉体积和功能完全恢复.
ARCR似乎没有对 delt 肌肉产生持久的负面影响.

关键词:

缩性缩 (英语:Atrophy atrophy) 是一种损伤.部分肌肉肌肉的肌肉.不使用,不使用.旋转器袖子维修旋转器袖子维修肩部关节镜检查肩部关节镜检查

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