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在肩部手术后手部的手术后病态
Andrew J Rodenhouse1, Akhil Dondapati1, Thomas J Carroll1
1Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY.
Journal of hand surgery global online
|October 9, 2024
概括
肩部手术,包括关节透视和关节整形,增加了在一年内患手部疾病的风险,如手综合征和触发指. 德·奎尔韦恩肌炎与这些手术无关.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 流行病学 流行病学
背景情况:
- 肩部视术和关节整形术是常见的手术程序.
- 这些手术后可能出现二次手部病理的可能性尚未得到充分证实.
研究的目的:
- 评估肩膀关节镜和关节塑性手术后手部病态的发生率.
- 为了比较患上手腕道综合征 (CTS),肘部道综合征 (CuTS),触手指 (TF),德·奎尔韦恩肌炎和杜普伊特伦病后肩部手术的风险.
主要方法:
- 对12179名接受肩关节透视或关节整形手术的患者进行了回顾性分析.
- 在手术后的一年内评估CTS,CuTS,TF,德奎尔温紧突炎和杜普伊特伦病的诊断.
- 手术患者与对照患者手部病理的相对风险 (RR) 的比较.
主要成果:
- 肩部关节透视 (7.9%) 和关节整形 (9.9%) 与一年内增加的手部病理有关.
- 这两种程序都增加了CTS,CuTS和TF的风险.
- 肩部关节镜检查显示Dupuytren病的风险增加,而这两种手术都没有增加De Quervain紧关节炎的风险.
结论:
- 肩部视术和关节整形术与手术后CTS,CuTS和TF诊断的可能性更高有关.
- 肩部关节镜检查与杜普伊特伦病的风险增加密切相关.
- 需要进一步的研究来了解肩膀手术和这些手部疾病之间的因果关系.
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