在延伸器 carpi radialis brevis 释放后,手腕延伸的强度发生变化,这是在侧面上皮膜炎
Yunseop Kim1, Sung Jin Kang1, Seoung Joon Lee2
1Department of Orthopaedic Surgery, Center for Hand and Elbow Surgery, Konkuk University School of Medicine, 120-1 Neungdong-ro (Hwayang-dong), Gwangjin-gu, Seoul, 143-729, Korea.
International orthopaedics
|November 4, 2024
概括
侧面表皮球炎 (网球肘) 的手术可以降低手腕伸展强度. 然而,这种减少并没有影响整体临床结果,如握力或疼痛. 康复应该包括特定的手腕强化炼.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 康复科学是康复的科学.
背景情况:
- 侧面表皮质炎 (LE),通常被称为网球手肘,涉及延伸的退行性变化和微破裂.
- 手术干预,如关节镜或开放的ECRB释放,是LE的标准治疗方法.
- 关于手腕肌肉强度的术后变化及其在ECRB释放后的临床意义的数据有限.
研究的目的:
- 为了研究在被诊断患有侧面表皮质炎的患者中,在ECRB释放后手腕延伸强度的变化.
- 评估这些强度变化对患者结果的临床影响.
主要方法:
- 对36名右撇子患者进行了回顾性分析,这些患者接受了开放式ECRB释放.
- 在基线和两年随访时使用Biodex系统测量手腕伸展强度.
- 通过手臂,肩膀和手的残疾 (DASH) 评分,疼痛视觉模拟尺度 (VAS) 和握力来评估临床结果.
主要成果:
- 手术后观察到握力和整体临床结果的显著改善.
- 在两年后的随访中,与对手臂 (未受影响) 相比,手腕伸展强度的统计学上显著下降.
- 尽管强度不足,但在DASH分数,疼痛VAS或握力强度上没有报告任何不良影响.
结论:
- ECRB释放手术导致手腕伸展强度降低,但这种缺陷不会对关键的临床结果产生负面影响.
- 临床医生应就手术后手腕延伸功率降低的可能性向患者提供建议.
- 建议将向的手腕延伸强化炼纳入术后康复,以优化康复.
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