在患有手臂出生损伤的儿童中,甲状腺组织的释放
Akin Uzumcugil1, Kıvanç Delioğlu2, Abdurrahman Yilmaz1
1Department of Orthopedics and Traumatology, Hacettepe University, Ankara, Turkey.
The Journal of hand surgery
|November 12, 2024
概括
在患有腕出生损伤 (BPBI) 的儿童中,外皮皮组织释放手术改善了肩膀运动. 这种干预,结合物理治疗,减少了多方向缺陷,增强了上肢功能.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科手术 儿科手术
- 康复医学 康复医学 康复医学
背景情况:
- 臂出生损伤 (BPBI) 往往导致多方向肩部运动缺陷.
- 患有上半身BPBI的儿童在绑架,手到子,手到腹部和手到脊柱运动方面存在局限性.
研究的目的:
- 评价皮质皮质组织释放和结构化物理治疗作为减少BPBI运动缺陷的主要治疗方法.
- 评估这种手术方法在改善肩部功能的有效性.
主要方法:
- 三十四名患有BPBI的儿童接受了皮质皮质组织释放 (带释放,胸部小部释放,皮质皮质骨折).
- 患者接受了1年的随访物理治疗和家庭炼计划.
- 在手术前和后测量了上肢功能,被动关节运动和骨到桌子的距离.
主要成果:
- 在所有修改后的Mallet分类任务中都观察到显著的改进.
- 活跃运动量表显示肩膀曲,绑架和旋转的增加.
- 被动运动范围在绑架和旋转方面有所改善; 缩小了与桌面的距离表明了改善的对称性.
结论:
- 甲状腺组织释放是BPBI的有效第一步干预.
- 该程序与物理治疗相结合,导致肩关节运动的多方向改善.
- 这种方法成功地减少了BPBI儿童的运动缺陷.
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