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相关概念视频

Muscles of the Shoulder01:23

Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
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Muscles that Move the Arm01:31

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
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Reverse Total Shoulder Arthroplasty
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后肩部不稳定 后肩部不稳定

Jérôme Garret1, Stanislas Gunst2, Marc Olivier Gauci3

  • 1Clinique du Parc de Lyon, 155(ter), Boulevard Stalingrad, 69006 Lyon, France.

Orthopaedics & traumatology, surgery & research : OTSR
|November 23, 2024
PubMed
概括

后肩部不稳定性 (PSI) 涉及反复失去后关节接触. 治疗范围从功能性PSI的非手术性康复到骨损伤的结构性PSI的手术修复.

关键词:
不稳定 不稳定 不稳定.在后面的后面.肩膀 肩膀 在肩膀上

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科学领域:

  • 整形外科 整形外科 整形外科
  • 运动医学 运动医学
  • 生物力学 生物力学

背景情况:

  • 后肩部不稳定性 (PSI) 的特点是,反复出现的,后关节接触的症状性损失.
  • 危险因素包括带过松,状腺逆转/形,以及形形态.
  • 相关的病变包括部撕裂,后侧腺侵蚀/骨折,以及前侧部头部划痕.

研究的目的:

  • 定义和分类后肩部的不稳定.
  • 概述功能性和结构性PSI的临床表现和治疗策略.
  • 讨论结构性PSI的外科进展.

主要方法:

  • 将PSI分为功能和结构亚型的分类.
  • 对临床表现,危险因素和相关病变的审查.
  • 对非手术和手术治疗选择的分析.

主要成果:

  • 功能性PSI涉及肌肉活动受损,并非手术治疗.
  • 结构性PSI涉及解剖病变,通常来自微创伤,可能需要手术.
  • 关节镜修复在没有骨损失的情况下有效治疗部撕裂; 骨块用于显著的骨损伤.

结论:

  • PSI可以是功能性的 (没有解剖病变) 或结构性的 (有解剖病变).
  • 治疗是根据亚型量身定制的,从康复到手术干预.
  • 3D规划和专业固定增强了结构性PSI的外科结果.