上垂肌是部神经压缩的一个预测因素吗?
Renaud Debras1, Joris Duerinckx2, Laurens Van Melkebeke1
1Department of Orthopaedic Surgery and Traumatology, Ziekenhuis Oost-Limburg, Genk, Belgium.
Journal of shoulder and elbow surgery
|December 1, 2024
概括
上垂耳肌 (AE) 是一种罕见的解剖变体,患病率为5.9%. 它似乎不会引起肘部道综合征或影响部神经减压的手术结果.
科学领域:
- 整形外科 整形外科 整形外科
- 人体解剖学 解剖学 解剖学
- 神经外科 神经外科
背景情况:
- 上皮耳肌 (AE) 肌肉在管综合征中的作用尚不清楚.
- 它的流行程度和对部神经压缩或保护的影响还不清楚.
研究的目的:
- 通过3D成像来确定AE在大型队列中的患病率.
- 为了研究AE与手术前和手术后特征的关联,在肘部道手术患者.
主要方法:
- 追溯对1240个肘部MRI进行审查,以确定AE的存在.
- 与没有AE的匹配队列进行比较.
- 分析了344次部神经手术,收集了AE,手术发现和结果的数据.
主要成果:
- 整体AE患病率在一般人群中为5.9%,在手术队列中为5.8%.
- 13名AE患者接受了肌肉切割和现场减压.
- 与非AE组相比,AE组中没有观察到重新操作率的增加.
结论:
- 在一般人群中,AE对部神经的压缩或保护的贡献是不可辨认的.
- 应将AE视为一种罕见的非病理变体,在常规实践中没有外科影响.
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