[什么时候应该进行骨中破裂的手术?]
Morgan Gauthier1, Cristobal Duda1, Sana Boudabbous2
1Service d'orthopédie et traumatologie de l'appareil moteur, Hôpitaux universitaires de Genève, 1211 Genève 14.
Revue medicale suisse
|December 19, 2024
概括
关节中的破裂会导致部疼痛和行走困难. 手术修复为疼痛,力量和步态提供了良好的结果,并具有较低的再破裂率.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨成像系统的成像
背景情况:
- 部中部肌肉对于部绑架和行走期间的骨盆稳定性至关重要.
- 关节中断裂呈现侧侧部疼痛,虚弱,一个积极的Trendelenburg标志,和步态异常.
- 诊断通常通过超声波或磁共振成像 (MRI) 等成像方法来确认.
研究的目的:
- 审查骨中破裂的诊断方法和治疗策略.
- 为了评估手术干预手术的疗效,部中撕裂.
- 讨论与手术修复和肌移植相关的结果和潜在并发症.
主要方法:
- 关于关节中病理学的当前文献的综述.
- 对诊断成像技术 (超声波,MRI) 的分析.
- 评估保守管理 (活动修改,物理治疗,注射) 和手术选择 (开放式修复,关节镜修复,肌移植).
主要成果:
- 对于退行性病变,建议进行保守治疗,而对于创伤或未能进行保守管理,则考虑进行外科修复.
- 无论是开放的还是关节镜外科手术修复技术都会产生有利的结果,包括减少疼痛,恢复力量和改善步态.
- 手术干预表明再破裂率较低.
结论:
- 关节中断裂需要准确的诊断和量身定制的治疗计划.
- 手术修复是恢复功能和缓解关节中撕裂患者疼痛的有效选择.
- 肌转移可以作为复杂病例的替代方案,例如重新破裂或无法修复的肌.
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