带带损伤:什么时候以及如何修复
Emanuel Cortesão Seiça1,2, Daniel Mendes3, Manuel Resende Sousa4,5
1Hospital Beatriz Ângelo, Lisboa, Portugal.
概括
这项研究审查了三角形带损伤,为急性和慢性病例提供量身定制的治疗策略. 根据损伤特点和患者因素,研究结果指导了最佳的手术修复.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 脚生物力学 脚生物力学
背景情况:
- 带带损伤可能导致急性创伤或慢性不稳定.
- 有效的管理策略对于恢复脚功能至关重要.
- 需要一个明确的治疗算法为deltoid带病理.
研究的目的:
- 介绍急性和慢性带带损伤的评估和治疗策略.
- 为了开发一个治疗带关节损伤的算法.
- 分析为deltoid带修复和重建的手术结果.
主要方法:
- 对39名患有急性带损伤或慢性缺陷的患者进行了回顾性评估.
- 在2016年1月至2022年12月期间进行的手术干预.
- 评估临床情景,手术技术和患者的治疗结果.
主要成果:
- 审查了18例急性 (46%) 和21例慢性 (54%) 带带病例.
- 急性修复使用接 (64%) 或直接接.
- 慢性功能不充分的治疗方法是重新张力 (67%),结合 (24%),或重建 (9%).
- 常见的相关损伤包括综合性损伤 (56%) 和骨质突损伤 (36%).
- 整体并发症率为18%,硬度是最常见的 (10%).
结论:
- 带关节损伤的治疗决策应该是个性化的.
- 伤害特征和患者因素指导手术修复的时间和技术.
- 这种治疗逻辑为管理带带关节损伤提供了基础.
相关概念视频
Muscles of the Shoulder
3.6K
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
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
3.6K
Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160
Muscles that Move the Arm
1.6K
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...
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...
1.6K

