在部的拉布拉撕裂的管理:一个共识声明声明
Bogdan A Matache1,2, Étienne L Belzile3, Olufemi R Ayeni4
1The Ottawa Hospital, Ottawa, Ontario, Canada.
Orthopaedic journal of sports medicine
|January 27, 2025
概括
加拿大体育医学医生就部部撕裂的诊断和管理达成共识. 关键协议包括手术的预后因素和回归游戏 (RTP) 时间表.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 手术创新 在外科创新.
背景情况:
- 部部撕裂不一致的工作导致治疗延迟和医疗费用增加.
- 对于部部撕裂,需要标准化的诊断和管理协议.
研究的目的:
- 建立在加拿大体育医学医生之间关于部部撕裂诊断,管理和康复的共识陈述.
- 通过专家协议,提高治疗部部撕裂的一致性.
主要方法:
- 在40名加拿大体育医学医生 (50%是整形外科医生) 身上使用了经过修改的Delphi过程.
- 医生被分为4个工作组,专注于特定的子话题.
- 共识水平被定义为80-89% (共识),90-99% (强烈共识) 和100% (一致共识).
主要成果:
- 在影响手术成功的预后因素 (年龄,疼痛,发育不良,变性) 上达到了一致的共识.
- 在症状集群上存在强烈的共识 (前关节疼痛,超屈曲疼痛,抓住疼痛) 表明了部撕裂.
- 他们同意了放射标准 (AP骨盆,45度Dunn视图) 和诊断注射的实用性.
结论:
- 在非手术和手术医生之间,在部部撕裂管理方面达成了高度一致 (76%一致/强烈共识).
- 在回归游戏 (RTP) 时间,预后因素和非手术性培训启动方面达成了共识.
- 缺乏共识的领域包括脊椎生物学,双边手术指示和术后限制 (ROM,举重,支架).
更多相关视频
08:40Author Spotlight: A Novel 3D-Printed Titanium Implant for Minimally Invasive Treatment of Hip Dysplasia in Young Dogs
Published on: April 19, 2024
1.8K
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
348
相关概念视频
Destabilization of Microtubules
The destabilization of microtubules can occur during different stages of the microtubule lifecycle, such as nucleation or elongation. It can take place at either end of the microtubule or in the microtubule lattices as a whole. The lifespan of individual microtubules within a cell varies according to the cell type and stage of the cell cycle. During interphase, the lifespan of the microtubule is about 30 minutes, while during cell division, it is about 15 minutes. In axonal microtubules of...
Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Clot Retraction and Fibrinolysis
After a fibrin clot is formed, the next step is clot retraction, a vital process facilitated by platelet contractile proteins, such as actin and myosin. These proteins pull the fibrin strands closer together and condense the clot. This action reduces the size of the clot, creating a smaller, denser structure that effectively seals off the damaged vessel. Clot retraction consolidates the clot and helps with wound healing by bringing the edges of the damaged blood vessel closer together.
Deformation of Member under Multiple Loadings
When a rod is made of different materials or has various cross-sections, it must be divided into parts that meet the necessary conditions for determining the deformation. These parts are each characterized by their internal force, cross-sectional area, length, and modulus of elasticity. These parameters are then used to compute the deformation of the entire rod.
In the case of a member with a variable cross-section, the strain is not constant but depends on the position. The deformation of an...
In the case of a member with a variable cross-section, the strain is not constant but depends on the position. The deformation of an...
Deformations in a Symmetric Member in Bending
When analyzing the deformation of a symmetric prismatic member subjected to bending by equal and opposite couples, it becomes clear that as the member bends, the originally straight lines on its wider faces curve into circular arcs, with a constant radius centered at a point known as Point C. This phenomenon helps to understand the stress and strain distribution within the member more clearly.
When the member is segmented into tiny cubic elements, it is observed that the primary stress...
When the member is segmented into tiny cubic elements, it is observed that the primary stress...
Lumber Defects
Lumber defects, which can affect both the appearance and structural integrity of wood, include a variety of growth and manufacturing flaws. Growth defects such as knots and knotholes occur where branches were once attached to the tree trunk, with knotholes forming when these knots fall out. Other natural defects include decay and insect damage, which compromise the wood's strength and durability.
Shakes are minor fractures that run along or across the wood's annual rings, while wane is...
Shakes are minor fractures that run along or across the wood's annual rings, while wane is...
