脊椎关节损伤对脊椎关节综合体和皮皮节奏的影响:一个功能和机械的视角
W Ben Kibler1, Austin V Stone, Jeffrey Grantham
1From the Department of Orthopedics-Sports Medicine, Shoulder Center of Kentucky, Lexington Clinic (Kibler and Grantham), the Division of Sports Medicine, Department of Orthopedic Surgery and Sports Medicine, University of Kentucky (Stone), and the Lexington Clinic Institute for Clinical Outcomes and Research (Sciascia), Lexington Clinic, Lexington, KY.
The Journal of the American Academy of Orthopaedic Surgeons
|February 18, 2025
概括
了解关节关节 (ACJ) 损伤需要一种机械视角. 恢复ACJ复合体的复杂性
科学领域:
- 生物力学 生物力学
- 整形外科手术 整形外科手术
- 运动医学 运动医学
背景情况:
- 脊椎关节 (ACJ) 综合体包括头骨,关节骨,ACJ,相关带和肌肉.
- 它的主要作用是促进肩膀节律 (SHR),这对肩膀功能至关重要.
- 当前的理解往往将解剖损伤与功能后果分开.
研究的目的:
- 介绍ACJ复合体及其损伤的机械视角.
- 整合ACJ复合体的功能在更广泛的 scapulohumeral节奏 (SHR) 的背景下.
- 为了改善临床理解,将解剖损伤评估与功能结果统一.
主要方法:
- 基于生物力学原理的概念框架.
- 分析ACJ复合体作为一个连接的部分 ("关节").
- 检查带在稳定性和扭矩传导中的作用.
主要成果:
- 该ACJ复杂的功能作为一个统一的"关节"段.
- 交流带和心关节带对于稳定性和扭矩至关重要.
- 这部分的脱会对肩部机械和SHR产生负面影响.
结论:
- 机械视角增强了对ACJ损伤及其对SHR的影响的理解.
- 临床评估和治疗必须恢复ACJ复合体的解剖完整性和功能机制.
- 这种综合方法提高了对临床表现和功能缺陷的理解.
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