优先考虑近端间关节延伸,对尸体进行研究,以澄清PIPJ中性位置和关节囊行为
Vicenç Punsola-Izard1, Karen S Schultz2, Manuel Llusà-Perez3
1Hand Therapy Barcelona, Barcelona, Spain; Unit of Human Anatomy and Embryology, University of Barcelona, Barcelona, Spain.
概括
靠近间关节 (PIPJ) 的中曲位置 (30°-40°) 最大化了囊空间,可能导致带缩短和关节纤维化. 延伸可以通过最大限度地减少飞行囊空间来防止曲收缩.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 手疗法手疗法是指手疗法.
背景情况:
- 靠近间关节 (PIPJ) 失动,以硬和运动范围的减少为特征,通常是在创伤,炎症或手术之后出现的.
- 这种情况源于囊缩短和关节纤维化,导致行动能力受限和收缩形成.
研究的目的:
- 调查关节位置如何影响PIPJ中的囊空间体积分布.
- 测试中部曲最大化囊空间的假设,导致带缩短和关节纤维化.
主要方法:
- 进行了一项尸体研究,以分析PIPJ在各种关节位置上的囊带动力学.
- 来自5个新鲜冷的尸体标本的15个手指被利用.
主要成果:
- 该PIPJ展现了紧密包装的位置在完整的曲和延伸.
- 在中曲位置 (30°-40°曲) 观察到最大的囊空间体积.
- 注射证实了曲中部的最大囊体积,而乳分布有所变化,在延伸方面集中在背部,在曲方面集中在飞行上.
结论:
- 中间曲位置 (30°-40°) 被提出为"中性"位置,最大限度地增加囊空间,促进带缩短和关节纤维化.
- 延伸缩小了飞行囊空间,可能防止曲收缩.
- 临床含义包括通过背部压缩使PIPJ在延伸中固定不动,以防止收缩和,并利用手动治疗中部曲来增强关节动员.
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