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在第一次前肩部不稳定性设置中的Glenoid Labral关节破坏病变
Jenna L Dvorsky1, Ryan T Lin1, Confidence Njoku-Austin2
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
概括
这项研究发现,关节乱 (GLAD) 病变不会影响首次前肩部不稳定性关节透视班卡特修复后的结果. 在患有和没有GLAD病变的患者中,复发性不稳定率相似.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩部不稳定性研究研究
背景情况:
- 第一次前肩部不稳定通常涉及班卡特病变.
- Glenolabral关节干扰 (GLAD) 病变可能与Bankart病变并存.
- 关节镜Bankart修复后GLAD病变对结果的影响尚未得到充分证实.
研究的目的:
- 为了比较关节镜修复后的临床结果和复发性不稳定率.
- 评估第一次前部不稳定性患者的关节干扰 (GLAD) 病变的影响.
主要方法:
- 56名接受关节镜前部稳定治疗的患者的回顾性比较病例系列.
- 14名患有GLAD病变 (病例) 的患者与没有GLAD病变的42名患者 (对照) 进行了1:3匹配.
- 评估的结果包括运动范围,患者报告的得分 (SSV,VAS,WOIS) 和反复不稳定率.
主要成果:
- 在手术后的运动范围 (向前曲,外部旋转) 中,没有观察到群体之间的显著差异.
- 患者报告的结果 (SSV,VAS,WOIS) 在患有和没有GLAD病变的患者之间是可比的.
- 在GLAD和对照组 (P = .16) 中,复发不稳定率相同 (7%).
结论:
- GLAD病变的存在不会对第一次前部不稳定性进行关节镜Bankart修复后的临床结果产生负面影响.
- 在关节镜稳定后,GLAD病变似乎不会增加复发不稳定的风险.
- 这些发现表明,GLAD病变可能不需要与Bankart修复本身分开的特殊管理.
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