高修复张力和晚年负面影响下肩骨的愈合状态后,关节镜旋转手套修复
Kai-Lan Hsu1, Fa-Chuan Kuan1, Yueh Chen2
1Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Skeleton Materials and Bio-compatibility Core Lab, Research Center of Clinical Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
概括
较高的修复张力和年龄较大增加了关节镜修复后 subscapularis (SSC) 愈合不良的风险. 65岁以上的患者和体重超过4公斤的患者面临更高的风险,这会影响长期内部旋转强度.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩膀的重建 肩膀的重建
背景情况:
- 关节镜下肩膀 (SSC) 修复是肩膀受伤的常见手术.
- 了解影响愈合结果的因素对于患者的康复和手术成功至关重要.
研究的目的:
- 检查 subscapularis (SSC) 修复张力和放射性结果之间的相关性.
- 确定关节镜SSC修复后放射学和临床结果的预测因素的切断值.
主要方法:
- 一项追溯的队列研究,对67名接受关节镜SSC修复的患者进行了2年的随访.
- 分析包括手术内发现 (收缩,修复张力,拉福斯分类) 和手术前后的MRI.
- 功能评分和内部旋转强度在手术前和6,12和24个月后进行评估.
主要成果:
- 在25.4%的患者中,SSC愈合不佳发生.
- 与愈合不良显著相关的因素包括年龄,增加的修复张力,更长的收缩长度和更高的拉福斯分类.
- 65岁以上的患者和重复张力超过4公斤的患者,愈合不良的几率明显更高.
结论:
- 晚年,增加的修复张力,更大的收缩,和严重的拉福斯分类预测低 subscapularis (SSC) 愈合.
- 年龄>65岁和修复张力>4公斤是SSC愈合不良的重要危险因素.
- 较差的愈合与24个月内内旋转强度的降低相关,但不是整体肩部功能得分.
相关概念视频
01:31Muscles that Move the Arm
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...
01:24Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...