相关实验视频

Updated: May 10, 2025

Methods for In Vivo Biomechanical Testing on Brachial Plexus in Neonatal Piglets

Methods for In Vivo Biomechanical Testing on Brachial Plexus in Neonatal Piglets

Published on: December 19, 2019

婴儿肩部脱位的手术治疗随着手臂出生损伤后的手术治疗

Tamara Al Muhtaseb¹, Stephanie Lamer¹, Allison Allgier²

¹Divisions of Orthopaedic Surgery.

Journal of pediatric orthopedics

|April 28, 2025

概括

由于臂出生损伤 (BPBI) 的婴儿肩部脱的手术治疗可以改善肩部功能. 在最初的手术中包括外部旋转肌移植,可以减少再次手术的需要.

科学领域:

儿科整形外科儿科整形外科
神经肌肉疾病神经肌肉疾病
手术结果研究研究.

背景情况:

在腕出生损伤 (BPBI) 中的 Glenohumeral 发育不良会导致婴儿肩部脱.
早期脱位的非手术治疗往往是不成功的,需要手术干预.
婴儿肩部脱的手术结果是BPBI的次要原因并没有得到充分的证据.

研究的目的:

追溯审查婴儿 (<1岁) 患有BPBI的膜位外科治疗的结果.
评估不同手术技术的有效性,包括外部旋转肌移植 (ERTT).
确定影响重新运行率和功能结果的因素.

主要方法:

对32名为5个月至1年以下的患者进行手术治疗肩部脱的病历的回顾性审查.
通过MRI (PHHA <10%) 或超声波定义的脱位.
主要结果:重新操作. 二次结局:马莱特分数,被动/主动外部旋转,PHHA,以及状腺版本.

主要成果:

25名患者接受了释放和ERTT,其中12.0%需要重新手术; 7名患者单独接受释放,其中85.7%需要重新手术.
在被动和活跃的外部旋转和全球马莱特分数中观察到显著的改善.
重新操作主要是针对反复出现的合同,重新移动或持续的弱点.

结论:

在BPBI中婴儿肩部脱的手术治疗可以增强膜部对齐和肩部功能.
将ERTT纳入指数程序可以降低重新操作的风险.
外科手术技术,包括部分 subscapularis 释放,可以保持内部旋转功能.

关键词:

臂状交叉 (Brachial Plexus) 是一个神经系统.后部位的脱位肌转移是因为肌转移.

更多相关视频

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

相关概念视频

Flail Chest-II

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

Fractures: Bone Repair

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...