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胸部大肌转移用于肩下缺陷:一个手术技术
Andrew J Recker1, Mark A Glover2, Rachel Muscott1
1Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Video journal of sports medicine
|May 1, 2025
概括
胸部大肌 (PMT) 转移有效地治疗活跃患者的 subscapularis 缺陷,显示出更好的结果. 然而,长期的力量和运动可能会回归到手术前的水平.
科学领域:
- 整形外科手术 整形外科手术
- 肩膀重建的重建 肩膀重建的重建
- 旋转器袖口维修 旋转器袖口维修
背景情况:
- 头骨下缺陷通常会影响年轻,活跃的个体.
- 胸部大肌 (PMT) 移植是其他治疗方法失败时无法修复的小骨撕裂的手术选择.
研究的目的:
- 为了评估 Pectoralis 大肌 (PMT) 转移对于 subscapularis 缺陷的疗效.
- 评估患者的结果,包括力量,运动范围和疼痛水平.
主要方法:
- 这项研究涉及胸部大肌 (PMT) 转移手术.
- 该技术涉及释放和重新连接PMT的胸部头部到较小的结节,使用合.
主要成果:
- 系统性审查显示,在PMT转移后,恒定分数,运动范围和内部旋转强度增加.
- 随访10年后,常数得分,简单肩部测试和疼痛得分持续改善.
- 长期内在旋转强度和运动范围回归到基线水平.
结论:
- 胸部大肌 (PMT) 转移是对不易直接修复的症状性脑下大撕裂的可行的治疗方法.
- 该程序在患者报告的结果和肩部功能方面提供了显著的长期改善.
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