膝关节损伤或手术后的关节性肌肉抑制:病理生理学,分类和治疗
Bertrand Sonnery-Cottet1,2, Graeme P Hopper1,2, Lampros Gousopoulos1,2
1Centre Orthopédique Santy, Lyon, France.
Video journal of sports medicine
|May 1, 2025
概括
关节性肌肉抑制 (AMI) 在膝关节受伤后导致四头肌激活失败. 一个新的分类系统有助于识别不同的表现和指导治疗以获得更好的患者结果.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 运动医学 运动医学
背景情况:
- 关节性肌肉抑制 (AMI) 是神经抑制,导致膝关节损伤或手术后四头肌激活失败.
- 目前的分类没有解决膝关节损伤后AMI的各种表现.
- AMI可能导致显著的发病率,需要早期识别和量身定制的治疗.
研究的目的:
- 建议在膝关节受伤或手术后进行关节性肌肉抑制 (AMI) 的新型分类系统.
- 为了指导临床管理,定义AMI的不同表现.
- 通过解决与不同AMI分类相关的特定需求来改善患者的治疗结果.
主要方法:
- 这项研究提出了一个基于巨型中斜体 (VMO) 抑制和延伸缺陷的表现的分类系统.
- 该分类包括VMO收缩,腿筋收缩和延伸缺陷的慢性等级.
- 在分类中考虑了治疗响应性,以区分管理途径.
主要成果:
- 建议采用一个分级系统 (分级0到3) 来分类AMI呈现.
- 1级涉及VMO抑制,其次级是可逆性 (1a) 或需要特定程序 (1b).
- 2级包括具有VMO抑制的延伸缺陷,具有可逆性 (2a) 或耐火病例 (2b) 的子级; 3级是慢性和不可减少的.
结论:
- 建议对关节性肌肉抑制 (AMI) 进行新的分类,以解决膝关节损伤后的可变表现.
- 这种分类有助于识别患有术后并发症风险的患者,例如硬.
- 实施该系统可以指导治疗干预,并改善AMI的康复策略.
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