随着手臂出生损伤后,肌肉骨发育的变化
Emily B Fawcett1, Kyla B Bosh1, Katherine R Saul2
1Joint Department of Biomedical Engineering, University of North Carolina, Chapel Hill, NC, and North Carolina State University, Raleigh, North Carolina, USA.
概括
臂出生损伤 (BPBI) 会导致复杂的肩部形. 区分神经断裂与脱发对于有针对性的治疗和预防儿童长期肌肉骨问题至关重要.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科神经学 儿科神经学
- 生物医学工程 生物医学工程
背景情况:
- 臂出生损伤 (BPBI) 是一种常见的儿科神经损伤,影响肩部发育.
- BPBI可能导致显著的,长期的姿势,骨和肌肉形.
- 目前的治疗方法缺乏共识,原因是BPBI后果的复杂性和难以区分伤害类型.
研究的目的:
- 审查BPBI后肌肉骨形变的发展现有知识.
- 为了突出 postganglionic (神经破裂) 和 preganglionic (神经突破) 损伤的独特影响.
- 为了确定改善,针对性BPBI治疗的研究差距.
主要方法:
- 对BPBI相关的肩部形的临床知识的文献综述.
- 包括来自动物和计算模型的见解.
- 分析导致腺关节发育障碍的因素.
主要成果:
- 对BPBI后续的临床理解在很大程度上是基于神经破裂,对神经突破的数据有限.
- 神经破裂与脱骨的明显肌肉骨后果在临床上并没有得到很好的区分.
- 由于无法区分伤害类型,现有的治疗方法可能不是最佳的.
结论:
- 更深入地了解神经破裂和脱离的特定影响对于有效的BPBI管理至关重要.
- 需要进一步的研究来区分伤害类型及其对膜部形的影响.
- 需要有针对性的治疗策略来缓解和预防BPBI患者的长期肩部形.
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