在部 Flexion 位置的短外部旋转肌肉的外部旋转扭矩的比较
Yoshiaki Ito1, Daisuke Suzuki2, Fumiya Kizawa3
1Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Toyama, Japan.
概括
保护闭关外侧肌肉是最有效的预防关节整形术后关节脱. 这项研究量化了外部旋转扭矩,表明阻塞器外部在深度曲中提供了优越的阻力.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 人体解剖学 解剖学 解剖学
背景情况:
- 保持短的外部旋转肌肉有助于防止关节整形术后的关节脱.
- 缺乏关于这些肌肉的外部旋转扭矩的定量数据,阻碍了手术决策.
研究的目的:
- 为了比较单个短的外部旋转肌肉在部曲期间的外部旋转扭矩.
- 为了确定哪些肌肉提供最多的阻力脱.
主要方法:
- 在15个尸体部中评估了piriformis,内闭器,关节肌和外闭器的外部旋转扭矩.
- 使用肌肉弦模型,基于生理横截面积 (PCSA) 的肌肉力量从0°到105°的部屈曲.
主要成果:
- 皮里形体,内闭器和联合肌的扭矩在曲15度时达到峰值,然后下降.
- 闭关器外侧扭矩随部屈曲而增加,在深度屈曲 (≥75°) 中显示最高扭矩.
- 在90°和105°的曲时,闭关器外侧扭矩明显大于联合肌.
结论:
- 保持阻塞器外部是最有效的抵制关节整形术后的脱位.
- 这些发现为在后部软组织剖析过程中保存特定肌肉提供了定量标准.
- 暗示了潜在的,更少的侵入性,更具抗位性的外科手术方法.
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