相关实验视频
Updated: Sep 18, 2025

10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.4K
完全关节镜拉蒂斯木斯背部转移无法弥补的后高层巨型旋转手套撕裂
1Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China.
Arthroscopy techniques
|June 23, 2025
概括
这项研究详细介绍了对于不可修复的旋转手套撕裂而进行的关节镜拉蒂斯木斯背部 (LD) 肌移植. 这种微创手术技术为肩膀损伤严重的患者提供了新的手术选择.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 关节镜检查 (arthroscopy) 是一种关节镜检查.
背景情况:
- 巨大的旋转带撕裂,特别是后高层撕裂,带来了重大治疗挑战.
- 无法弥补的眼往往导致慢性疼痛和功能损失.
- 背大 (LD) 移植是一种可行的重建选择.
研究的目的:
- 描述一个全关节镜技术,用于大背肌转移 (LDT).
- 使用LDT来管理不可修复的脊上或脊下旋转部撕裂.
- 概述关节镜LDT的手术步骤和关键考虑.
主要方法:
- 在LD肌和肌肉剖析和释放中采用完全关节镜的方法.
- 采用了特定的门户位置 (上部和下部的胸部主要).
- 后门的扩大促进了肌的提取和编织.
- 腰部关节肌被后部转移到部头部的大结,并用无结的 anchors 固定.
主要成果:
- 描述的技术允许完成关节镜解剖并释放LD肌和肌肉.
- 在整个过程中,神经血管结构都得到了谨慎的保护.
- 该方法避免了需要部分脱离胸部大肌的必要性.
- 取得了成功的后部转移和LD肌与大结节的固定.
结论:
- 对于治疗不可挽回的旋转部撕裂,完全关节镜拉蒂斯木斯背部肌移植是可行的.
- 这种技术提供了一种有效的方法,用于肩膀重建与关节镜管理.
- 描述的方法为复杂的旋转手腕病理提供了最少的侵入性解决方案.
相关概念视频
Muscles that Move the Arm
3.0K
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
3.0K
Muscles of the Shoulder
6.8K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
6.8K
