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关节镜旋转袖口修复后肩部运动范围的变化:系统性审查
Carla Antonacci1,2, Umile Giuseppe Longo3,4, Emiliano Schena1,2
1Fondazione Policlinico Universitario Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Roma, Italy.
BMC musculoskeletal disorders
|July 4, 2025
概括
旋转手套撕裂显著损害了肩膀功能. 关节镜修复改善了运动范围 (ROM),在手术后6-12个月观察到显著的收益,接近健康患者的水平.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 旋转手套 (RC) 撕裂是造成肩部疼痛和功能限制的主要原因.
- 手术修复是急性症状RC撕裂的标准,以恢复肩部功能.
- 关节镜RC修复后的动力学结果需要进一步澄清.
研究的目的:
- 系统地审查和报告在关节镜RC修复后肩膀动力学的变化.
- 为了评估在手术后的上肢运动中恢复的运动范围 (ROM).
主要方法:
- 使用PubMed,IEEE Xplore和Web of Science数据库进行了系统的文献审查.
- 包括到2023年9月发表的13篇相关文章.
- 在日常生活中的简单运动和活动中评估了肩膀动力学.
主要成果:
- 在跨研究的患者群体,撕裂类型和实验协议中发现了很高的异质性.
- 仪是用于动力学监测的最常见的设备.
- 内部和外部旋转受影响最大;ROM恢复呈现逐渐改善,在6个月显著增加,并在手术后12个月达到顶峰.
结论:
- 关节镜旋转手套修复导致逐渐的ROM恢复,显著的改善明显在手术后6-12个月.
- 观察到的ROM恢复接近在健康个体中观察到的水平.
- 患者因子的变化,监测系统和缺乏标准化的协议需要进一步研究以优化临床实践.
相关概念视频
Muscles of the Shoulder
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...
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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...

