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使用 subscapularis 分割方法在治疗前肩部不稳定与显著的骨质损失:一个案例系列的治疗
Ahmed Farid Mekky1,2, Chiara Fossati2,3, Alessandra Menon2,3,4
1Knee and Shoulder Arthroscopy Unit, Department of Orthopedic Surgery, Tanta University, El-Geish Street, Tanta 31527, Egypt.
Healthcare (Basel, Switzerland)
|July 29, 2025
概括
一种经过修改的Latarjet手术有效地治疗反复复发的前肩部不稳定性与显著的骨质损失,显示出出色的临床结果和没有关节炎进展. 这种外科手术技术为患有严重状腺缺陷的患者提供了可靠的解决方案.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 反复出现的前肩部不稳定性往往涉及状骨缺陷,需要手术干预.
- 拉达喷气手术是一种常见的手术治疗,用于前肩部不稳定,具有显著的状骨缺陷.
研究的目的:
- 为了评估临床结果和关节关节炎进展在患者的重复前肩部不稳定性和显著的骨质损失.
- 评估修改后喷射手术在治疗这些特殊的肩部疾病中的有效性.
主要方法:
- 一个前性观察病例系列包括21名患有复发前肩部不稳定性和状腺缺陷>21%的患者.
- 一个经过修改的Latarjet手术涉及旋转90°的心肌,并横向分裂 subscapularis 肌肉.
- 临床评估使用了修改后的罗伊评分;放射性评估评估了关节炎,移植位置,结合和再吸收.
主要成果:
- 18名患者 (85.7%) 取得良好至优异的结果,平均修改后的罗伊得分为85.00.
- 没有观察到复发性不稳定性,也没有注意到关节关节炎的进展.
- 平均随访时间为30.67个月;平均外部旋转损失为8.09°.
结论:
- 修改后喷射手术是一种有效和可靠的手术选择,用于创伤性前肩部不稳定性和显著的骨质损失.
- 这种技术证明了积极的功能结果,大多数并发症不会影响整体结果.
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.
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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...

