胸部小转移用于内侧旋转重建的手臂出生伤害
Jayme A Bertelli1, Ismaray de Avila Díaz2, Fernando Levaro3
1Department of Surgery, Federal University of Santa Catarina, Florianópolis, SC, Brazil; Department of Plastic Surgery, Joana de Gusmão Children's Hospital, Florianópolis, SC, Brazil.
The Journal of hand surgery
|August 16, 2025
概括
胸部小移动有效地恢复了手臂出生损伤的儿童的内部肩部旋转. 这种手术保留了外部旋转,为骨切除术提供了可行的替代方案.
科学领域:
- 整形外科手术 整形外科手术
- 儿科重建性手术 儿科重建性手术
背景情况:
- 腕产生的伤害往往会导致内部旋转缺陷.
- 骨切除术可以改善内部旋转,但可能会损害外部旋转.
研究的目的:
- 为了评估胸部小肌转移,以检测手臂出生损伤中的内部旋转缺陷.
- 评估这种转移是否保持了外部旋转.
主要方法:
- 胸部小肌转移到 subscapularis 足迹在五名患者中进行.
- 患者有活跃的内部旋转缺陷和柔软的肩膀.
- 评估包括手术前和手术后的运动范围测量.
主要成果:
- 所有患者都表现出更好的内部旋转,平均增加88°.
- 四名患者实现了积极的干部触摸,改善了内部旋转.
- 外部旋转在所有病例中都保持在手术后.
结论:
- 胸部小移动是内部旋转缺陷的成功替代方案.
- 该程序保留了外部旋转,这是一个关键优势.
- 它的适用性与独特的解剖学和胸部小肌肉的内化有关.
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