在形甲手腕关节炎的吊床手术后的Flexor carpi radialis肌病变
Ikuo Nakai1, Hanako Tsuji2, Jun Nishida2
1Department of Orthopedic Surgery, Nishi Omiya Hospital, Saitama, Japan; Department of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Hand surgery & rehabilitation
|August 21, 2025
概括
杆甲关节炎的吊床手术可能会导致 flexor carpi radialis (FCR) 肌病变,特别是在手工劳动者身上. 在手术后的第一年进行密切监测对于管理FCR肌并发症至关重要.
科学领域:
- 骨科手术
- 手部手术
- 肌肉骨研究
背景情况:
- 使用长 (APL) 的悬浮关节整形术是一种常见的治疗先进的甲骨关节炎 (TMC).
- 吊床技术涉及在 flexor carpi radialis (FCR) 肌周围的APL肌悬浮.
- 虽然一般有效,但已发现FCR肌并发症,如肌炎和破裂,需要进一步调查.
研究的目的:
- 评估TMC关节炎的吊床手术后的FCR肌病变的发生率和特征.
- 确定与FCR肌并发症相关的潜在风险因素,如职业.
- 评估FCR肌病的保守和外科治疗结果.
主要方法:
- 对21名接受TMC关节炎吊床手术的患者进行了回顾性分析,随访时间超过1年.
- 系统评估FCR肌病,包括炎症和破裂.
- 使用费舍尔精确测试进行统计分析,以探索职业和FCR肌病之间的关系.
主要成果:
- 在33. 3%的患者中发生FCR肌病 (肌炎:14. 3%,破裂:19. 0%).
- 与非人工工人 (18.2%) 相比,手工工人患FCR肌病的发病率更高 (50%),但在统计学上并不显著 (p=0.1818).
- 肌破裂通常发生在术后6个月内,通常与手腕压力活动有关;保守治疗足以治疗肌炎,而破裂需要手术.
结论:
- 吊床手术对TMC关节炎是有效的,但与FCR肌病的显著风险有关,特别是在手工劳动者中.
- 术后的一年对于监测和预防FCR肌并发症至关重要.
- 为了优化手术技术和改善患者的结果,需要对更大群体进行进一步的研究和更长的随访.
相关概念视频
Muscles of the Forearm that Move the Hand and Fingers
1.4K
The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
1.4K
Muscles that Move the Forearm
2.1K
The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
2.1K
Bones of the Upper Limb: Radius
2.6K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.6K


