人类的不和循环:背后的解剖学来源
Ketan Sharma1, Jaicharan Iyengar2, James Friedman2
1St Luke's Plastic and Reconstructive Surgery, Boise, ID 83642, USA.
Journal of clinical medicine
|August 28, 2025
概括
亚体冲击综合征 (SAPS) 可能源于人类不和环 (HDL). 在SAPS患者中,治疗小胸部 (PM) 和手臂 (ICN) 显著减少疼痛和改善肩部运动.
科学领域:
- 整形医学
- 神经学
- 人体解剖学
背景情况:
- 肩部下或疼痛综合征 (SAPS) 是慢性肩部疼痛的主要原因.
- 现有的SAPS手术治疗方法往往无法提供长期的疼痛缓解,这表明对潜在病因的理解存在差距.
- 人类不和循环 (HDL) 理论认为,小胸肌 (PM) 的异常内化会导致头骨动和下肌的碰撞.
研究的目的:
- 作为符合HDL标准的SAPS患者的首要治疗方法,研究胸部小切割与内关节神经溶解 (PM+ICN) 的有效性.
- 确定解决HDL是否可以显著缓解疼痛和改善肩部功能.
主要方法:
- 140名符合HDL诊断标准的SAPS患者接受了PM+ICN手术.
- 如果有必要,则进行二次远端神经溶解.
- 包括疼痛水平和肩部移动范围 (ROM) 在内的结果在至少六个月的随访中进行了评估.
主要成果:
- 疼痛的中位数从8下降到2,肩部的中位数从90增加到180度 (p < 0. 01).
- 在检查时,阳性冲击迹象的发生率从100%降至11%.
- 很大一部分患者之前接受过肩膀或椎手术,但症状没有完全消失.
结论:
- 针对人类不和循环 (HDL) 的评估和治疗表明SAPS患者的疼痛和运动有显著改善.
- 这些发现表明SAPS可能是HDL的一种特异性表现,而小胸肌在骨机械中的作用是关键的解剖基础.
- PM+ICN手术是扎根在HDL的SAPS的一个潜在有效的手术点.
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