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在背后喷射手术两年后诊断肩部紧张:一项追溯观察性研究
Elio Disegni1, Marina Torrens1, Geoffroy Nourissat1
1Clinique de l'épaule, Clinique des Maussins, Ramsay Santé, Paris, France.
Annals of medicine
|September 13, 2025
概括
持续的肩部担忧影响了Latarjet手术后的一半患者,无论囊修复如何. 标准肩部稳定性得分可能低估了这一常见问题,影响了患者报告的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 肩部不稳定性研究研究
背景情况:
- 拉达喷气手术为肩部脱提供了高的稳定率.
- 尽管成功稳定了肩膀,但在使用肩膀时持续的恐惧仍然是一个重大问题.
研究的目的:
- 为了确定Latarjet程序两年后的总体 apprehension rate. 为了确定Latarjet程序两年后的总体 apprehension rate.
- 评估肩部抓地力和功能性结果得分之间的关系 (罗威,沃尔奇-杜普莱,SANE).
主要方法:
- 对接受Latarjet手术的患者进行了回顾性观察性研究.
- 评估两年后的手术后感知和与功能评分的相关性.
- 分析带有和没有囊修复的捕获率.
主要成果:
- 在44名分析患者中没有观察到肩部脱的复发.
- 总体上发现了较高的捕获率 (57.1%与50.0%相比),可与囊修复或没有囊修复相比.
- 罗伊和沃尔奇-杜普莱分数显示高特异性,但对于识别恐惧的敏感性较低.
结论:
- 大约一半的患者在拉塔喷气手术后经历了持续的肩部感觉.
- 囊修复并没有显著改变持久性恐惧率.
- 标准功能评分可能低估了Latarjet手术后肩部感觉的流行程度.
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