肩部脱后手臂损伤的管理和结果:系统性审查
Ramin Shekouhi1, Mary Margaret Holohan1, Syeda Hoorulain Ahmed2
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
The journal of hand surgery Asian-Pacific volume
|September 24, 2025
概括
肩部脱后的臂 (BP) 损伤不常见,但显著. 保守的管理是最常见的,尽管手术可能会改善这些神经损伤的某些患者的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 系统审查是系统的审查.
背景情况:
- 臂 (BP) 损伤是肩部脱的一个已知的并发症.
- 对这些伤害的最佳管理策略尚不清楚.
- 本综述评估了肩部脱后的BP损伤的结果和治疗方法.
研究的目的:
- 系统地审查有关肩部脱后的臂损伤的文献.
- 评估不同管理策略的有效性.
- 评估患者的结果和康复模式.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed/MEDLINE,Embase,Scopus和科学网上进行了搜索.
- 包括人类受试者的研究,在肩部脱后患有BP损伤;数据提取和两位评论员的ROB评估.
主要成果:
- 九项研究 (255名患者) 符合纳入标准,193名 (75.7%) 患有脱后血压损伤.
- 保守管理 (67.4%) 是最常见的,其次是神经溶解±神经转移 (19.9%) 和神经修复 (12.7%).
- 分别在51.6%和45.2%的患者中观察到感觉和运动恢复;后最常发生 (38.3%).
结论:
- 肩部脱后的臂损伤并不常见,但在临床上具有重大意义.
- 保守治疗是主要的方法.
- 在某些特定情况下,手术干预可能会改善功能恢复.
相关概念视频
Spinal Nerves: Plexus I
2.4K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
2.4K
Flail Chest-II
540
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
540
Muscles of the Shoulder
8.9K
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.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
8.9K


