相关实验视频

Updated: Jan 13, 2026

Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography

Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography

Published on: March 12, 2021

关节镜旋转手套修复后早期肩部硬的危险因素

João Felipe M Filho¹, Rodrigo A Beraldo^2,3, Mauro E Gracitelli⁴

¹Orthopedics and Traumatology, Universidade Federal do Rio Grande do Norte, Natal, BRA.

|October 29, 2025

概括

这项研究发现,在关节镜旋转手套修复后,早期术后肩部硬没有显著的临床或结构风险因素. 需要进一步的研究来制定标准化的标准来识别有风险的患者,并改进预防策略.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
肩部关节镜检查肩部关节镜检查

背景情况:

关节镜旋转袖口修复 (ARCR) 是旋转袖口撕裂的标准治疗方法.
早期手术后肩部硬 (EPS) 是ARCR后的潜在并发症.
识别EPS的风险因素对于改善患者的治疗结果至关重要.

研究的目的:

调查手术前临床并发症和MRI定义的结构撕裂特征与ARCR后EPS之间的关联.
将EPS定义为术后90天以上持久的被动运动范围限制.

主要方法:

对381名接受初级ARCR的患者进行了回顾性队列研究.
排除患有手术前硬度或需要额外手术的患者.
通过手术前的MRI和分类 (斯奈德,科菲尔德,帕特,古塔利尔) 来评估临床变量 (年龄,性别,并发症) 和旋转袖口撕裂特征 (大小,收缩,脂肪退化).

主要成果:

早期术后肩部硬 (EPS) 发生在6.3%的患者中.
没有发现EPS与糖尿病,高血压,血脂不良或甲状腺功能低下等临床因素之间有显著的关联.
撕裂的特征包括尺寸,收缩和脂肪退行不显示与EPS有显著联系.

结论:

这项研究没有确定ARCR后EPS的显著手术前临床或结构性风险因素.
识别高风险患者需要标准化标准.
需要精细的预防策略来缓解EPS的发生.

关键词:

关节镜旋转袖子修复关节镜旋转袖子修复关节镜检查 (arthroscopy) 是一种关节镜检查.术后并发症术后并发症有关风险因素的风险因素.肩膀硬肩膀硬肩膀硬肩膀硬

更多相关视频

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft

Published on: June 6, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

相关概念视频

Muscles of the Shoulder

Muscles of the Shoulder

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...

Muscles that Move the Arm

Muscles that Move the Arm

Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...