肘部的运动范围是稳定的,或在腰侧带修复和重建后得到改善
Cole Morrissette1, Frank Alexander1, Michael Mastroianni1
1Columbia University Medical Center, Orthopedic Surgery, Sports Medicine Division, New York, NY, USA.
Journal of shoulder and elbow surgery
|November 7, 2025
概括
在侧带 (UCL) 修复或重建后,肘部运动范围 (ROM) 通常在2-4个月内恢复. 手术前的ROM,年龄和手术技术影响最终结果,大多数患者恢复了基线运动.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 侧带 (UCL) 损伤在投运动员中越来越常见,导致更多的手术修复和重建.
- 肘部硬是潜在的术后并发症,但术后运动范围 (ROM) 轨迹和影响因素的数据有限.
研究的目的:
- 确定UCL修复和重建后肘部ROM恢复的典型轨迹.
- 为了确定影响这些患者最终肘部ROM结果的因素.
主要方法:
- 分析了146名接受UCL修复或重建的患者的数据,并对Pitch Registry进行了为期2年的随访.
- 收集基线人口统计数据,患者报告的结果,以及术前/术后肘部曲和延伸测量.
- 包括手术技术 (修复与重建,移植类型,部神经转移,关节镜解) 在内的手术变量文件.
主要成果:
- 患者通常在手术后2-4个月内恢复了手术前的ROM.
- 手术前的ROM是最终结果的重要预测因素;较大的基线延伸缺陷与更大的改善相关,而较大的基线曲预测改善较少.
- 只有19.2%的患者未能在基线5°内恢复曲或延伸,这些患者通常是具有更高基线曲的老年患者.
结论:
- 肘部ROM在UCL修复和重建后可靠地维持或增强,遵循可预测的恢复曲线.
- 最终ROM的关键预测因素包括手术前ROM,患者年龄,手术技术和患者报告的基线结果.
- 这些发现对于管理患者期望和优化术后康复策略至关重要.
更多相关视频
05:07Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
2.6K
05:18Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
1.8K
相关概念视频
Bones of the Upper Limb: Ulna
4.1K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
4.1K
Bones of the Upper Limb: Radius
4.4K
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...
4.4K
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
Bones of the Upper Limb: Humerus
6.8K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
6.8K
