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相关概念视频

Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

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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...
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相关实验视频

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成功 Ulnar 侧边带重建的技巧

Amar S Vadhera1, Mariano E Menendez1,2, Zeeshan Khan1

  • 1Division of Sports Medicine, Department of Orthopedic Surgery, Rush University, Chicago, Illinois.

JBJS essential surgical techniques
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使用腿筋自体移植的关节带 (UCL) 重建有效地恢复了肘的稳定性和功能. 这种程序使得高比例的运动员能够以有利的结果回到他们以前的比赛水平.

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科学领域:

  • 整形外科手术 整形外科手术
  • 运动医学 运动医学
  • 重建性手术是一种重建性手术.

背景情况:

  • 侧带 (UCL) 损伤在头部投运动员中很常见,原因是过度使用和压力.
  • UCL 缺陷导致表现下降,疼痛和不稳定,需要重建手术.
  • 侧带重建 (UCLR) 的患病率正在增加,特别是在年轻的棒球运动员中.

研究的目的:

  • 描述使用腿筋自移植的侧带重建的手术技术.
  • 要突出成功UCLR程序的关键步骤和考虑因素.
  • 介绍预期的结果和UCLR之后的高回归体育率.

主要方法:

  • 腿筋自移植的收获和准备.
  • 重建的解剖学集中在中间表皮骨上.
  • 在崇高的结核和中介性表皮球中创建道,以进行移植通道和固定.
  • 部神经管理和移植张力.

主要成果:

  • 成功的UCL重建导致高回归率 (94%在一项研究中).
  • 患者报告的良好结果,包括高的Kerlan-Job骨科诊所 (KJOC) 和Andrews-Timmerman分数.
  • 修复手术的低率与成功的UCL重建有关.

结论:

  • 带着腿筋自移植的侧带重建是寻求回到高水平投的头部运动员可靠的手术.
  • 精细的手术技术,包括神经的保存和适当的移植固定,对于最佳的结果至关重要.
  • 这种重建方法有效地解决了症状,并恢复了UCL缺陷的运动员的投能力.