在患有梯形手指骨关节炎的患者中,指旋转模式
Kazuya Tsukamoto1, Koji Fujita2, Tomoyuki Kuroiwa1
1Department of Orthopaedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
The Journal of hand surgery, European volume
|November 27, 2025
概括
患有形手指骨关节炎的患者在捏指时表现出改变的指旋转,更少的pronation和更多的supination. 这些变化可能会导致关节不稳定和骨关节炎的发展.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 手术手术手术手术手术
背景情况:
- 梯形甲手腕 (TMC) 关节的稳定性依赖于肌肉平衡,以实现指甲手腕的前置和后置.
- 肌肉失衡可能导致TMC关节不稳定性在骨关节炎患者,但潜在的机制是不清楚的.
研究的目的:
- 在TMC骨关节炎患者和健康个体之间,量化比较指旋转模式.
主要方法:
- 测量指旋转 (pronation/supination) 时,尖端 using一个陀螺仪和加速度计在指的手指.
- 分析了36个TMC骨关节炎手和19个健康的对照手的数据.
主要成果:
- 肌痛性关节炎组显示出明显较少的位 (2.6°) 与对照组 (3.7°) 相比 (p=0.014).
- 在骨关节炎组 (25%) 与对照组 (8.8%) (p=0.013) 中,指置身的频率更高.
- 角与骨关节炎的严重程度负相关 (伊顿-利特勒,凯尔格伦-劳伦斯).
结论:
- 在捏指时改变指旋转模式可能会导致TMC关节错位和骨关节炎进展.
- 研究结果表明,有针对性的康复有可能增强动态TMC关节稳定.
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