延伸骨 (ulnaris) 到延伸骨 (radialis brevis) 肌转移 在患有脑的儿科患者中
Christopher S Crowe1,2, Natalie Williams3, Zachary Weingrad3
1Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.
Plastic and reconstructive surgery
|December 9, 2025
概括
延伸骨 (ECU) 到延伸骨 (ECRB) 肌的移动有效地纠正脑患者的缩手腕 flexion. 这种手术改善了手腕的姿势和握力,为管理与CP相关的手部形提供了一个安全的替代方案.
科学领域:
- 整形外科手术 整形外科手术
- 儿科神经学 儿科神经学
- 康复医学是康复的医学.
背景情况:
- 缩手腕曲形是脑 (CP) 的常见挑战,影响手部功能和神经障碍的可见性.
- 传统的 flexor carpi ulnaris (FCU) 到延伸 carpi radialis brevis (ECRB) 肌转移可以纠正曲,但有可能过度纠正 (过度延伸).
研究的目的:
- 为了评估替代肌移植的手术技术和结果:延伸骨 (ECU) 到ECRB.
- 评估ECU到ECRB转移在改善儿科CP患者手腕延伸和握力方面的有效性.
主要方法:
- 对儿科CP患者进行ECU到ECRB肌移植的回顾性分析.
- 评估手腕位置,运动范围,主动抓握,以及患者报告的抓握改善.
- 评估二次结果,包括需要修复手术的必要性.
主要成果:
- 在24名患者中的26个手腕接受了ECU到ECRB转移的治疗.
- 85%的手腕在手术后实现了超出中性的延伸 (平均28度).
- 81%的患者报告说握力有所改善,5人需要修改复发性曲,1人需要固定延伸.
结论:
- ECU到ECRB肌移植是一种安全有效的手术选择,用于控制脑中缩手腕 flexion.
- 该程序可靠地增强受影响个体的手腕姿势和握力功能.
- 这种技术为传统的肌移植提供了可行的替代方案,并具有较低的重大并发症率.
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