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同时的双骨切割是否会影响肩膀的自觉和力量? 在关节镜旋转手套修复后,一个潜在的个人内部比较

Can Özcan¹, Necip Güven², Sehmuz Kaya²

¹Department of Orthopedics and Traumatology, Bursa Orhaneli State Hospital, Bursa, Turkey.

Medical science monitor : international medical journal of experimental and clinical research

|December 11, 2025

概括

在关节镜旋转袖口修复 (RCR) 过程中对双肩肌长头 (LHBT) 的同时切割并没有对肩部自感或上肢强度产生不利影响. 这些发现支持LHBT切割术在旋转手腕撕裂时的临床可接受性.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
肩部生物力学肩部生物力学

背景情况:

双肩肌长头 (LHBT) 的病理通常与旋转手套撕裂同时发生.
在关节镜旋转袖口修复 (RCR) 期间同时进行LHBT切除术对术后肩部自感和上肢强度的影响尚未得到充分证实.
关于这些影响的有限的个体内证据存在.

研究的目的:

为了比较手术后的肩部自觉和上肢强度,在接受关节镜旋转手套修复 (RCR) 并且没有同时进行双肩肌长头 (LHBT) 切割的患者中.
提供个体内证据,证明LHBT切术在RCR后对肩部功能的影响.

主要方法:

在单个中心进行前性,个体内比较 (2018年5月 - 2021年12月).
在手术后评估了77名经过关节镜RCR并进行LHBT切断的成年患者.
测量结果:肩膀关节位置感知 (主动位置再现) 和最大的对称上肢强度 (手持式动力计).

主要成果:

观察到在强度和自身感知方面存在小的侧面差异.
经过30度旋转的绝对自知觉误差在经过手术的侧面略低 (Δ=-2.00°).
在其他自身感知目标中没有发现临床上有意义的差异;效果大小小.

结论:

在关节镜RCR期间同时进行LHBT切除术与肩部自感或上肢强度的可测量的缺陷没有关联,在有切除术的迹象的患者中.
这些发现支持LHBT切除术在适当情况下的临床可接受性.
建议进行进一步的比较研究,以完善患者选择标准.

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