皮质类固醇透在部分远距离双肩骨破裂
Elisabeth A Wörner1,2, Elisa L Zwerus1,3, Ante Prkic4
1Department of Orthopedic Surgery and Sports Medicine, Erasmus MC, Rotterdam, the Netherlands.
Clinics in shoulder and elbow
|December 11, 2025
概括
皮质类固醇注射是偏远双肩裂痕的安全治疗方法,有助于35%的患者避免手术. 在这项部分远距离双肩肌破裂的研究中没有观察到任何显著的并发症.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨成像系统的成像
背景情况:
- 皮质类固醇注射在治疗部分远距离双肩肌撕裂的效果尚不清楚.
- 相关的疾病,如围液,突炎和炎,可以导致部分撕裂的持续疼痛.
- 这项研究调查了皮质类固醇透作为部分远距离双肩肌破裂的潜在非手术治疗方法.
研究的目的:
- 为了评估围性皮质类固醇透的安全性和有效性,用于部分远距离双肩撕裂.
- 为了确定皮质类固醇透治疗后避免手术干预的比率.
主要方法:
- 通过MRI证实52名患有部分远距离二头肌撕裂 (<50%的足迹参与) 的患者的回顾性分析.
- 超声导向的胸内膜内透与三氨酸和利多卡因HCl.
- 审查患者记录的人口统计,伤害细节,治疗,随访和并发症.
主要成果:
- 没有报告与皮质类固醇透相关的并发症.
- 随访的中位数持续时间为15个月.
- 65%的患者最终进行了手术重建; 35%的患者避免了手术.
结论:
- 围性皮质类固醇透是一种安全的治疗选择,用于对运动治疗无反应的部分远距离二头肌撕裂.
- 这种非手术方法成功地使35%的患者避免了手术重建.
- 进一步的研究可能会阐明长期结果和最佳的患者选择这项干预.
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