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对于手套来说,对冷的肩膀进行全周边关节镜囊释放是安全的吗? 一个系统的审查
Luis Palacios-Díaz1, Blanca Diez Sánchez1, Pablo Sanchez-Urgelles1
1Upper Limb Surgery Unit, Orthopaedics and Traumatology Department, La Paz University Hospital, Madrid, Spain.
JSES reviews, reports, and techniques
|December 29, 2025
概括
冷肩部的关节镜囊释放 (ACR) 是安全的,即使是高级囊释放. 这一系统性审查没有发现旋转部撕裂的风险增加,这表明ACR是一个可行的手术选择.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 再生医学是一种再生医学.
背景情况:
- 结的肩膀严重影响生活质量,原因是疼痛和有限的运动范围 (ROM).
- 当保守治疗失败时,通常需要进行手术干预,特别是关节镜囊释放 (ACR).
- 囊释放的程度,特别是上囊的参与和潜在的旋转手腕损伤,仍然是争论的主题.
研究的目的:
- 在全周 ACR 过程中系统地评估上层囊释放的临床结果.
- 为了具体评估术后旋转部撕裂的发生率,以ACR随着上层囊释放.
主要方法:
- 根据PRISMA指南进行了系统审查,搜索了MEDLINE,EMBASE和Web of Science.
- 使用已知工具 (RoB 2.0和ROBINS-I) 评估了偏差风险.
- 包括包括冷肩患者接受周边ACR (有或没有上层囊释放) 和报告ROM,功能分数和袖口撕裂等结果的研究,需要至少1年的随访.
主要成果:
- 分析了45项涉及1921名患者的研究,其中大多数是追溯的.
- 完全环形和有限的ACR技术都在ROM和功能得分方面取得了改善,两组之间的结果相似.
- 据报道,术后旋转手套撕裂率低 (0.16%),仅限于全周 ACR 组,尽管成像数据有限.
结论:
- 包括上部囊释放在内的全周 ACR 与旋转部撕裂的风险增加无关.
- 报道的撕裂发病率低,再加上有限的成像数据,表明潜在的报道不足.
- 有或没有上层囊释放的ACR似乎是冷肩膀的安全有效的外科选择.
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