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在患有肩膀结的患者身上,对肩膀手后背运动的三维分析
Takafumi Niwa1, Noboru Matsumura1, Yuki Yoshida1
1Department of Orthopedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Journal of shoulder and elbow surgery
|February 4, 2026
概括
冷的肩膀显著限制了肩膀的内部旋转,主要是由于膜关节的硬. 这项研究证实,手后背运动准确地反映了受影响患者的胸腔腹内旋转.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 放射学 放射学是一门学科.
背景情况:
- 手后背 (HBB) 运动评估肩膀的内部旋转,但涉及复杂的关节运动.
- 解释 HBB 位置是由于结合的头骨,骨和肘部关节的贡献而具有挑战性.
- 冷的肩膀 (粘着性囊炎) 显著影响肩膀功能和运动范围.
研究的目的:
- 在患有结肩膀的患者中研究HBB运动期间的三维关节对齐.
- 识别特定的联合动作,主要负责有限的HBB覆盖范围.
- 评估HBB触及水平和胸腔部内部旋转之间的相关性.
主要方法:
- 十七名单边结肩膀的患者接受了双边肩膀CT扫描在中立和HBB位置.
- 创建了 3D 骨表面模型,以计算头骨,胸,胸和肘部关节的旋转.
- 与受影响和不受影响的肩膀进行了比较;分析了HBB达到和内部旋转之间的相关性.
主要成果:
- 受影响的肩膀显著减少了膜部内部旋转 (31°与66°相比),绑架 (10°与22°相比) 和肘部曲 (74°与115°相比).
- 甲胸关节在受影响的侧面表现出较少的内部旋转 (18°而不是21°) 和更多的前侧倾斜 (24°而不是19°).
- 在受影响和未受影响的两侧,HBB触及水平与胸腔体内部旋转负相关.
结论:
- 有限的腺关节内部旋转是冷肩部限制HBB运动的主要原因.
- 从指到脊椎过程的测量是冷肩部胸腔部内部旋转的有效指标.
- 了解关节的特定限制有助于制定有针对性的治疗和康复策略.
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