在体育运动员的外科手术治疗:一个系统的审查
Dimitris Challoumas1,2, Cheryl Loh1, Nachika Ibekwe1
1School of Infection and Immunity, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Clinics in shoulder and elbow
|February 12, 2026
概括
对于肩部内的外科手术结果在头部运动员中存在很大差异. 患者因素和特定程序影响恢复运动率,在保守护理失败后指导个性化治疗决策.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 肩部内部撞击是顶部运动员的一个常见问题.
- 相关的疾病可能会使手术管理复杂化.
- 关于手术结果的证据需要全面审查.
研究的目的:
- 审查所有已发表的关于外科手术治疗高空运动员内的证据.
- 评估结果,包括恢复运动,肩部功能和并发症.
- 为手术决策提供基于证据的建议.
主要方法:
- 观察性研究的系统审查.
- 包括报告手术干预肩部内部阻塞的研究.
- 主要结果的分析:恢复到受伤前的水平或更高的体育水平 (RTS+).
- 二次结果:在任何水平上恢复运动 (RTS),肩部功能,并发症.
主要成果:
- 分析了42项涉及1420名运动员的研究.
- 在受伤前的水平 (RTS+) 恢复体育运动在不同程序 (25%-94%) 之间存在显著差异.
- 特殊的手术,如旋转手套脱bridement和角膜整形,显示了可变的RTS+率.
- 对于SLAP撕裂的比较数据表明,在开放式关节切割和关节镜修复方面,类似的RTS+存在.
结论:
- 对于内部冲击的外科管理结果是不一致的.
- 个体患者的因素对于手术决策至关重要.
- 提供了优化外科手术策略的建议,用于顶部运动员.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
563
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
563
Inflammatory Bowel Disease V: Surgical Management
652
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
652
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.6K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.6K
Internal Energy
36.9K
The total of all possible kinds of energy present in a substance is called the internal energy (U), sometimes symbolized as E. Suppose a system with initial internal energy, Uinitial, undergoes a change in energy (transfer of work or heat), and the final internal energy of the system is Ufinal. Change in internal energy equals the difference between Ufinal and Uinitial.
36.9K
Internal Receptors
74.7K
Many cellular signals are hydrophilic and therefore cannot pass through the plasma membrane. However, small or hydrophobic signaling molecules can cross the hydrophobic core of the plasma membrane and bind to internal, or intracellular, receptors that reside within the cell. Many mammalian steroid hormones use this mechanism of cell signaling, as does nitric oxide (NO) gas.
74.7K


