周围拉布拉撕裂:不稳定的历史和关节镜修复的结果
Ibrahim Kaya1, Ethem Burak Oklaz2, Semih Yas1
1Department of Orthopaedics and Traumatology, Dr. Abdurrahman Yurtaslan Training and Research Hospital, Ankara, Turkey.
Orthopaedic journal of sports medicine
|March 12, 2026
概括
周围腹部撕裂可能发生在单次事件后,并且在关节镜修复后导致成功的结果. 大多数患者获得了临床上有意义的结果,证明了手术干预肩部不稳定性的有效性.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肩部关节镜检查 肩部关节镜检查
背景情况:
- 周围腹部撕裂涉及完全脱离状腺边缘.
- 之前的研究表明,在关节镜修复后,患者报告的结果指标 (PROM) 得到改善.
- 患者对结果意义的看法和单一事件后眼的发生需要进一步调查.
研究的目的:
- 为了确定外围撕裂患者手术前不稳定事件的数量.
- 用最小临床重要差异 (MCID),实质性临床益处 (SCB) 和患者可接受的症状状态 (PASS) 参数来评估关节镜修复后的临床结果.
主要方法:
- 对接受肩膀关节镜检查不稳定的患者 (2015-2023) 的回顾性审查.
- 纳入标准:初级环形撕裂,关节镜 anchor修复,状骨缺陷<13.5%,以及≥24个月的随访.
- 分析包括ASES,WOSI和VAS分数在内的PROM,以评估MCID,SCB和PASS成就.
主要成果:
- 周围撕裂发生在3.6%的患者 (n=41).
- 39% (n=12) 的分析患者 (n=31) 经历过一次不稳定事件.
- 在ASES,WOSI和VAS分数中观察到MCID,PASS和SCB的高成就率.
结论:
- 周围腹部撕裂很少见,但可能是单次不稳定事件的结果.
- 这些撕裂应该在临床评估中考虑,不管先前的不稳定史.
- 使用接的关节镜修复在长期随访时产生了成功的,临床上有意义的结果.
相关概念视频
02:04Fixing Double-strand Breaks
The double-stranded structure of DNA has two major advantages. First, it serves as a safe repository of genetic information where one strand serves as the back-up in case the other strand is damaged. Second, the double-helical structure can be wrapped around proteins called histones to form nucleosomes, which can then be tightly wound to form chromosomes. This way, DNA chains up to 2 inches long can be contained within microscopic structures in a cell. A double-stranded break not only damages...
02:04Fixing Double-strand Breaks
The double-stranded structure of DNA has two major advantages. First, it serves as a safe repository of genetic information where one strand serves as the back-up in case the other strand is damaged. Second, the double-helical structure can be wrapped around proteins called histones to form nucleosomes, which can then be tightly wound to form chromosomes. This way, DNA chains up to 2 inches long can be contained within microscopic structures in a cell. A double-stranded break not only damages...
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:14Stability of structures
In mechanical engineering, the stability of systems under various forces is critical for designing durable and efficient structures. One fundamental way to explore these concepts is by analyzing systems like two rods connected at a pivot point, O, with a torsional spring of spring constant k at the pivot point. This system is similar in appearance to a scissor jack used to change tires on a car. In this case, the arms of the linkage (equivalent to the rods in this system) are entirely vertical,...
01:13Mortar Joint Deterioration in Masonry
Mortar joint deterioration is a significant concern in masonry structures, with water accumulation in the joints leading to damage from freeze-thaw cycles. The repeated expansion of water during freezing and its melting during thawing develop and propagate cracks in the masonry joints. Eventually, this leads to the spalling of mortar from the joints, loosening masonry units and weakening the structure. The deteriorated mortar joints are also vulnerable to moisture intrusion into the walls.
The...
The...
01:24Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...