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20xx年醫(yī)學專題—肩袖損傷(參考版)

2024-11-14 13:59本頁面
  

【正文】 謝謝,第四十四頁,共四十四頁。當我們(wǒ men)在臨床上遇到疑似病人,只有X片而無MRI檢查時。ng)總結,肩袖損傷。,內(nèi)容(n232。,謝謝(xi232。,latissimus dorsi transfers 一篇關于背闊肌修復巨大撕裂肩袖損傷(sǔnshāng)的系統(tǒng)評價結果顯示:在45.5個月的隨訪期內(nèi),Constant score, active forward elevation和active external rotation術后明顯優(yōu)于術前。,不可修復肩袖損傷(sǔnshāng)的治療,1 肱三頭(sān t243。,不可修復肩袖損傷(sǔnshāng)的判定,According to Gerber et al. , imaging ?ndings that suggest an irreparable rotator cuff tear include 1)static superior subluxation of a glenohumeral joint with an acromiohumeral interval of 7 mm or less on an anteroposterior radiograph with the arm in neutral rotation,Gerber C, Wirth SH, Farshad M (2011) Treatment options for massive rotator cuff tears. J Should Elb Surg 20:S20–S29.,第三十九頁,共四十四頁。)差異,只有短期疼痛,關節(jié)鏡優(yōu)于開放手術。)骨質(zhì)端的固定,第三十七頁,共四十四頁。n)的縫法,第三十六頁,共四十四頁。40:49–55.,第三十五頁,共四十四頁。115:193200. 2 Shimizu C, Horii M, Yamashita F, et al. Prognosis of massive rotator cuff tear. Chubuseisai. 1990。,肩袖損傷(sǔnshāng)的治療,手術(shǒush249。,肩袖損傷(sǔnshāng)的分類,2 部分(b249。) 1)小 <1cm 2)中 13cm 3)大 35cm 4)巨大 >5cm,DeOrio JK, Co?eld RH. Results of a second attempt at surgical repair of a failed initial rotatorcuff repair. J Bone Joint Surg. 1984。67:264268.,第三十二頁,共四十四頁。n)征[1] (tangent sign) 2 肩胛比(scapular ratio)Scapular ratio uses the ratio of the supraspinatus muscle in cross section on the sagittal oblique image compared with the size of the supraspinatus fossa, and in supraspinatus atrophy the ratio is less than 50%[2].,1 Zanetti M, Gerber C, Hodler J. Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Invest Radiol. 1998。,肌肉(jīr242。ng)滲透(fatty infiltration),Fuchs B, Weishaupt D, Zanetti M, Hodler J, Gerber C. Fatty d
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