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肩胛盂轨迹概念在肩关节前向不稳诊疗中的应用与挑战(PDF)

《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:
2022年05期
页码:
261-266
栏目:
综述
出版日期:
2022-10-01

文章信息/Info

Title:
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文章编号:
10.3969/j.issn.1673-7083.2022.05.001
作者:
伍晨亮;赵金忠;
200233， 上海交通大学医学院附属第六人民医院运动医学科
Author(s):
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关键词:
肩胛盂轨迹; 肩关节前向不稳; 双极骨缺损; 肩胛盂骨缺损; Hill-Sachs 损伤
Keywords:
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分类号:
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DOI:
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文献标识码:
-
摘要:
近些年，肩胛盂轨迹概念被提出并广泛应用于肩关节前向不稳的诊疗。该概念通过定义肩关节运动过程中 肩胛盂与肱骨头的接触区域，阐明了双极骨缺损之间几何上的相互作用关系。临床上可根据公式计算出肩胛盂轨迹 的宽度，通过比较Hill-Sachs 损伤内侧缘和肩胛盂轨迹内侧缘的相对位置，判断双极骨缺损的类型。近期研究证明了 肩胛盂轨迹在诊断分类、预后预测及治疗决策指导方面具有重要作用。然而，目前临床应用肩胛盂轨迹概念时仍存 在影像上识别参考标志的准确性欠佳、肩胛盂轨迹宽度公式的系数有待改良、缺乏对双极骨缺损其他关键参数的考 量等挑战。未来相关研究应着重解决这些问题以改进并完善当前基于肩胛盂轨迹概念的肩关节前向不稳诊疗体系。
Abstract:
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参考文献/References

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备注/Memo

备注/Memo:
通信作者：赵金忠 E-mail: jzzhao@sjtu.edu.cn
更新日期/Last Update: 2022-10-01