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肘部和前臂的痉挛性麻痹

Spastic Paralysis of the Elbow and Forearm.

作者信息

Gharbaoui Idris, Kania Katarzyna, Cole Patrick

机构信息

Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas.

Division of Plastic and Reconstructive Surgery, Baylor College of Medicine, Houston, Texas.

出版信息

Semin Plast Surg. 2016 Feb;30(1):39-44. doi: 10.1055/s-0035-1571255.

DOI:10.1055/s-0035-1571255
PMID:26869862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4749374/
Abstract

As the physiologic recovery period concludes, the patient is evaluated for surgical procedures that may rebalance muscle function and correct deformity. Upper extremity function is the product of complex and highly sophisticated mechanisms working in unison, and a careful, systematic preoperative evaluation is critical. A good function of the hand cannot be achieved without adequate position of the shoulder, elbow, forearm, and wrist. The goals of surgery must be practical and clearly understood by the patient and the family.

摘要

随着生理恢复期的结束,对患者进行评估,以确定是否适合进行可能重新平衡肌肉功能和纠正畸形的外科手术。上肢功能是多种复杂且高度精细的机制协同工作的结果,因此术前进行仔细、系统的评估至关重要。如果肩部、肘部、前臂和腕部的位置不当,就无法实现良好的手部功能。手术目标必须切实可行,并且患者及其家属必须清楚了解。

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Spastic Paralysis of the Elbow and Forearm.肘部和前臂的痉挛性麻痹
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2
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本文引用的文献

1
Significant improvement in nerve conduction, arm length, and upper extremity function after intraoperative electrical stimulation, neurolysis, and biceps tendon lengthening in obstetric brachial plexus patients.在产科臂丛神经损伤患者中,术中电刺激、神经松解及肱二头肌肌腱延长术后,神经传导、手臂长度及上肢功能有显著改善。
J Orthop Surg Res. 2015 Apr 19;10:51. doi: 10.1186/s13018-015-0191-y.
2
Pediatric tone management.小儿肌张力管理
Phys Med Rehabil Clin N Am. 2015 Feb;26(1):69-78. doi: 10.1016/j.pmr.2014.09.008.
3
[Hemiplegia and cerebral palsy - multidisciplinary treatment of the spastic upper extremity].[偏瘫与脑瘫——痉挛性上肢的多学科治疗]
Praxis (Bern 1994). 2014 Sep 17;103(19):1133-9. doi: 10.1024/1661-8157/a001783.
4
The management of spasticity in adults.成人痉挛的管理
BMJ. 2014 Aug 5;349:g4737. doi: 10.1136/bmj.g4737.
5
Treatment of supination deformity for obstetric brachial plexus injury: a systematic review and meta-analysis.产科臂丛神经损伤旋后畸形的治疗:一项系统评价和荟萃分析。
J Hand Surg Am. 2014 Oct;39(10):1948-1958.e2. doi: 10.1016/j.jhsa.2014.06.003. Epub 2014 Jul 25.
6
Botulinum toxin for symptomatic therapy in multiple sclerosis.肉毒毒素治疗多发性硬化症的症状。
Curr Neurol Neurosci Rep. 2014 Aug;14(8):463. doi: 10.1007/s11910-014-0463-7.
7
Early results of anterior elbow release with and without biceps lengthening in patients with cerebral palsy.脑瘫患者行或不行肱二头肌延长术的肘前松解术的早期结果
J Hand Surg Am. 2014 May;39(5):902-9. doi: 10.1016/j.jhsa.2014.02.012. Epub 2014 Mar 25.
8
Treatment of swan neck deformity in cerebral palsy.脑瘫患者天鹅颈畸形的治疗
J Hand Surg Am. 2014 Apr;39(4):768-72. doi: 10.1016/j.jhsa.2014.01.039. Epub 2014 Mar 6.
9
OnabotulinumtoxinA muscle injection patterns in adult spasticity: a systematic literature review.成人性痉挛的肉毒毒素 A 肌内注射模式:系统文献回顾。
BMC Neurol. 2013 Sep 8;13:118. doi: 10.1186/1471-2377-13-118.
10
Cerebral palsy.脑瘫
Handb Clin Neurol. 2013;110:443-59. doi: 10.1016/B978-0-444-52901-5.00038-1.