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.
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。
相似文献
1
Spastic Paralysis of the Elbow and Forearm.肘部和前臂的痉挛性麻痹
Semin Plast Surg. 2016 Feb;30(1):39-44. doi: 10.1055/s-0035-1571255.
2
[Palliative surgical treatment of spastic paralysis in the upper extremity].[上肢痉挛性麻痹的姑息性外科治疗]
Rev Neurol. 2003;37(5):454-8.
3
Surgical strategy for improving forearm and hand function in late obstetric brachial plexus palsy.改善晚期产瘫性臂丛神经麻痹患者前臂和手部功能的手术策略
Plast Reconstr Surg. 2002 May;109(6):1934-46. doi: 10.1097/00006534-200205000-00025.
4
Outcomes After Surgical Treatment of Spastic Upper Extremity Conditions.痉挛性上肢疾病手术治疗后的结果
Hand Clin. 2018 Nov;34(4):583-591. doi: 10.1016/j.hcl.2018.06.014. Epub 2018 Aug 20.
5
Surgical Management of Spasticity of the Forearm and Wrist.前臂和手腕痉挛的手术治疗
Hand Clin. 2018 Nov;34(4):487-502. doi: 10.1016/j.hcl.2018.06.006.
6
Secondary reanimation procedures in late obstetrical brachial plexus palsy patients.晚期产瘫性臂丛神经麻痹患者的二次复苏手术
Microsurgery. 2006;26(4):343-51. doi: 10.1002/micr.20249.
7
Assessment of post-stroke elbow flexor spasticity in different forearm positions.不同前臂位置下中风后肘屈肌痉挛的评估
Somatosens Mot Res. 2018 Sep-Dec;35(3-4):218-222. doi: 10.1080/08990220.2018.1530651. Epub 2018 Dec 28.
8
Quantitative and qualitative functional evaluation of upper extremity tendon transfers in spastic hemiplegia caused by cerebral palsy.脑性瘫痪所致痉挛性偏瘫上肢肌腱转移术的定量与定性功能评估
J Pediatr Orthop. 2008 Sep;28(6):679-83. doi: 10.1097/BPO.0b013e3181831eac.
9
Management of the upper limb with botulinum toxin type A in children with spastic type cerebral palsy and acquired brain injury: clinical implications.A型肉毒毒素治疗痉挛型脑瘫和获得性脑损伤患儿上肢的临床意义
Eur J Neurol. 2001 Nov;8 Suppl 5:136-44. doi: 10.1046/j.1468-1331.2001.00046.x.
10
Orthopaedic management of the upper extremity of stroke patients.中风患者上肢的骨科治疗
J Am Acad Orthop Surg. 2008 Aug;16(8):462-70. doi: 10.5435/00124635-200808000-00005.
引用本文的文献
1
The Elias University Hospital Approach: A Visual Guide to Ultrasound-Guided Botulinum Toxin Injection in Spasticity: Part I-Distal Upper Limb Muscles.伊莱亚斯大学医院方法：痉挛状态下超声引导肉毒毒素注射视觉指南：第一部分——上肢远端肌肉
Toxins (Basel). 2025 Feb 26;17(3):107. doi: 10.3390/toxins17030107.
2
Effect of Proximal Row Carpectomy and Wrist Arthrodesis on the Resting Length of Extrinsic Digit Flexor Tendons: A Cadaveric Study.近排腕骨切除术和腕关节融合术对外在指屈肌腱静息长度的影响：一项尸体研究
J Hand Microsurg. 2022 Feb 15;15(4):284-288. doi: 10.1055/s-0042-1742458. eCollection 2023 Sep.
3
Management of arthrofibrosis in neuromuscular disorders: a review.神经肌肉疾病性关节挛缩的治疗：综述。
BMC Musculoskelet Disord. 2022 Jul 29;23(1):725. doi: 10.1186/s12891-022-05677-z.
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.
Zotero 插件