Suppr超能文献

肩胛下肌腱修复后的康复治疗

REHABILITATION FOLLOWING SUBSCAPULARIS TENDON REPAIR.

作者信息

Altintas Burak, Bradley Helen, Logan Catherine, Delvecchio Brooke, Anderson Nicole, Millett Peter J

机构信息

Howard Head Sports Medicine, Vail, CO, USA.

Steadman Philippon Research Institute, Vail, CO, USA.

出版信息

Int J Sports Phys Ther. 2019 Apr;14(2):318-332.

Abstract

UNLABELLED

Subscapularis (SSC) tendon tears are less common than tears of the remaining rotator cuff tendons, but one with serious consequences given its function as one of the main internal rotators and anterior stabilizers. Mild fraying involving the upper third of the tendon can be treated non-operatively; however, more substantive tears usually require repair in cases of pain or functional impairment. Given the importance of the subscapularis tendon in maintaining stability of the glenohumeral joint and performing internal rotation of the arm, surgical intervention with emphasis on repair may be recommended to eliminate pain and restore strength. Postoperative rehabilitation through phased progression is utilized to avoid premature stress on the healing tissue while enabling early return to daily activities. The purpose of this clinical commentary is to provide an evidence-based description of postoperative rehabilitation following SSC tendon repair with guidance for safe and effective return to activity and sports.

LEVEL OF EVIDENCE

摘要

未标注

肩胛下肌(SSC)肌腱撕裂比其余肩袖肌腱撕裂少见,但鉴于其作为主要内旋肌和前稳定肌之一的功能,其撕裂会产生严重后果。涉及肌腱上三分之一的轻度磨损可采用非手术治疗;然而,在出现疼痛或功能障碍的情况下,更严重的撕裂通常需要修复。鉴于肩胛下肌腱在维持盂肱关节稳定性和进行手臂内旋方面的重要性,可能建议进行以修复为重点的手术干预,以消除疼痛并恢复力量。采用分阶段进行的术后康复,以避免对愈合组织造成过早压力,同时使患者能够早日恢复日常活动。本临床评论的目的是提供基于证据的肩胛下肌腱修复术后康复描述,并为安全有效地恢复活动和运动提供指导。

证据级别

5级。

相似文献

4
Arthroscopic Repair of Subscapularis Tendon Tears.肩胛下肌腱撕裂的关节镜修复术
JBJS Essent Surg Tech. 2017 May 10;7(2):e13. doi: 10.2106/JBJS.ST.16.00074. eCollection 2017 Jun 28.

引用本文的文献

3
Rehabilitation and Return to Play of the Athlete after an Upper Extremity Injury.上肢损伤后运动员的康复与重返赛场
Arthrosc Sports Med Rehabil. 2022 Jan 28;4(1):e163-e173. doi: 10.1016/j.asmr.2021.09.033. eCollection 2022 Jan.
5
Biceps Transposition for Biological Superior Capsular Reconstruction.用于生物性上盂唇重建的肱二头肌转位术
Arthrosc Tech. 2020 Jun 15;9(6):e841-e846. doi: 10.1016/j.eats.2020.02.020. eCollection 2020 Jun.

本文引用的文献

1
Technique for Type IV SLAP Lesion Repair.IV型肩峰下盂唇前上象限损伤修复技术。
Arthrosc Tech. 2018 Mar 12;7(4):e337-e342. doi: 10.1016/j.eats.2017.10.004. eCollection 2018 Apr.
6
Prognosis Driven Rehabilitation After Rotator Cuff Repair Surgery.肩袖修复手术后基于预后的康复治疗
Open Orthop J. 2016 Jul 21;10:339-348. doi: 10.2174/1874325001610010339. eCollection 2016.
10
Scapular muscle activity in a variety of plyometric exercises.各种增强式训练动作中的肩胛部肌肉活动。
J Electromyogr Kinesiol. 2016 Apr;27:39-45. doi: 10.1016/j.jelekin.2016.01.003. Epub 2016 Jan 28.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验