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脊髓损伤患者肩部和肘部的肌腱转移术

Tendon transfers about the shoulder and elbow in the spinal cord injured patient.

作者信息

Falconer D P

机构信息

University of Minnesota, St. Paul.

出版信息

Hand Clin. 1988 May;4(2):211-21.

PMID:3294246
Abstract

Since the initial description of Moberg's technique for posterior deltoid transfer in the spinal cord injured patient, ever-increasing attention has been paid to the functional importance of elbow extension. Many different centers have reported consistently good results with the procedure and have repeatedly confirmed that relatively little donor site morbidity occurs from loss of the posterior fibers of the deltoid muscle. With expanding experience, the only consistent difficulties have been those related to the length of time required for postoperative immobilization and the slow rate of rehabilitation that must be enforced to avoid elongation of the interposed toe extensor tendon grafts. Modifications of the initial technique have been mentioned that attempt to address these postoperative factors.

摘要

自从首次描述了莫伯格技术用于脊髓损伤患者的后三角肌转移以来,人们越来越关注肘伸展的功能重要性。许多不同的中心都报告该手术取得了持续良好的效果,并反复证实,三角肌后纤维缺失导致的供区并发症相对较少。随着经验的积累,唯一持续存在的困难是与术后固定所需时间以及为避免插入的趾伸肌腱移植物延长而必须严格执行的缓慢康复速度有关的问题。已经提到了对初始技术的改进,试图解决这些术后因素。

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1
Tendon transfers about the shoulder and elbow in the spinal cord injured patient.脊髓损伤患者肩部和肘部的肌腱转移术
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引用本文的文献

1
Pinch and elbow extension restoration in people with tetraplegia: a systematic review of the literature.四肢瘫痪患者捏力和肘部伸展功能恢复:文献系统综述
J Hand Surg Am. 2009 Apr;34(4):692-9. doi: 10.1016/j.jhsa.2008.12.002.
2
Morphology of deltoid origin and end tendons--a generic model.三角肌起止腱的形态学——一种通用模型。
J Anat. 2008 Dec;213(6):733-42. doi: 10.1111/j.1469-7580.2008.01000.x.