有症状的胫骨前肌疝的微创筋膜切开术
Minimally invasive fasciotomy for symptomatic tibialis anterior muscle hernia.
作者信息
Maffulli Nicola, Quaranta Marco, Poeta Nicola, Oliva Francesco, Padhiar Nat, Chan Otto
机构信息
Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy; Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, England, UK; School of Pharmacy and Biotechnology, Keele University School of Medicine, Thornburrow Drive, Stoke on Trent, England, UK.
Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy.
出版信息
Surgeon. 2023 Apr;21(2):e63-e70. doi: 10.1016/j.surge.2022.01.005. Epub 2022 Feb 12.
BACKGROUND
Symptomatic muscle herniae are an uncommon cause of chronic exercise induced leg pain. The most common site for muscle hernia is the tibialis anterior muscle. This study evaluates the outcome of a minimal incision fasciotomy in patients with a symptomatic muscle hernia of the tibialis anterior muscle, and their return to normal daily activities including sport.
METHODS
The study reports mid-term results in a series of 22 consecutive patients (17 males and 5 females, median age: 22 years) with a unilateral tibialis anterior MH who had undergone minimally invasive fasciotomy between 2008 and 2019. Clinical outcomes were assessed with SF-36 and European Quality of Life-5 Dimensions scale (EQ-5D). The ability to participate in sport before and after surgery, and the time to return to training (RTT) and to sport (RTS) were recorded.
RESULTS
At a median follow up after surgery of 23 months, both questionnaires showed a statistically significant improvement (P < 0.005). At the latest follow up, 16 of patients (73%) had returned to pre-injury or higher levels of sport/activity. The median time to return to training and to return to sport was 7 and 11 weeks respectively. No severe complications and no recurrence of symptoms were recorded.
CONCLUSION
Minimally invasive fasciotomy is effective and safe for patients suffering from muscle hernia of the tibialis anterior muscle with good results in the mid-term.
LEVEL OF EVIDENCE
IV.
背景
有症状的肌肉疝是慢性运动引起的腿部疼痛的罕见原因。肌肉疝最常见的部位是胫骨前肌。本研究评估了微创筋膜切开术治疗有症状的胫骨前肌肌肉疝患者的疗效，以及他们恢复包括运动在内的正常日常活动的情况。
方法
本研究报告了2008年至2019年间连续22例（17例男性和5例女性，中位年龄：22岁）单侧胫骨前肌肌肉疝患者接受微创筋膜切开术的中期结果。采用SF-36和欧洲生活质量五维度量表（EQ-5D）评估临床结局。记录手术前后参与运动的能力、恢复训练（RTT）和恢复运动（RTS）的时间。
结果
术后中位随访23个月时，两份问卷均显示有统计学意义的改善（P < 0.005）。在最近一次随访时，16例患者（73%）已恢复到受伤前或更高水平的运动/活动。恢复训练和恢复运动的中位时间分别为7周和11周。未记录到严重并发症和症状复发。
结论
微创筋膜切开术对胫骨前肌肌肉疝患者有效且安全，中期效果良好。
证据等级
IV级。
Zotero 插件