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肩关节镜检查——创建一个经济实惠的培训模式。

Shoulder Arthroscopy - Creating an Affordable Training Model.

作者信息

Dau Leonardo, Almeida Paula Adamo, Milcent Paul André Alain, Rosa Fernando Martins, Kulcheski Alynson Larocca, Stieven Filho Edmar

机构信息

Universidade Federal do Paraná, Curitiba, PR, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2021 Apr 19;57(4):702-708. doi: 10.1055/s-0040-1722577. eCollection 2022 Aug.

DOI:10.1055/s-0040-1722577
PMID:35966437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9365477/
Abstract

The present study created a cheap (below US$ 100) shoulder arthroscopy training model, affordable for the practical education of medical students and residents. The model was created using a polyvinyl chloride (PVC) knee joint pipe (150 mm in diameter and 90 degrees in inclination) and a synthetic shoulder model. The parts were arranged to simulate a lateral recumbency with the upper limb in traction, which is the frequent positioning during arthroscopies. Colored dots on the glenoid and a partial rotator cuff model on the upper portion of the scapula were placed to assist training. This inexpensive, easy-to-make model for shoulder arthroscopy can aid surgical training.

摘要

本研究创建了一种廉价(低于100美元)的肩关节镜训练模型,可供医学生和住院医师进行实践教育。该模型使用聚氯乙烯(PVC)膝关节管(直径150毫米,倾斜度90度)和合成肩部模型制作而成。各部件的布置模拟了上肢处于牵引状态的侧卧位,这是关节镜检查时常见的体位。在肩胛盂上设置了彩色圆点,并在肩胛骨上部设置了部分肩袖模型以辅助训练。这种用于肩关节镜检查的廉价且易于制作的模型有助于手术训练。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/051664674af3/10-1055-s-0040-1722577-i2000250pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/8207bf8e83f0/10-1055-s-0040-1722577-i2000250en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/e743d8c41f55/10-1055-s-0040-1722577-i2000250en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/f911c47aef52/10-1055-s-0040-1722577-i2000250en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/108eebc8c18c/10-1055-s-0040-1722577-i2000250en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/7b172ff488fc/10-1055-s-0040-1722577-i2000250en-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/9ec8baf1a97a/10-1055-s-0040-1722577-i2000250pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/04628332fb9a/10-1055-s-0040-1722577-i2000250pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/44dfe3072e59/10-1055-s-0040-1722577-i2000250pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/a685cde2a35b/10-1055-s-0040-1722577-i2000250pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/051664674af3/10-1055-s-0040-1722577-i2000250pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/8207bf8e83f0/10-1055-s-0040-1722577-i2000250en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/e743d8c41f55/10-1055-s-0040-1722577-i2000250en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/f911c47aef52/10-1055-s-0040-1722577-i2000250en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/108eebc8c18c/10-1055-s-0040-1722577-i2000250en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/7b172ff488fc/10-1055-s-0040-1722577-i2000250en-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/9ec8baf1a97a/10-1055-s-0040-1722577-i2000250pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/04628332fb9a/10-1055-s-0040-1722577-i2000250pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/44dfe3072e59/10-1055-s-0040-1722577-i2000250pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/a685cde2a35b/10-1055-s-0040-1722577-i2000250pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e43/9365477/051664674af3/10-1055-s-0040-1722577-i2000250pt-5.jpg

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本文引用的文献

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How to Build Your Simple and Cost-effective Arthroscopic Skills Simulator.如何构建你的简易且经济高效的关节镜技能模拟器。
Arthrosc Tech. 2016 Sep 12;5(5):e1039-e1047. doi: 10.1016/j.eats.2016.05.006. eCollection 2016 Oct.
2
EFFECTIVENESS OF THE VIDEOARTHROSCOPY LEARNING PROCESS IN SYNTHETIC SHOULDER MODELS.视频关节镜检查在合成肩部模型中学习过程的有效性
Rev Bras Ortop. 2015 Nov 16;47(1):83-91. doi: 10.1016/S2255-4971(15)30350-5. eCollection 2012 Jan-Feb.
3
Do the skills acquired by novice surgeons using anatomic dry models transfer effectively to the task of diagnostic knee arthroscopy performed on cadaveric specimens?
新手外科医生使用解剖干模型获得的技能是否能有效地转移到在尸体标本上进行诊断性膝关节镜检查的任务中?
J Bone Joint Surg Am. 2013 Feb 6;95(3):e15(1-8). doi: 10.2106/JBJS.L.00491.
4
Impact of a three-dimensional "hands-on" anatomic teaching module on acetabular fracture pattern recognition by orthopaedic residents.三维“实操”解剖教学模块对骨科住院医师髋臼骨折模式识别能力的影响。
J Bone Joint Surg Am. 2012 Dec 5;94(23):e1771-7. doi: 10.2106/JBJS.K.00840.
5
Does perception of usefulness of arthroscopic simulators differ with levels of experience?关节镜模拟器的有用性感知是否因经验水平而异?
Clin Orthop Relat Res. 2011 Jun;469(6):1701-8. doi: 10.1007/s11999-011-1797-y. Epub 2011 Feb 3.