回顾慢性胸大肌撕裂:有什么选择?

IF 1.8 Q2 ORTHOPEDICS
Joshua R Giordano, Brandon Klein, Benjamin Hershfeld, Joshua Gruber, Robert Trasolini, Randy M Cohn
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引用次数: 0

摘要

胸大肌破裂通常发生在年轻、活跃的男性身上。建议对这些损伤进行急性处理;但是,如果患者表现为慢性胸大肌撕裂怎么办?身体检查和磁共振成像可以帮助识别损伤并指导医生制定治疗计划。非手术治疗是可行的,但推荐用于功能目标最小的老年低需求患者。慢性撕裂的修复应该留给年轻、健康、功能要求高的患者。虽然手术治疗提供了更好的功能结果,但手术治疗慢性胸肌撕裂可能具有挑战性。肌腱挛缩、肌腱物质和组织质量差、肌肉萎缩、瘢痕形成和解剖结构改变使直接修复变得复杂,通常需要使用自体或同种异体移植物。我们回顾了各种移植选择和固定方法,可用于治疗慢性胸大肌撕裂患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A review of chronic pectoralis major tears: what options are available?

A review of chronic pectoralis major tears: what options are available?

A review of chronic pectoralis major tears: what options are available?

Rupture of the pectoralis major muscle typically occurs in the young, active male. Acute management of these injuries is recommended; however, what if the patient presents with a chronic tear of the pectoralis major? Physical exams and magnetic resonance imaging can help identify the injury and guide the physician with a plan for management. Nonoperative management is feasible, but is recommended for elderly, low-demand patients whose functional goals are minimal. Repair of chronic tears should be reserved for younger, healthier patients with high functional demands. Although operative management provides better functional outcomes, operative treatment of chronic pectoralis tears can be challenging. Tendon retraction, poor tendinous substance and quality of tissue, muscle atrophy, scar formation, and altered anatomy make direct repairs complicated, often necessitating auto- or allograft use. We review the various graft options and fixation methods that can be used when treating patients with chronic pectoralis major tears.

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CiteScore
0.30
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审稿时长
15 weeks
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