治疗肱二头肌长头病变的各种外科手术的临床效果:系统回顾和荟萃分析方案。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Alexander W Hartland, Raisa Islam, Kar H Teoh, Mustafa S Rashid
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引用次数: 1

摘要

简介:二头肌肌腱的长头是肩前疼痛和功能受损的常见原因。多种外科手术可作为治疗选择,但最佳手术尚不清楚。本系统综述和荟萃分析的目的是回顾文献,以评估各种外科手术治疗二头肌长头疼痛的临床效果。方法:设计研究方案,并在PROSPERO(国际前瞻性系统评价注册系统)上进行前瞻性注册。用于文献检索的电子数据库包括MEDLINE、EMBASE、PsycINFO和Cochrane Library。随机对照试验(rct)评估二头肌长头的外科手术程序将包括在内。我们的主要终点是任何功能性患者报告的与肩部相关的终点测量。次要结果将包括“大力水手”畸形率、二头肌痉挛疼痛率、并发症率、力量测试的客观测量,如测力计,以及其他患者报告的非特定于肩部的结果测量,如疼痛的视觉模拟量表(VAS)。纳入研究的方法学质量将使用Cochrane风险偏倚工具2.0和Jadad评分进行评估。纳入研究的不一致性和偏倚将进行统计学评估。将汇集可比较的结果数据,并酌情进行定量或定性分析。伦理与传播:本研究不需要伦理许可。我们计划在同行评议的期刊上发表这一系统综述和荟萃分析。它还将在各种国家和国际会议上发表。重点:评价二头肌长头病变外科手术的临床效果。随机对照试验。二头肌肌腱固定术和二头肌肌腱切断术。系统评审符合PRISMA指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Effectiveness of Various Surgical Procedures Addressing Long Head of Biceps Pathology: Protocol for a Systematic Review and Meta-Analysis.

Introduction: The long head of biceps tendon is a common source of anterior shoulder pain and impaired function. Multiple surgical procedures are available as treatment options, but the optimal procedure is not known. The aim of this systematic review and meta-analysis is to review the literature to assess the clinical effectiveness of various surgical procedures to treat pain arising from the long head of biceps.

Methods: The study protocol was designed and registered prospectively on PROSPERO (International prospective register for systematic reviews). Electronic databases used for the literature search will include MEDLINE, EMBASE, PsycINFO, and The Cochrane Library. Randomised controlled trials (RCTs) evaluating surgical procedures on the long head of biceps will be included. Our primary outcome is any functional patient-reported outcome measure related to the shoulder. Secondary outcomes will include the rate of 'Popeye' deformity, the rate of biceps cramping pain, the rate of complications, objective measurements of strength testing such as dynamometer, and other patient-reported outcome measures not specific to the shoulder such as the Visual-Analog Scale (VAS) for pain. Methodological quality of included studies will be assessed using The Cochrane Risk of Bias Tool 2.0 and the Jadad score. Inconsistency and bias across included studies will be assessed statistically. Comparable outcome data will be pooled and analysed quantitatively or qualitatively as appropriate.

Ethics and dissemination: No ethical clearances required for this study. We plan to publish this systematic review and meta-analysis in a peer-reviewed journal. It will also be presented at various national and international conferences.

Highlights: Evaluating the clinical effectiveness of surgical procedures for long head of biceps pathology.Randomised controlled trials.Biceps tenodesis and biceps tenotomy.Systematic review compliant with the PRISMA guideline.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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