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逆向二头肌负荷试验--一个针对SLAP损伤的新试验 被引量:1
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作者 申剑 Daniel Mok +2 位作者 Chrysi Tsiouri 薛庆云 王飞 《中华骨与关节外科杂志》 2017年第5期408-411,416,共5页
背景:肩关节上盂唇前后部(SLAP),是维持肩关节稳定的重要结构。SLAP的损伤常常造成肩关节的疼痛和功能障碍,但在临床上通过常规查体却很难确诊。目的:验证我们发现的一个新的临床试验用于诊断SLAP损伤。方法:选取因肩关节疼痛初次进行... 背景:肩关节上盂唇前后部(SLAP),是维持肩关节稳定的重要结构。SLAP的损伤常常造成肩关节的疼痛和功能障碍,但在临床上通过常规查体却很难确诊。目的:验证我们发现的一个新的临床试验用于诊断SLAP损伤。方法:选取因肩关节疼痛初次进行关节镜手术治疗的患者。术前均进行4项常用的SLAP损伤的临床检查法Speed、Yergason、O'Brien、及我们的新试验(Reverse Biceps Load test)进行检查做初步诊断。之后所有患者进行肩关节镜检查,术中镜下对有SLAP损伤的患者进行记录并分型。结果:从2010年2月至2010年8月大约有137名肩关节疼痛的患者进行了肩关节镜手术治疗,其中52名患者存在有SLAP或二头肌长头腱的损伤。其中对于SLAP及二头肌腱的损伤,新试验敏感度76.92%,特异性为43.53%。当肩关节后伸,前部极度外旋时SLAP及二头肌长头腱处于高张力状态。此时轻微的外力就可诱发疼痛,因此新试验具有较高的敏感性,但此位置时前关节囊及部分肩袖亦处于高张力状态,所以特异性会受一定影响。结论:新试验对于SLAP及二头肌腱损伤有较高的敏感性,可以作为SLAP损伤的筛选试验运用于临床。 展开更多
关键词 SLAP损伤 肩关节试验 关节镜
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Current concepts in the management of radial head fractures 被引量:11
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作者 Iza?k F Kodde Laurens Kaas +2 位作者 Mark Flipsen Michel PJ van den Bekerom Denise Eygendaal 《World Journal of Orthopedics》 2015年第11期954-960,共7页
Fracture of the radial head is a common injury. Over the last decades, the radial head is increasingly recognized as an important stabilizer of the elbow. In order to maintain stability of the injured elbow, goals of ... Fracture of the radial head is a common injury. Over the last decades, the radial head is increasingly recognized as an important stabilizer of the elbow. In order to maintain stability of the injured elbow, goals of treatment of radial head fractures have become more and more towards restoring function and stability of the elbow. As treatment strategies have changed over the years, with an increasing amount of literature on this subject, the purpose of this article was to provide an overview of current concepts of the management of radial head fractures. 展开更多
关键词 ELBOW FRACTURE MANAGEMENT RADIAL HEAD TRAUMA
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Best approach for the repair of distal biceps tendon ruptures
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作者 Iza?k F Kodde Michel P J van den Bekerom Denise Eygendaal 《World Journal of Orthopedics》 2013年第2期98-99,共2页
The preferred treatment of distal biceps tendon ruptures is by operative repair. However, the best approach for repair(single vs double incision) is still subject of debate. Grewal and colleagues recently presented th... The preferred treatment of distal biceps tendon ruptures is by operative repair. However, the best approach for repair(single vs double incision) is still subject of debate. Grewal and colleagues recently presented the results of a randomized clinical trial evaluating two different surgical approaches for the repair of distal biceps tendon ruptures. Despite the fact that this article currently presents the highest level of evidence for the surgical repair of distal biceps tendon ruptures, we have some comments on the study that might be interesting to discuss. We think that some of the results and conclusions presented in this study need to be interpreted in the light of these comments. 展开更多
关键词 DISTAL BICEPS TENDON ELBOW Operation technique REPAIR RUPTURE
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Effect of introducing an online system on the follow-up of elbow arthroplasty
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作者 Jetske Viveen Ante Prkic +2 位作者 Bertram The Koen LM Koenraadt Denise Eygendaal 《World Journal of Orthopedics》 2016年第12期826-831,共6页
AIM To evaluate the effect of introducing a structured online follow-up system on the response rate.METHODS Since June 2015 we have set up an electronic followup system for prosthesis in orthopedic patients. This syst... AIM To evaluate the effect of introducing a structured online follow-up system on the response rate.METHODS Since June 2015 we have set up an electronic followup system for prosthesis in orthopedic patients. This system allows prospective data gathering using both online and paper questionnaires. In the past all patients received questionnaires on paper. This study includes only patients who received elbow arthroplasty. Response rates before and after introduction of the online database were compared. After the implementation,completeness of the questionnaires was compared between paper and digital versions. For both comparisons Fisher's Exact tests were used.RESULTS A total of 233 patients were included in the study. With the introduction of this online follow-up system,the overall response rate increased from 49.8% to 91.6%(P < 0.01). The response rate of 92.0% in the paper group was comparable to 90.7% in the online group(P > 0.05).Paper questionnaires had a completeness of 54.4%,which was lower compared to the online questionnaires where we reached full completeness(P < 0.01). Furthermore,non-responders proved to be younger with a mean age of 52 years compared to a mean age 62 years of responders(P < 0.05).CONCLUSION The use of a structured online follow-up system increased the response rate. Moreover,online questionnaires are more complete than paper questionnaires. 展开更多
关键词 PATIENT reported OUTCOME measures ELBOW FOLLOW-UP ARTHROPLASTY Online DATABASE
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