Volumetric Muscle Loss

Volumetric Muscle Loss
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DOI:
10.5435/00124635-201102001-00007
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发表时间:
2011-01-01
影响因子:
3.2
通讯作者:
Hsu, Joseph R.
Hsu, Joseph R.
中科院分区:
医学2区
文献类型:
--
作者:
Grogan, Brian F.;Hsu, Joseph R.

文献摘要

被引文献

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预防感染,以及骨覆盖和愈合,在肢体损伤和相关肌肉损伤的管理中是至关重要的。体积性肌肉损失(VML)是骨骼肌外伤或手术损失,导致功能损害。VML的表征和定量尚无标准化的评价方案。临床照片和视频记录、运动范围测量、手动肌肉力量测试和等速肌肉功能测试可能被证明对记录VML有用。目前的治疗选择包括功能自由肌肉转移和使用先进的支撑设计。动力支撑和再生医学的进步可能有一天会提供额外的治疗选择。对VML的进一步研究是有必要的。
Prevention of infection, as well as bone covering and healing, is paramount in the management of limb injury with associated muscle injury. Volumetric muscle loss (VML) is the traumatic or surgical loss of skeletal muscle with resultant functional impairment. No standardized evaluation protocol exists for the characterization and quantification of VML. Clinical photographs and video recordings, range of motion measurements, manual muscle strength testing, and isokinetic muscle function testing may prove to be useful in documenting VML. Current treatment options include functional free muscle transfer and the use of advanced bracing designs. Advances in powered bracing and regenerative medicine may one day provide additional therapeutic options. Further research on VML is warranted.