Restoration of Shoulder Function
Restoration of Shoulder Function
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DOI：
10.1016/j.hcl.2016.04.001
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发表时间：
2016-08-01
期刊：
影响因子：
1.1
通讯作者：
Elhassan, Bassem T.
中科院分区：
文献类型：
--
作者：
Boe, Chelsea C.;Elhassan, Bassem T.
臂丛神经损伤患者肩关节功能的恢复具有挑战性。最初报告的努力集中在稳定肩关节，改善下半脱位和恢复关节外展和屈曲。最近的进步和对肩部协调运动和适用于肌腱转移的肩部周围肌肉的生物力学特性的更好理解已经扩展了可用的手术选择，以改善肩部功能，特别是外旋。尽管重建的选择，臂丛神经损伤仍然是一个严重的问题，需要复杂的手术解决方案，恢复时间长，并接受功能丧失。
Restoration of shoulder function in patients with brachial plexus injury can be challenging. Initial reported efforts were focused on stabilizing the shoulder, improving inferior subluxation and restoring abduction and flexion of the joint. Recent advancements and improved understanding of coordinated shoulder motion and the biomechanical properties of the muscles around the shoulder applicable to tendon transfer have expanded available surgical options to improve shoulder function, specifically external rotation. Despite the advances in reconstructive options, brachial plexus injury remains a serious problem that requires complex surgical solutions, prolonged recovery, and acceptance of functional loss.