[1]权 冬,吴智钢,秦为径,等.关节镜手术治疗军事训练相关肘关节外翻伸直过载综合征的临床疗效[J].医学信息,2023,36(05):123-126.[doi:10.3969/j.issn.1006-1959.2023.05.023]
　QUAN Dong,WU Zhi-gang,QIN Wei-jing,et al.Clinical Efficacy of Arthroscopic Surgery in the Treatment of Valgus Extension Overload Syndrome Coursed by Military Drills[J].Journal of Medical Information,2023,36(05):123-126.[doi:10.3969/j.issn.1006-1959.2023.05.023]
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关节镜手术治疗军事训练相关肘关节外翻伸直过载综合征的临床疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年05期
页码:
123-126
栏目:
论著
出版日期:
2023-03-01

文章信息/Info

Title:
Clinical Efficacy of Arthroscopic Surgery in the Treatment of Valgus Extension Overload Syndrome Coursed by Military Drills
文章编号:
1006-1959（2023）05-0123-04
作者:
权 冬; 吴智钢; 秦为径; 等
（1.解放军63750部队医院外科，陕西 西安 710043；2.空军军医大学第三附属医院医务处，陕西 西安 710032）
Author(s):
QUAN Dong; WU Zhi-gang; QIN Wei-jing; et al.
(1.Department of Surgery,the People’s Liberation Army No.63750 Hospital,Xi’an 710043,Shaanxi,China;2.Department of Medical,the Third Affiliated Hospital of the Air Force Military Medical University,Xi’an 710032,Shaanxi,China)
关键词:
军事训练; 肘关节; 外翻伸直过载综合征; 关节镜
Keywords:
Military drill; Elbow; Valgus extension overload syndrome; Arthroscope
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2023.05.023
文献标志码:
A
摘要:
目的 探究军事训练相关肘关节外翻伸直过载综合征关节镜下手术治疗的临床疗效。方法 选取2015年6月-2021年12月解放军63750部队医院17例部队官兵军事训练引起的肘关节外翻伸直过载综合征患者，均行关节镜下手术治疗，术后按统一标准化方案行康复功能训练，观察手术前后患者Mayo肘关节评分及肘关节活动度改变。结果 术后随访6~25个月，平均随访（19.73±2.38）个月；手术前肘关节最大屈曲角度为（93.71±11.12）°、伸直角度为（27.68±15.84）°、活动范围为（59.63±28.52）°，与手术后的最大屈曲角度（136.13±18.19）°、伸直角度为（5.07±11.47）°、活动范围为（132.29±24.82）°比较，差异均有统计学意义（P＜0.05）；手术前Mayo评分为（62.12±8.13）分，手术后为（89.68±5.81）分，手术前后比较，差异有统计学意义（P＜0.05）；手术优良率达到88.26%，患者术后无感染、血管神经损伤等手术并发症。结论 关节镜下射频治疗军事训练所致肘关节外翻伸直过载综合征效果良好，具有创伤小、恢复快、安全有效的特点，值得应用。
Abstract:
Objective To evaluate the clinical efficacy of arthroscopic surgery in the treatment of valgus extension overload syndrome coursed by military drill.Methods From June 2015 to December 2021, 17 patients with elbow valgus extension overload syndrome caused by military drill in the People’s Liberation Army No.63750 Hospital were selected. All patients underwent arthroscopic surgery. After operation, rehabilitation function training was carried out according to the unified standardized scheme. The Mayo elbow score and elbow mobility were observed before and after operation.Results The patients were followed up for 6-25 months, the mean follow-up was (19.73±2.38)months. The maximum flexion angle of elbow joint before operation was (93.71±11.12)°, the extension angle was (27.68±15.84)°, and the range of motion was (59.63±28.52)°, which were compared with those after operation [(136.13±18.19)°, (5.07±11.47)°, (132.29±24.82)°], the difference was statistically significant (P<0.05). The Mayo score was (62.12±8.13) scores before operation, and (89.68±5.81) scores after operation, and the difference was statistically significant (P<0.05). The excellent and good rate of operation was 88.26%. There were no postoperative complications such as infection and vascular nerve injury.Conclusion As the treatment of valgus extension overload syndrome coursed by military drill, the elbow arthroscopic surgery showed the advantages of less trauma, earlier recovery and better safety clinical efficacy, it is worthy of being generalized.

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更新日期/Last Update: 1900-01-01