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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Parachute-Induced Pectoralis Major Tears in Military Servicemembers: What Is the Functional Recovery?
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Parachute-Induced Pectoralis Major Tears in Military Servicemembers: What Is the Functional Recovery?

机译：降落伞诱导军事服务中的Pectoralis主要眼泪：功能恢复是什么？

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Background: Although the most common injury mechanism for pectoralis major (PM) tears is an eccentric loading mechanism typically caused by bench pressing, within the military, there is a unique injury mechanism associated with airborne operations. The results of operative repair for these parachute-induced PM tears have not been previously reported. Purpose/Hypothesis: To assess the functional outcomes in military servicemembers undergoing operative repair of parachute-induced PM tears. We hypothesized that functional recovery would be impaired with delayed surgical intervention. Study Design: Cohort study; Level of evidence, 3. Methods: Included were active duty military servicemembers who underwent operative repair for PM tears caused by a parachute-induced mechanism. Charts were reviewed to identify characteristic, injury, and surgical variables. Patients completed the functional outcome assessment with the Disabilities of the Arm, Shoulder and Hand (DASH) and the American Shoulder and Elbow Surgeons (ASES) questionnaires. Outcomes were compared between patients treated within 6 weeks of injury and those treated beyond 6 weeks. Results: Of the 68 identified PM tears, 25 were the result of parachute-induced mechanisms. A total of 13 patients consented and completed the functional outcome assessment. The mean patient age was 30.6 ± 6.4 years, and the mean follow-up period was 5.46 ± 1.26 years. Ten patients underwent repair within 6 weeks of injury, and the remaining 3 patients underwent repair at a mean of 338 days after injury (95% CI, -42.8 to 718.8 days), a significant difference between groups ( P = .006). All 13 patients were able to return to military duties at a mean of 6 months from injury. Patients treated within 6 weeks of injury had significantly higher functional outcomes (DASH score, 6.17 vs 26.67; P = .018; ASES score, 85.97 vs 49.5; P = .008), with greater strength performance compared with preinjury (bench press, 90.58% vs 38.95%; P = .0057; push-ups, 81.9% vs 23.8%; P = .023) compared with patients treated beyond 6 weeks of injury. Conclusion: Operative repair of parachute-induced PM tears within 6 weeks of injury provided a superior functional and strength recovery when compared with delayed surgical repair. Acute repair should be recommended for military servicemembers who experience this unique injury mechanism.
机译：背景：虽然胸部主要（PM）撕裂最常见的伤害机制是一种偏心装载机制，通常是由长凳压迫，在军队内，有一种与空气传播相关的独特伤害机制。以前尚未报道对这些降落伞诱导的PM泪液进行手术修复的结果。目的/假设：评估正在进行的PM诱导的PM泪液的操作​​修复的军事服务中的功能结果。我们假设功能性恢复将受到延迟手术干预的损害。研究设计：队列研究;证据水平，3.方法：包括作为现役军事服务，接受了由降落伞诱导的机制造成的PM撕裂的操作修复。审查了图表以识别特征，伤害和外科变量。患者与手臂，肩部和手（仪表部）和美国肩部和肘部外科医生（ASES）问卷的残疾完成了功能结果评估。在伤害6周内治疗的患者之间比较结果，并在6周内治疗的患者。结果：68鉴定的PM眼泪，25是降落伞诱导机制的结果。共有13名患者同意并完成了功能结果评估。平均患者年龄为30.6±6.4岁，平均随访时间为5.46±1.26岁。十名患者在6周内造成6周内修复，剩余的3名患者在损伤后338天的平均接受修复（95％CI，-42.8至718.8天），群体之间存在显着差异（P = .006）。所有13名患者能够以6个月的伤害返回军事职责。患者在6周内损伤治疗的功能性效果显着更高（DASH得分，6.17 VS 26.67; P = .018; ASES得分，85.97 Vs 49.5; P = .008），与PREINJURY相比，更强的强度表现（卧床，90.58 ％vs 38.95％; p = .0057;俯卧撑，81.9％vs 23.8％; p = .023）与患者治疗超过6周损伤。结论：与延迟手术修复相比，损伤6周内损伤后6周内PM泪液的手术修复。应推荐急性修复，以便培养这种独特的伤害机制的军事服务。

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