未经证实:在四角间隙综合征(QSS)中,腋下神经和后旋肱骨动脉受压,在顽固性病例中,可以通过保守方法或手术减压治疗。没有明确的指南来确定哪种手术方法最适合治疗QSS和其他反映QSS的疾病。
未经评估:本研究的目标是评分和回顾过去,电流,以及计划的QSS药物和外科护理模式。
UNASSIGNED:审查方案在PROSPERO(ID:CRD42022332766)注册。为了确定QSS的医学和外科管理方法/技术的最新进展,PubMed和Medline数据库在2022年3月之前搜索出版物,包括案例研究,病例报告,和评论文章,使用医学主题词,如四边形空间综合症,手术管理,和医疗管理。在整个研究过程中,所有作者都严格遵守完善的注册审查流程和系统审查指导工具中的偏倚风险.收集了有关拟议的医疗和外科管理方法/技术的数据,每个都是根据潜在的神经血管系统分析的。
UNASSIGNED:在第一次搜索中找到了88个项目。在应用纳入和排除标准后,经过全面评估后,在综述研究中选择了16篇论文进行综合。三项研究(保守和高级)侧重于QSS的医疗保健,而12篇文章(以前,电流,和较新的)专注于QSS的手术管理。在审查的15项研究中,只有4项提出了用于QSS手术减压的不同手术方法/技术。
未经评估:发现了两种经常使用的外科手术,一个前胸肌/三角肌,另一个后胸肌/肩胛骨。前路在技术上更简单,可用于外科QSS减压。
UNASSIGNED: The axillary nerve and posterior circumflex humeral artery are compressed in Quadrangular Space Syndrome (QSS), which can be treated with conservative approaches or surgical decompression in recalcitrant instances. There are no clear guidelines for determining which surgical method is optimal for treating QSS and other disorders that mirror QSS.
UNASSIGNED: The goal of this study is to grade and review past, current, and planned medicinal and surgical care modalities for QSS.
UNASSIGNED: The review protocol is registered with PROSPERO (ID: CRD42022332766). To identify recent advances in the methods/techniques of medical and surgical management of QSS, PubMed and Medline databases were searched until March 2022 for publications, including case studies, case reports, and review articles, using medical subject headings terms like quadrilateral space syndrome, surgical management, and medical management. Throughout the study, all the authors scrupulously followed a well-developed registered review process and the risk of bias in systematic reviews guidance tool. Data on proposed medical and surgical management methods/techniques were compiled, and each was analyzed based on the underlying neuro-vascular systems.
UNASSIGNED: There were 88 items found in the first search. Following applying the inclusion and exclusion criteria, 16 papers were chosen for synthesis in the review study after a thorough assessment. Three studies (conservative and advanced) focused on medical care of QSS, while 12 articles (prior, current, and newer) focused on surgical management of QSS. Only four of the 15 studies reviewed proposed different surgical approaches/techniques for surgical decompression in QSS.
UNASSIGNED: There were two regularly used surgical procedures discovered, one anterior/delto-pectoral and the other posterior/ scapular. The anterior route is more technically straightforward and can be employed for surgical QSS decompression.