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反侧肩的肩部活动作为关节镜旋转手套修复患者的预后因素
Tomohiro Uno1,2, Nariyuki Mura2,3, Issei Yuki1,2
1Department of Orthopaedic Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.
JSES international
|June 2, 2023
概括
逆侧旋转袖口撕裂 (RCT) 是关节镜旋转袖口修复 (ARCR) 后预后不佳的危险因素. 经过逆侧RCT的活跃患者在经过手术的肩膀中面临较高的不良结果风险.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨研究 研究
背景情况:
- 在旋转撕裂 (RCT) 关节镜旋转修复 (ARCR) 后对逆侧肩的预后因素的调查.
- 了解在接受ARCR的患者中逆侧旋转手套问题的患病率和影响.
研究的目的:
- 为了确定逆侧旋转袖口撕裂 (RCT) 是否预测了经过关节镜旋转袖口修复 (ARCR) 的患者的结果.
- 评估患者人口统计学,职业和体育活动对逆侧旋转手套撕裂预后的影响.
主要方法:
- 对104名患者的前性评估,这些患者接受了ARCR治疗,因为有症状的旋转手套撕裂.
- 在手术前进行超声波,以检测逆侧旋转手套撕裂 (RCT).
- 分析人口统计数据,包括职业和体育活动,并对肩部疼痛和预后进行后续评估.
主要成果:
- 在38.5%的患者中存在逆侧旋转手套撕裂 (RCT).
- 患有逆侧RCT和肩部疼痛的患者表现出更高的不良预后率 (54.8%).
- 与久坐不动的患者相比,使用逆侧RCT的活跃患者的不良预后率 (30.8%) 显着更高 (P=.02).
结论:
- 逆侧旋转带撕裂 (RCT) 是对进行关节镜旋转带修复 (ARCR) 的患者预后不佳的重要风险因素.
- 活动水平是一个关键因素,活跃的个体在存在相反的RCT时经历了更糟糕的结果.
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