随着年龄的增长与肩部病理有或没有相关的脊上肌肉缩:放射性研究
Abdul-Rahman Gomaa1,2, Abdul Ahad1, Aziz Haque1
1Trauma & Orthopaedics Unit, University Hospitals of Leicester NHS Trust, Leicester, UK.
Journal of clinical orthopaedics and trauma
|June 12, 2023
概括
在健康的肩膀中,衰老并没有显著地导致上脊柱肌肉缩. 然而,肩部疾病显著降低了脊上部占用率,正常肩部不太可能低于0.32的值.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是指放射学
- 老年学是指老年学的学科.
背景情况:
- 脊上肌肉缩是肩部疾病的常见指标.
- 衰老对脊上缩的具体影响需要进一步研究.
研究的目的:
- 为了研究老龄化对老年患者上肌肉缩的影响,使用MRI.
- 为了确定是否仅仅是衰老导致显著的上脊髓缩.
主要方法:
- 70岁以上的患者肩部MRI扫描的回顾性审查.
- 使用Thomazeu的职业比率来量化上的肌肉缩.
- 包括正常和异常的肩部扫描进行分析.
主要成果:
- 总共分析了202个扫描 (39个正常,163个异常),平均年龄分别为75岁和77岁.
- 在正常扫描中,平均脊上部占用率为0.57,在异常扫描中为0.35.
- 超脊椎占用率与年龄保持稳定,直到85岁,之后观察到正常肩膀的下降.
结论:
- 肩部疾病显著降低了脊上部占用率.
- 正常的肩膀不会仅仅由于衰老而表现出显著的脊上缩.
- 低于0.32的职业比率表明肩部疾病,并可能为手术规划提供信息,特别是在肩部关节整形手术中.
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