症状双边旋转手套疾病的进展
Karch M Smith1, Christopher E Clinker1, Zachary A Cutshall1
1Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
JSES international
|July 10, 2023
概括
在双边病理的患者中,旋转手套疾病的进展在右肩和左肩之间没有区别. 高龄和较少的起始肌收缩预测了进展,而不是活动水平.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 肌肉骨疾病 肌肉骨疾病
背景情况:
- 对旋转手套撕裂和肌病的保守治疗可能无法阻止疾病的进展.
- 在双边旋转手套疾病患者中,两侧之间的比较进展率尚不清楚.
研究的目的:
- 为了评估旋转手套疾病在症状双边病理保守治疗的患者中进展的可能性.
- 为了确定右肩和左肩之间是否有不同进展率.
主要方法:
- 在退伍军人卫生管理局数据库中通过MRI识别了双边旋转手套疾病的患者.
- 电子医疗记录的回顾性图表审查.
- 通过MRI确定至少1年时间内的进展变化:肌病至撕裂,部分到全厚撕裂,或收缩/宽度增加 (≥5毫米).
主要成果:
- 在120名患者 (480名MRI) 中,42%的患者显示旋转手套疾病进展.
- 两侧的进展率相似:右肩为39%,左肩为44%.
- 高龄 (P=.025) 和较少的起始肌收缩 (P=.016) 与疾病进展有关.
结论:
- 与左侧相比,旋转手套撕裂进展的可能性在右侧并不大.
- 老年和较少的起始肌收缩是旋转手套疾病进展的预测因素.
- 较高的活动水平可能与旋转手腕疾病进展的增加无关;需要进一步研究.
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