体重指数对旋转手套撕裂严重性的影响
1Department of Orthopaedics, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan; Department of Orthopaedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Graduate Institute of Biomedical Materials and Tissue Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan.
Journal of shoulder and elbow surgery
|August 13, 2023
概括
肥胖与更严重的旋转手套撕裂 (RCT) 有关. 保持健康的体重对于更好的肩膀健康至关重要,并可能减少RCT的严重程度.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 关于肥胖对旋转手腕撕裂 (RCT) 严重性的直接影响的研究有限.
- 以前的研究主要集中在肥胖患者的关节镜RCT修复的术后结果上.
- 需要研究控制混因素,以了解身体质量指数 (BMI) 对RCT严重性的影响.
研究的目的:
- 调查身体质量指数 (BMI) 和旋转手套撕裂 (RCT) 的严重程度之间的关联.
- 分析不同BMI类别 (体重不足/正常,超重,肥胖) 与特定的RCT严重性参数的相关性.
- 为了控制影响RCT严重性的潜在混变量.
主要方法:
- 在2018年1月至2022年7月期间,对386名接受RCT修复的患者进行了回顾性研究.
- 根据台湾卫生和福利部的指导方针,患者被分类为体重不足/正常 (BMI <24.0 kg/m2),超重 (BMI 24.0-26.9 kg/m2) 或肥胖 (BMI ≥27.0 kg/m2).
- 使用磁共振成像 (MRI) 评估Patte阶段 (PS),脂肪透 (FI),前后裂大小 (AP) 和收缩大小的RCT严重程度. 进行回归分析以确定关联.
主要成果:
- 与体重不足/正常体重患者相比,肥胖患者在帕特阶段 (PS),脂肪透 (FI),收缩大小和前后撕裂大小 (AP) 中表现出明显更高的严重程度.
- 在调整了年龄,性别,职业,疼痛持续时间,受伤史和吸烟后,肥胖仍然是所有测量参数中增加RCT严重性的重要预测因素.
- 在所有BMI组中观察到PS,FI,收缩尺寸和AP撕裂尺寸的显著差异.
结论:
- 通过BMI测量肥胖症与旋转手套撕裂 (RCT) 严重程度增加之间存在明显的相关性.
- 保持健康的体重与更好的肩膀健康密切相关.
- 建议成年人控制自己的体重,以减轻旋转手套撕裂的严重程度.
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