什么是最具预测性的磁共振成像发现旋转器袖口撕裂与肩膀硬同时发生的?
Ji Young Yoon1, HeeSoo Han2, Myoung Yeol Shin1
1Department of Orthopaedic Surgery, National Police Hospital, Seoul, Republic of Korea.
JSES international
|September 18, 2023
概括
在MRI上,前囊厚和异常的强度过高是旋转手套撕裂患者肩部硬的关键指标. 这些发现有助于区分硬与没有硬的病例,提高诊断准确度.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 粘附性囊炎MRI发现通常不在旋转手套撕裂与并发的肩部硬.
- 从临床上来说,区分旋转带有硬度和没有硬度的撕裂是非常重要的.
研究的目的:
- 为了确定最具预测性的磁共振成像 (MRI) 发现旋转器袖口撕裂与肩膀硬.
- 为了区分旋转带撕裂与硬与没有使用MRI的那些.
主要方法:
- 进行关节镜旋转手套修复 (2014-2019) 的患者的回顾性审查.
- 根据活动运动范围定义的刚度:向前曲<120°,外侧旋转<30°,内部旋转
- 根据性别,年龄和撕裂大小,每组76名患者的倾向性得分匹配 (1:1) (硬对照) 基于性别,年龄和撕裂大小.
- 评估前囊厚度,股隙囊厚度,心肌带和囊超强度.
主要成果:
- 前腔囊厚度,状囊厚度 (尾隙) 和前腔/尾囊超强度在刚性组显著更大 (P < .05).
- 前囊厚度和异常高强度是显著的差异化因素 (P < .05).
- 前囊厚度显示出高诊断性能 (AUC = 0.993) 的切线为3.07mm (96.1%的灵敏度,100%的特异性).
结论:
- 前囊厚和异常的超强度是旋转手套撕裂中肩部硬的最有预测性的MRI发现.
- 这些MRI特征可以有效地区分旋转器袖口撕裂与硬与那些没有.
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