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在旋转手套撕裂中,膜和亚膜突炎的临床含义
Geunwu Gimm1,2,3, Jeong Yong Yoon4, Eunmi Ahn3
1Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Orthopaedic journal of sports medicine
|November 30, 2023
概括
腺关节,特别是后部关节的突炎更严重,并且与旋转手套撕裂的疼痛和功能减弱有关. 亚突炎没有显示出任何临床关联.
科学领域:
- 整形外科手术 整形外科手术
- 肩关节病理学 肩关节病理学
- 炎症条件 炎症条件
背景情况:
- 关节炎,或关节炎症,在关节镜旋转手套手术期间经常在关节 (GH) 关节和下 (SA) 空间观察到.
- 了解突炎对于治疗旋转手套撕裂 (RCT) 患者至关重要.
研究的目的:
- 为了确定GH关节和SA空间内的突炎的分布,严重程度和临床相关性.
- 为了将手术内发现的鼻膜炎与手术前临床评估相关联,这些患者有全厚旋转手套撕裂.
主要方法:
- 对207名接受关节镜旋转手套修复的患者进行了回顾性分析.
- 在GH关节和SA空间内,在定义的感兴趣区域 (ROI) 中对膜炎进行手术内宏观评估.
- 突炎严重程度与手术前疼痛,运动范围 (ROM),肌肉强度和功能评分的相关性.
主要成果:
- 与SA空间相比,GH关节的突炎明显更严重 (P < .001).
- 后部GH关节和侧面SA空间表现出最严重的突炎.
- 后部GH关节突炎与增加的疼痛相关 (除了休息时),ROM减少,上脊柱体和下脊柱体强度降低,肩膀功能较差.
结论:
- 后侧膜关节突炎是全厚旋转手套撕裂中最严重的形式,在临床上与更糟糕的结果有关.
- 在这个患者群体中,亚体空间突炎通常较温和,与临床参数没有显著的相关性.
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