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主观机械症状在旋转手腕病理中的意义

Dafang Zhang¹, George S M Dyer¹, Brandon E Earp¹

¹Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.

Journal of shoulder and elbow surgery

|April 5, 2024

概括

在肩膀上点击或点击并不一定表明旋转器袖口撕裂. 这项研究发现机械症状与旋转手套撕裂之间没有关联,这表明患者可以放心.

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.
肌肉骨成像系统的成像

背景情况:

像点击这样的主观机械症状在肩部疼痛患者中很常见.
这些症状对于旋转手腕病理的临床意义尚不清楚.

研究的目的:

为了确定肩部的主观机械症状是否与全厚旋转手套撕裂有关.
为了评估旋转手套撕裂机械症状的诊断准确性.

主要方法:

一项前性队列研究,对99名怀疑旋转手腕病理的患者进行了肩膀MRI.
在MRI之前记录了主观机械症状 (点击,弹出) .
评估了与全厚撕裂,任何撕裂和双肩外置的关联.

主要成果:

60%的患者报告了机械症状,42%的患者有全厚撕裂.
没有发现机械症状与旋转手腕撕裂或双肩外置之间有任何关联.
机械症状显示,对于全厚旋转手套撕裂的诊断准确性很差 (灵敏度为64%,特异性为44%).

结论:

主观机械肩部症状在疑似旋转手套问题患者中很常见.
单纯的点击或弹出感觉并不能证实肩部结构性损伤.

关键词:

双头是双头,可以说是双头.点击点击,点击点击.机械症状机械症状爆发爆发爆发的旋转器袖子的旋转器袖子旋转器袖口撕裂的情况

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