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与旋转手腕撕裂可修复性相关的因素:系统性审查和元分析

Kai-Lan Hsu¹, Fa-Chuan Kuan², Ausberto Velasquez Garcia³

¹Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan; Skeleton Materials and Bio-compatibility Core Lab, Research Center of Clinical Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Journal of shoulder and elbow surgery

|April 20, 2024

概括

老年,更大的旋转手套撕裂 (RCT) 尺寸和脂肪透与不可挽回的撕裂有关. 临床症状对RCT可修复性的预测价值有限.

科学领域:

整形外科整形外科整形外科
运动医学运动医学
肌肉骨研究研究

背景情况:

旋转手套撕裂 (RCT) 在骨科手术中构成了重大挑战.
了解影响RCT可修复性的因素对于手术规划和患者结果至关重要.

研究的目的:

系统地识别和量化与旋转手套撕裂 (RCT) 修复能力相关的因素.
为不可弥补的旋转部撕裂的预测因素提供全面的概述.

主要方法:

在PubMed,Scopus和Web of Science数据库中进行了系统的文献搜索.
对符合条件的临床研究进行了元分析,使用关键词"旋转器袖口撕裂"和"可修复性".
使用诊断准确性研究质量评估 (QUADAS) 工具评估研究质量.

主要成果:

分析了18项涉及2700名患者的研究,检查了26个因素.
与不可挽回性相关的因素包括先进的Patte阶段,巨大的眼,Gautallier阶段和触点符号.
年龄较大,撕裂尺寸较大 (中侧和前后侧),缩小状皮间距离,增加下侧状皮间距离是显著的预测因素.

结论:

年龄较大,撕裂尺寸较大,严重的脂肪透,肌肉缩和部头部迁移与不可挽回的旋转手套撕裂密切相关.
临床症状在预测RCT可修复性方面具有有限的效用.
触点符号和定量评分系统显示,它们是预测RCT可修复性的简单但有效工具.

关键词:

甲状腺炎类别分类无法弥补的旋转手套撕裂.帕特的分类是Patte的分类.部和部之间的距离是很大的.伪麻症是一种伪麻症.触线符号触线符号触线符号

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