低骨肌肉质量与老年旋转手套撕裂患者的手术前和手术后肩部功能低下有关
Yang Yang1, Binbin Zheng1, Xiaofang Lin1
1Department of Orthopedics, Taizhou Hospital of Zhejiang Province, Affiliated to Wenzhou Medical University, No. 150 Ximen Street, Linhai City, 317000, Zhejiang Province, China.
BMC geriatrics
|July 20, 2024
概括
低骨肌肉质量与老年患者的肩膀运动范围和功能较差有关. 这种关联在老年妇女中尤为明显,影响了手术前后的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 老年病的医生 老年病的医生
- 放射学 放射学是一门学科.
背景情况:
- 标志着与年龄相关的骨肌肉质量损失的萨尔科佩尼亚,具有系统性影响.
- 低骨肌量和肩膀功能在老年患者与旋转手套撕裂 (RCT) 之间的关系以前是未知的.
- 这项研究研究了老年RCT患者的这种关联.
研究的目的:
- 为了确定低骨肌肉质量与被诊断为旋转手套撕裂的老年患者的肩膀功能受损是否相关.
- 分析低肌肉质量对运动范围 (ROM) 和功能评分 (ASES,CMS) 的影响.
- 探索这种关系中基于性别的潜在差异.
主要方法:
- 对283名老年RCT患者 (平均年龄为66.22岁) 的回顾性分析.
- 胸部肌肉横截面积 (CSA) 在T4水平计算从手术前胸部CT扫描来评估肌肉质量.
- 使用ASES和CMS得分以及手术前ROM测量评估的手术前和后续肩部功能.
主要成果:
- 与正常人相比,低肌肉质量组表现出较高的炎症标志物 (CRP,ESR).
- 在低肌肉质量组中,手术前被动和活跃的肩膀ROM (前向升高,绑架,侧向旋转,外部旋转) 显著较差.
- 肌肉质量较低的老年女性表现出更差的ROM和统计学上较差的术后ASES和CMS得分.
结论:
- 低骨肌肉质量与老年RCT患者肩膀运动范围的减少有关.
- 手术前和手术后肩部功能低下与低肌肉质量有关,特别是在老年女性身上.
- 骨肌肉质量可能是影响老年患者与旋转手套撕裂结果的相关因素.
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