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在逆向全肩关节整形手术后,下层状腺高质素 (GHOST) 病变的发展
Krishin Shivdasani1, Michael Scheidt1, Amir Boubekri1
1Department of Orthopaedic Surgery & Rehabilitation, Loyola Medicine, Maywood, IL, USA.
Journal of shoulder and elbow surgery
|October 7, 2024
概括
在逆向全肩关节整形术 (rTSA) 后,男性患者更有可能发展Glenoid HyperOSTosis (GHOST) 病变. 虽然这些病变很常见,但它们不会影响长期功能,但可能会增加短期疼痛.
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.
- 生物医学工程 生物医学工程
背景情况:
- 反向全肩关节整形术 (rTSA) 的术后射线图显示,下侧状部的骨过度生长.
- 这些骨化被称为Glenoid HyperOSTosis (GHOST) 病变.
研究的目的:
- 为了调查rTSA后GHOST病变发展的潜在风险因素.
- 评估GHOST病变对患者结局的术后影响.
主要方法:
- 对170名初级RTSA患者 (2007-2020年) 的回顾性审查.
- 后勤回归分析了预测因素 (性别,年龄,诊断,植入物细节).
- 2个样本的t测试评估了结果 (ROM,VAS,ASES分数,再接纳/修订率).
主要成果:
- 在25.9%的RTSA中发现了GHOST病变.
- 男性性别与GHOST病变发展的几率增加有关 (OR 2.28).
- 在GHOST病变与年龄,BMI,种族,植入因子或ROM/ASES得分之间没有发现显著的关联.
- 幽灵病变与术后2个月和12个月的VAS疼痛得分增加相关.
结论:
- 较低的GHOST病变是rTSA后常见的发现,病因不明.
- 男性性别是危险因素,但患者的人口统计和植入物特征与病变形成无关.
- 幽灵病变与短期疼痛增加有关,但不会影响长期功能结果或运动范围.
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