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旋转手套撕裂进展的差异定义和速率:系统性审查
Mason J Garcia1,2, Daniela Caro1, Maria Velasquez Hammerle1
1Musculoskeletal Translational Innovation Initiative, Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
JB & JS open access
|October 23, 2024
概括
旋转手套撕裂的进展情况尚不清楚. 完全厚度的眼比部分厚度的眼更频繁地进展,而成为症状的无症状眼的进展率更高.
科学领域:
- 整形外科 整形外科 整形外科
- 肌肉骨成像系统的成像
- 运动医学 运动医学
背景情况:
- 旋转手套撕裂是常见的,但它们的自然历史和进展模式仍然不太了解.
- 澄清旋转手腕撕裂进展对于优化手术指示和干预时间的优化至关重要.
- 这项研究分析了现有的文献,以定义和量化旋转部撕裂进展率.
研究的目的:
- 系统地审查和分析关于旋转部撕裂的定义和进展率的文献.
- 通过了解的自然史来增强临床决策和改善患者的结果.
- 为了比较部分厚度和全厚度旋转手套撕裂之间的进展率.
主要方法:
- 使用Medline,Embase和Web of Science数据库进行了系统的文献搜索.
- 包括关于无症状和症状的部分厚度 (PT) 和全厚度 (FT) 旋转手套撕裂的自然史和进展的报告研究.
- 数据提取的重点是撕裂进展率,定义,风险因素和偏差评估,使用纽卡斯尔-太华尺度.
主要成果:
- 分析了21篇文章,其中包括1831条眼.
- 部分厚度 (PT) 撕裂的进展率为26.7% (平均随访2.2年),有5种不同的定义.
- 全厚度 (FT) 撕裂的进展率为54.9% (平均随访时间为3.0年),有8种不同的定义,明显高于PT撕裂 (p < 0.0001).
- 最初无症状的眼变得有症状的进展率较高 (33%-63%),相比于无症状的眼 (4%-38%).
结论:
- 在部分厚度和全厚度旋转手套撕裂之间的进展率存在显著差异.
- 从无症状转变为症状状态的眼表现出加速进展.
- 为了提高可比性和治疗规划,需要对旋转手套撕裂进展的标准化,临床相关的定义.
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