肩膀疼痛,超声波变化,以及肥胖患者的功能性表现
Fabiana Alves Costa Menegassi1, Glaucus Cajaty Martins2, Zartur José Barcelos Menegassi3
1Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brazil.
Acta ortopedica brasileira
|January 13, 2025
概括
致病性肥胖患者的肩部疼痛和功能减弱明显增加. 肥胖与旋转手套问题和高C反应蛋白有关,这表明需要有针对性的干预措施.
科学领域:
- 整形外科 整形外科 整形外科
- 肥胖医学 肥胖医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 肩部疼痛和功能障碍是常见的投诉.
- 致病性肥胖对肩膀健康的影响尚未完全理解.
- 旋转手套的完整性和炎症标志物可能会受到过重的影响.
研究的目的:
- 为了确定病态肥胖个体中肩部疼痛的患病率.
- 在这个人群中评估肩膀功能表现.
- 通过超声波和炎症标志物来评估旋转形态.
主要方法:
- 一项横截面研究,将54名致病性肥胖患者与49名对照患者进行比较.
- 评估了肩部疼痛,功能状态 (UCLA,DASH尺度),旋转手腕超声波和C反应性蛋白 (CRP) 水平.
- 参与者来自一个减肥手术诊所.
主要成果:
- 致病性肥胖患者的肩部疼痛发病率显著增加 (OR:17.5) 和功能表现下降 (UCLA OR:7.5,DASH p < 0.0001).
- 超声波检查显示,肥胖组的旋转手腕病理更多 (p < 0.0001).
- 在肥胖组中,CRP水平升高也更常见 (p < 0.0001).
结论:
- 致病性肥胖是造成肩部疼痛和肩部功能减弱的重要危险因素.
- 肥胖与旋转的病理变化和系统性炎症增加有关 (由CRP表示).
- 这些发现凸显了解决肥胖问题对于改善肩膀健康的重要性.
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