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旋转手套成像无症状肩膀的异常:一个系统性审查

Sharon Sanders, Thomas Ibounig, Romi Haas

The Journal of orthopaedic and sports physical therapy

|November 27, 2025

概括

旋转手套 (RC) 异常,如撕裂和肌病变,在无症状的肩膀中很常见,在不同研究中,患病率从0%到100%不等. 这一系统性审查强调了这些成像发现证据的低确定性.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
运动医学运动医学

背景情况:

旋转手套 (RC) 异常经常通过成像检测到.
了解无症状个体中这些异常的患病率对于临床解释至关重要.
之前的研究已经给出了无症状肩膀RC病理的不同患病率估计.

研究的目的:

系统地审查和估计无症状成人肩膀中旋转手套 (RC) 影像异常的患病率.
综合各种成像方式检测到的肌病,部分厚度撕裂,全厚度撕裂和化的数据.

主要方法:

对报告无症状肩膀RC异常的研究进行系统审查.
在主要数据库 (Ovid MEDLINE,Embase,CINAHL,Web of Science) 进行文献搜索,并进行引用跟踪.
包括53项研究 (超声波和MRI) 在基于人口,各种和运动员队列中;由于异质性,数据以质量合成.

主要成果:

在不同人群中,全厚撕裂的患病率估计在超声波上从0%到35%,在MRI上从0%到20%.
肌病和/或部分厚度撕裂的患病率差异很大,在超声波上从0%到70%,在MRI上从0%到100%.
对所有报告的流行率的证据确定性被确定为低至非常低.

结论:

旋转 (RC) 的成像异常在无症状的肩膀中非常普遍,报告的范围从0%到100%.
证据的广泛变异性和低确定性强调了解释无症状个体成像发现的挑战.
需要进一步进行高质量的研究,以建立更可靠的RC异常在无症状肩膀的流行数据.

关键词:

完全厚度撕裂的撕裂.磁共振成像技术的使用有部分厚度的撕裂.患病率的流行情况.肌病变是一种肌病变.超声波成像的成像方法

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