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Updated: Jan 27, 2026

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Reverse Total Shoulder Arthroplasty
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确定后肩部不稳定的初级稳定后的临床意义
Joseph Mullen1,2, Jenna L Dvorsky3,2, Ryan T Lin3,2
1Georgetown University School of Medicine, Washington, DC, USA.
JSES international
|January 26, 2026
概括
这项研究定义了患者报告的结果测量 (PROM) 的临床意义值,用于肩部不稳定的关节镜后部稳定. 这些发现有助于解释患者的结果,并更早地发现复发的不稳定性.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 后部膜部的不稳定性会导致严重的肩部疼痛和残疾.
- 在后部稳定后,患者报告的结果测量 (PROM) 的临床意义值定义不佳.
- 确定这些值对于准确评估治疗有效性至关重要.
研究的目的:
- 定义最小临床重要差异 (MCID),患者可接受的症状状态 (PASS) 和实质性临床益处 (SCB).
- 为各种PROMs建立这些值,包括ASES,Brophy,PROMIS-10 (PH和MH),SSV和VAS.
- 为了提供指导方针来解释后关节镜稳定后的后部不稳定后的结果.
主要方法:
- 从经过关节镜后部稳定 (2013-2023) 的患者进行PROM的回顾性审查.
- 使用基于和分布的方法计算MCID,PASS和SCB.
- 使用了标准测量误差,最小可检测变化和ROC曲线分析与Youden J统计.
主要成果:
- 分析了98名患者,慢性后部不稳定性是最常见的病因.
- 特定的MCID,PASS和SCB值被确定为ASES,Brophy,PROMIS-10 (PH和MH),SSV和VAS分数.
- MCID值在0.43 (VAS) 到20.26 (ASES) 之间; PASS值在1.5 (VAS) 到91.75 (ASES) 之间; SCB值在2.5 (VAS) 到92.25 (SSV) 之间.
结论:
- MCID,PASS和SCB为解释PROM提供了重要的临床背景.
- 定义的门值作为评估患者后关节镜稳定后结果的指导方针.
- 这些基准有助于早期检测反复出现的后部不稳定性.
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