撕裂的起源是否与退行性全厚旋转手套撕裂的肌分层有关?
Ethem Burak Oklaz1, Furkan Aral1, Oguzhan Ak1
1Department of Orthopaedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey.
JSES international
|January 26, 2026
概括
旋转手套在全厚撕裂中的分层与胸口侧启动有关. 胸腔带和囊残骸的退行性变化是这种情况的关键指标.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨研究 研究
背景情况:
- 旋转手套分层是指在胸口和关节表面之间的水平撕裂.
- 退行性撕裂中的分层 (关节与胸口侧) 的起源仍在争论中.
- 这项研究调查了撕裂起源和在全厚旋转手套撕裂中的分层之间的关系.
研究的目的:
- 为了评估撕裂起源和退行性全厚旋转手套撕裂中的分层之间的关联.
- 为了确定导致旋转片脱层的风险因素.
主要方法:
- 追溯66名患者的病例系列,他们接受了小到中型退行性全厚旋转手套撕裂的肩膀关节镜 (2020-2024年).
- 患者根据分层的存在或不存在来分组.
- 撕裂启动侧被评估使用心肌关节 (CAL) 退行等级,囊残留物和关节骨质细胞;回归分析确定了危险因素.
主要成果:
- 脱层发生在具有 2-3 级 CAL 变性 (79% vs. 29%),囊残留 (75% vs. 32%) 和状关节骨质细胞 (43% vs. 19%) 的眼中明显更频繁.
- 回归分析确定了2-3级CAL退化 (OR=5.669) 和囊残留物 (OR=3.832) 作为分层的重要风险因素.
- 两组之间在年龄,性别,占主导地位的四肢,症状持续时间或撕裂收缩方面没有发现显著差异.
结论:
- 胸部侧面撕裂的启动似乎与退行性全厚旋转手套撕裂中的分层相关.
- 建议在怀疑胸口侧面来源时仔细评估通过横向观看门户进行分层.
- 根据撕裂起源指标,手术规划应考虑潜在的分层存在.
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