Predictors of failure after conservative treatment of symptomatic partial-thickness rotator cuff tear
Predictors of failure after conservative treatment of symptomatic partial-thickness rotator cuff tear
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DOI：
10.1016/j.jse.2019.05.009
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发表时间：
2020-01-01
影响因子：
3
通讯作者：
Salariyeh, Mostafa
中科院分区：
文献类型：
--
作者：
Amroodi, Morteza Nakhaei;Salariyeh, Mostafa
背景：需要进一步的研究来确定保守治疗肩袖部分撕裂（PTRCT）的有效性。在这里，我们的目的是确定保守治疗后失败的预测因素在一个大系列的症状性PTRCT.Methods患者：保守治疗的结果在一个回顾性队列的272例症状性PTRCT进行了评价。从患者的病历中提取人口统计学、临床和影像学特征。主观评估包括Constant肩关节评分（CSS）、疼痛视觉模拟量表（VAS疼痛）、日常生活活动（ADL）评分和美国肩肘外科医生（ASES）评分，均在首次访视时进行。结果：囊型PTRCT与男性（P = 0.02）、患者转诊时间早（P = 0.001）、非甾体类抗炎药使用量多（P = 0.004）、疼痛弧综合征阳性率高（P = 0.006）和CSS低（P
Background: Further studies are required to determine the effectiveness of conservative treatment of partial-thickness rotator cuff tear (PTRCT). Here, we aim to identify the predictors of failure after conservative treatment in a large series of patients with symptomatic PTRCT.Methods: The outcome of conservative treatment in a retrospective cohort of 272 patients with symptomatic PTRCT was evaluated. Demographic, clinical, and radiographic characteristics were extracted from the patients' medical records. Subjective assessments included Constant Shoulder Score (CSS), visual analog scale for pain (VAS pain), activities of daily living (ADL) score, and American Shoulder and Elbow Surgeons (ASES) score, all performed at the first visit. The association of treatment failure with the patient/tear characteristics was assessed.Results: The bursal-type PTRCTwas associated with male gender (P = .02), earlier referral of the patients (P = .001), more nonsteroidal anti-inflammatory drug consumption (P = .004), more positive painful arc syndrome (P = .006), and lower CSS (P