The duration of symptoms does not correlate with rotator cuff tear severity or other patient-related features: a cross-sectional study of patients with atraumatic, full-thickness rotator cuff tears.
The duration of symptoms does not correlate with rotator cuff tear severity or other patient-related features: a cross-sectional study of patients with atraumatic, full-thickness rotator cuff tears.
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DOI：
10.1016/j.jse.2013.10.001
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发表时间：
2014-07
影响因子：
3
通讯作者：
Dunn, Warren R.
中科院分区：
文献类型：
--
作者：
Unruh, Kenneth P.;Kuhn, John E.;Sanders, Rosemary;An, Qi;Baumgarten, Keith M.;Bishop, Julie Y.;Brophy, Robert H.;Carey, James L.;Holloway, Brian G.;Jones, Grant L.;Ma, Benjamin C.;Marx, Robert G.;McCarty, Eric C.;Poddar, Souray K.;Smith, Matthew V.;Spencer, Edwin E.;Vidal, Armando F.;Wolf, Brian R.;Wright, Rick W.;Dunn, Warren R.
这项横断面研究的目的是确定症状的持续时间是否会影响非创伤性肩袖全层撕裂患者的特征。我们的假设是，症状持续时间的增加将与MRI上肩袖撕裂严重程度的更高级结果、肩关节结局评分更差、疼痛更多、活动度降低和力量降低相关。450例肩袖全层撕裂患者入组前瞻性队列研究，以评估非手术治疗的有效性和成功的预测因素。患者症状持续时间分为4组：≤3个月、4-6个月、7-12个月和>12个月。在患者进入研究时收集的数据包括：1.）人口统计数据，2.）病史和体检数据，3.）射线照相成像数据，以及4.）确认患者报告的肩关节状态测量值。统计分析包括Kruskal-Wallis检验和Pearson检验的单变量分析，以确定不同症状持续时间的这些特征的统计学显著差异。症状持续时间较长与更严重的肩袖疾病无关。症状持续时间与无力、活动范围受限、泪液大小、脂肪萎缩或经验证的患者报告结局指标无关。在症状持续时间和与肩袖疾病相关的特征之间只有微弱的关系。III级，横断面研究
The purpose of this cross-sectional study is to determine if the duration of symptoms influences the features seen in patients with atraumatic full thickness rotator cuff tears. Our hypothesis is that increasing duration of symptoms will correlate with more advanced findings of rotator cuff tear severity on MRI, worse shoulder outcome scores, more pain, decreased range of motion, and less strength. 450 patients with full thickness rotator cuff tears were enrolled in a prospective cohort study to assess the effectiveness of nonoperative treatment and factors predictive of success. Duration of patient symptoms were divided into four groups: ≤3 months, 4–6 months, 7–12 months, and >12 months. Data collected at patient entry into the study included: 1.) Demographic data, 2.) History and physical exam data, 3.) Radiographic imaging data, and 4.) Validated patient reported measures of shoulder status. Statistical analysis included a univariate analysis with Kruskal-Wallis test and Pearson tests to identify statistically significant differences in these features for different durations of symptoms Longer duration of symptoms does not correlate with more severe rotator cuff disease. Duration of symptoms was not related to weakness; limited range of motion; tear size; fatty atrophy; or validated patient reported outcome measures. There is only a weak relationship between the duration of symptoms and features associated with rotator cuff disease. Level III, Cross Sectional Study
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影响因子：
3
作者：
Kuhn, John E.;Dunn, Warren R.;Wright, Rick W.
通讯作者：
Wright, Rick W.
DOI：
10.1308/003588406x94968
发表时间：
2006-03-01
影响因子：
1.4
作者：
Reilly, P.;Macleod, I.;Emery, R. J. H.
通讯作者：
Emery, R. J. H.
影响因子：
3.3
作者：
Baumgarten KM;Vidal AF;Wright RW
通讯作者：
Wright RW
影响因子：
5.3
作者：
Dunn, WR;Schackman, BR;Marx, RG
通讯作者：
Marx, RG
影响因子：
5.3
作者：
Henn, R. Frank, III;Tashjian, Robert Z.;Green, Andrew
通讯作者：
Green, Andrew