Laminated tears of the human rotator cuff: A histologic and immunochemical study
Laminated tears of the human rotator cuff: A histologic and immunochemical study
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DOI：
10.1067/mse.2001.112882
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发表时间：
2001-03-01
影响因子：
3
通讯作者：
Walsh, WR
中科院分区：
文献类型：
--
作者：
Sonnabend, DH;Yu, Y;Walsh, WR
肩袖的层状撕裂通常由一层细胞层组成，表面看起来像滑膜。本研究通过组织学和免疫组织化学方法证明，衬里细胞是滑膜细胞。目前尚不清楚这些细胞是由关节或滑囊的滑膜延伸产生的，还是在滑液存在的情况下由化生产生的，这对层状袖带缺损的手术修复有一定的意义。我们建议在缝合修复之前，对这些缺陷进行刮除，至少去除一部分滑膜衬里。
Laminated tears of the rotator cuff are often lined by a cellular layer that has an appearance suggestive of synovium. This study demonstrates, by histologic and immunohistochemical means, that the lining cells are synovial. It remains unclear whether these cells arise by synovial extension from the joint or bursa, or by metaplasia in the presence of synovial fluid, and this has implications for surgical repair of laminated cuff defects. We suggest that these defects be curetted, to remove at least some of this synovial lining, before suture repair.