Predictors of infraspinatus muscle degeneration in individuals with an isolated supraspinatus tendon tear.
Predictors of infraspinatus muscle degeneration in individuals with an isolated supraspinatus tendon tear.
复制标题
孤立性冈上肌腱撕裂个体冈下肌退化的预测因素。
DOI：
10.1007/s00256-022-04201-7
复制
发表时间：
2023
影响因子：
2.1
通讯作者：
Soliman,StevenB
中科院分区：
文献类型：
--
作者：
Lawrence,RebekahL;Veluswamy,Balaji;Dobben,ElizabethA;Klochko,ChadL;Soliman,StevenB
目的确定预测单纯性冈上肌腱撕裂患者冈下肌退行性变的人口学和临床因素。材料与方法回顾分析了自我国医疗系统实施标准化的MRI 3-T方案以来，由1/3受过团契训练的肌肉骨骼放射科医生进行肩部MRI检查的患者的病历。收集了人口统计学数据(例如，年龄、性别)和临床数据(例如，泪水大小、肌肉退行性变、并存)。单纯性冈上肌腱撕裂的患者(n= 121例)根据是否存在任何冈下肌退变被分为两组之一。结果在单纯性冈上肌腱撕裂患者中，16.5%的患者存在冈下肌退行性变。冈下肌退变与心血管疾病(P= 0.0 1)、冈上肌退变(P<； 0.0 1)和肩峰下肌退变(P= 0.0 1)独立相关。当评估多变量关系时，冈上肌退变成为检测冈下肌退行性变的唯一有意义的变量(特异度：87.1%，敏感度：80.0%)。结论在单纯性冈上肌撕裂的个体中，冈上肌退行性变并不少见，且与伴发性冈上肌退行性变最相关。这些发现强调了临床医生需要专门评估每一块肩袖肌肉的状态，即使肌腱本身是完整的。
ObjectiveDetermine the demographic and clinical factors that predict infraspinatus muscle degeneration in individuals with an isolated supraspinatus tendon tear.Materials and methodsA retrospective analysis was performed using the medical records of patients who had a shoulder MRI interpreted by 1 of 3 fellowship-trained musculoskeletal radiologists since the implementation of a standardized MRI 3 T protocol within our healthcare system. Demographic (e.g., age, sex) and clinical data (e.g., tear size, muscle degeneration, co-morbidities) were collected. Patients with an isolated supraspinatus tendon tear (n= 121) were assigned to one of two groups based on whether any infraspinatus muscle degeneration was present. Logistic regression was used to assess the univariate relationships between infraspinatus muscle degeneration and patient and clinical data, while least absolute shrinkage and selector operator (LASSO) logistic regression was used to assess the multivariable relationship.ResultsOf the patients with an isolated supraspinatus tendon tear, 16.5% had evidence of infraspinatus muscle degeneration. The presence of infraspinatus muscle degeneration was independently associated with cardiovascular disease (P= 0.01), supraspinatus muscle degeneration (P< 0.01), and subscapularis muscle degeneration (P= 0.01). When the multivariable relationship is assessed, supraspinatus muscle degeneration emerged as the only variable of significant importance for detecting infraspinatus muscle degeneration (specificity: 87.1%, sensitivity: 80.0%).ConclusionInfraspinatus muscle degeneration is not uncommon in individuals with an isolated supraspinatus tear and is most associated with concomitant supraspinatus muscle degeneration. These findings highlight the need for clinicians to specifically assess the status of each rotator cuff muscle, even when the tendon itself is intact.