The association between acromial anatomy and articular-sided partial thickness of rotator cuff tears.

The association between acromial anatomy and articular-sided partial thickness of rotator cuff tears.
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DOI:
10.1186/s12891-021-04639-1
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发表时间:
2021-09-06
影响因子:
2.3
通讯作者:
Cheng B
Cheng B
中科院分区:
医学3区
文献类型:
--
作者:
Liu CT;Miao JQ;Wang H;An Ge H;Wang XH;Cheng B

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在目前的研究中发现肩峰解剖与退行性全层肩袖撕裂有关。然而,肩峰解剖结构与肩袖撕裂(ptrct)关节侧部分厚度之间的关系的研究仍然缺乏。本研究的目的是评估这些影像学参数是否在肩峰解剖和退行性关节侧ptrct之间表现出任何关联。在2016年1月至2018年12月期间,共有91名无创伤史的患者作为关节侧PTRCT组接受了关节镜检查。在对照组中,年龄和性别匹配的患者,我们选择了91例连续门诊患者,因为肩部疼痛和MRI诊断仅为滑膜增生和积液而接受肩部磁共振成像(MRI)检查。2名独立观测者采用MRI测量肩峰类型、肩肱骨距离(AHD)、肩峰外侧角(LAA)、肩峰指数(AI)、临界肩角(CSA)。肩峰类型、AHD和LAA在退行性关节侧ptrct与对照组之间无差异(P分别为0.532、0.277和0.108)。AI和CSA在退行性关节侧ptrct中显著升高(P分别= 0.002和0.003)。人工智能与CSA与测量结果有很好的相关性(Pearson相关系数= 0.631)。我们的研究显示,在退行性关节侧ptrct中发现较高的AI和CSA。肩峰解剖与肩峰大延伸与退行性关节侧ptrct的发生有关。
Acromial anatomy has been found to be correlated with degenerative full-thickness rotator cuff tears in current studies. However, research on the relationship between acromial anatomy and articular-sided partial thickness of rotator cuff tears (PTRCTs) is still lacking. The purpose of this study was to evaluate whether these imaging graphic parameters exhibit any association between acromial anatomy and degenerative articular-sided PTRCTs. Between January 2016 and December 2018, a total of 91 patients without a history of trauma underwent arthroscopy as an articular-sided PTRCT group. In the control group, with age- and sex-matched patients, we selected 91 consecutive outpatient patients who underwent shoulder magnetic resonance imaging (MRI) because of shoulder pain and an MRI diagnosis of only synovial hyperplasia and effusion. MRI was used to measure the acromial type, acromiohumeral distance (AHD), lateral acromial angle (LAA), acromion index (AI), and critical shoulder angle (CSA) by 2 independent observers. The acromion type, AHD and LAA showed no difference between degenerative articular-sided PTRCTs and controls (P = 0.532, 0.277, and 0.108, respectively). AI and CSA were significantly higher in degenerative articular-sided PTRCTs (P = 0.002 and 0.003, respectively). A good correlation was found between AI and CSA to measurement(Pearson correlation coefficient = 0.631). Our study revealed that higher AI and CSA were found in degenerative articular-sided PTRCTs. Acromial anatomy with a large acromial extension was associated with the occurrence of degenerative articular-sided PTRCTs.
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