Glenohumeral articular cartilage changes in rotator cuff disease
Glenohumeral articular cartilage changes in rotator cuff disease
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DOI：
10.1067/mse.2003.128565
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发表时间：
2003-01-01
影响因子：
3
通讯作者：
Colville, J
中科院分区：
文献类型：
--
作者：
Feeney, MS;O'Dowd, J;Colville, J
本研究旨在阐明肩袖疾病中盂肱关节软骨变化的自然史。我们评估了 33 个尸体肩关节，检查肩袖是否有肉眼可见的撕裂，以及关节面是否有退行性变化。十个样本对肩袖感到恐惧。 23 个关节出现关节退行性变化。肩袖撕裂组（10/10 肩）的关节软骨退变发生率几乎是无撕裂组（13/23 肩）的两倍。这种差异具有统计学意义。除了大量袖套撕裂和袖套撕裂关节病的极端情况之外，以前尚未记录过肩袖撕裂与关节退行性变之间的这种强相关性。这值得进一步研究，因为它可能对手术治疗产生影响。
This study aims to clarify the natural history of glenohumeral articular cartilage changes in rotator cuff disease. We assessed 33 cadaveric shoulder joints, examining the rotator cuffs for macroscopic tears and the articular surfaces for degenerative changes. Ten specimens had fears of the rotator cuff. Articular degenerative changes were noted in 23 joints. Articular cartilage degeneration was almost twice as frequent in the group with rotator cuff tears (10/10 shoulders) as in those without tears (13/23 shoulders). This difference was statistically significant. This strong correlation between tears of the rotator cuff and articular degeneration has not been documented previously, other than in the extreme situation of massive cuff tears and cuff-tear arthropathy. This is deserving of further study because it may have implications for surgical management.