지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.9
- 수록면
- 138 - 143 (6page)
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초록· 키워드
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Background: To evaluate the effect of preoperative fatty degeneration of deltoid and teres minor muscles on the clinical outcome in patient with reverse total shoulder arthroplasty (RTSA).
Methods: Nineteen patients with RTSA were enrolled. The mean follow-up period was 16.1 months. The fatty degeneration of three distinct parts in each deltoid and the teres minor muscle was measured using a preoperative magnetic resonance imaging. Postoperatively, the muscle strengths for forward elevation (FE), abduction (Abd), and external rotation (ER) were measured using a myometer at the last follow-up. The parameters for clinical outcome were Constant Score (CS) and Korean Shoulder Score (KSS).
Results: The number of cases was 10 in group 1 and 9 in group 2. The strength of FE and Abd were significantly higher in group 1 (p<0.001 and p<0.001, respectively), and the strength of ER was not different significantly between two groups (p=0.065). For the clinical outcome, both CS and KSS were higher in group 1 (p=0.002 and p=0.002, respectively). The number of patients in group A was 11, and group B was 8. Although there was not a significant difference in terms of FE and Abd between group A and B (p=0.091, p=0.238), ER was significantly higher in group A (p=0.012). We did not find a significant difference in the clinical scores (CS, p=0.177 and KSS, p=0.238).
Conclusions: These findings suggest the importance of a preoperative evaluation of the fatty degeneration of deltoid and teres minor muscles for predicting postoperative strength and clinical outcome.
Methods: Nineteen patients with RTSA were enrolled. The mean follow-up period was 16.1 months. The fatty degeneration of three distinct parts in each deltoid and the teres minor muscle was measured using a preoperative magnetic resonance imaging. Postoperatively, the muscle strengths for forward elevation (FE), abduction (Abd), and external rotation (ER) were measured using a myometer at the last follow-up. The parameters for clinical outcome were Constant Score (CS) and Korean Shoulder Score (KSS).
Results: The number of cases was 10 in group 1 and 9 in group 2. The strength of FE and Abd were significantly higher in group 1 (p<0.001 and p<0.001, respectively), and the strength of ER was not different significantly between two groups (p=0.065). For the clinical outcome, both CS and KSS were higher in group 1 (p=0.002 and p=0.002, respectively). The number of patients in group A was 11, and group B was 8. Although there was not a significant difference in terms of FE and Abd between group A and B (p=0.091, p=0.238), ER was significantly higher in group A (p=0.012). We did not find a significant difference in the clinical scores (CS, p=0.177 and KSS, p=0.238).
Conclusions: These findings suggest the importance of a preoperative evaluation of the fatty degeneration of deltoid and teres minor muscles for predicting postoperative strength and clinical outcome.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (26)
참고문헌 신청
[학술지(정기간행물)] - Burkhart SS / 2001 / Arthroscopic treatment of massive rotator cuff tears / Clin Orthop Relat Res 390 : 107 ~ 118
[학술지(정기간행물)] - Franklin JL / 1988 / Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency / J Arthroplasty 3 (1) : 39 ~ 46
[학술지(정기간행물)] - Pollock RG / 1992 / Prosthetic replacement in rotator cuff-deficient shoulders / J Shoulder Elbow Surg 1 (4) : 173 ~ 186
[학술지(정기간행물)] - Williams GR Jr / 1996 / Hemiarthroplasty in rotator cuff-deficient shoulders / J Shoulder Elbow Surg 5 (5) : 362 ~ 367
[학술지(정기간행물)] - Worland RL / 1997 / Bipolar shoulder arthroplasty for rotator cuff arthropathy / J Shoulder Elbow Surg 6 (6) : 512 ~ 515
[학술지(정기간행물)] - Franklin JL / 1988 / Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency / J Arthroplasty 3 (1) : 39 ~ 46
[학술지(정기간행물)] - Pollock RG / 1992 / Prosthetic replacement in rotator cuff-deficient shoulders / J Shoulder Elbow Surg 1 (4) : 173 ~ 186
[학술지(정기간행물)] - Williams GR Jr / 1996 / Hemiarthroplasty in rotator cuff-deficient shoulders / J Shoulder Elbow Surg 5 (5) : 362 ~ 367
[학술지(정기간행물)] - Worland RL / 1997 / Bipolar shoulder arthroplasty for rotator cuff arthropathy / J Shoulder Elbow Surg 6 (6) : 512 ~ 515
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UCI(KEPA) : I410-ECN-0101-2016-514-001906332