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
- 2018.12
- 수록면
- 207 - 212 (6page)
이용수
초록· 키워드
오류제보하기
Background: Delaminated rotator cuff tear is known to be a degenerative tear having a negative prognostic effect. This study undertook to compare the anatomical and clinical outcomes of delaminated tears and single layer tears.
Methods: Totally, 175 patients with medium to large rotator cuff tears enrolled for the study were divided into 2 groups, based on the tear pathology: single layer tear (group 1) and delaminated tear (group 2). Preoperatively, length of the remnant tendon, muscle atrophy of supraspinatus (SS), and fatty degeneration of SS and infraspinatus (IS) muscles were assessed on magnetic resonance imaging (MRI). For follow-up, the repair integrity of the rotator cuff was evaluated by ultrasonography. Clinical outcomes were assessed by evaluating the Constant score (CS) and Korean Shoulder Score (KSS).
Results: Retears were detected in 6 cases of group 1 (6.5%) and 11 cases of group 2 (13.3%). Although higher in group 2, the retear rate was significantly not different (p=0.133). Preoperative MRI revealed length of remnant tendon to be 15.46 ± 3.60 mm and 14.17 ± 3.16 mm (p=0.013), and muscle atrophy of SS (occupation ratio) was 60.54 ± 13.15 and 56.55 ± 12.88 (p=0.045), in group 1 and group 2, respectively. Fatty degeneration of SS and IS in both groups had no significant differences. Postoperatively, no significant differences were observed for CS and KSS values between the groups.
Conclusions: Delaminated rotator cuff tears showed shorter remnant tendon length and higher muscle atrophy that correlate to a negative prognosis. These prognostic effects should be considered during delaminated rotator cuff tear treatment.
Methods: Totally, 175 patients with medium to large rotator cuff tears enrolled for the study were divided into 2 groups, based on the tear pathology: single layer tear (group 1) and delaminated tear (group 2). Preoperatively, length of the remnant tendon, muscle atrophy of supraspinatus (SS), and fatty degeneration of SS and infraspinatus (IS) muscles were assessed on magnetic resonance imaging (MRI). For follow-up, the repair integrity of the rotator cuff was evaluated by ultrasonography. Clinical outcomes were assessed by evaluating the Constant score (CS) and Korean Shoulder Score (KSS).
Results: Retears were detected in 6 cases of group 1 (6.5%) and 11 cases of group 2 (13.3%). Although higher in group 2, the retear rate was significantly not different (p=0.133). Preoperative MRI revealed length of remnant tendon to be 15.46 ± 3.60 mm and 14.17 ± 3.16 mm (p=0.013), and muscle atrophy of SS (occupation ratio) was 60.54 ± 13.15 and 56.55 ± 12.88 (p=0.045), in group 1 and group 2, respectively. Fatty degeneration of SS and IS in both groups had no significant differences. Postoperatively, no significant differences were observed for CS and KSS values between the groups.
Conclusions: Delaminated rotator cuff tears showed shorter remnant tendon length and higher muscle atrophy that correlate to a negative prognosis. These prognostic effects should be considered during delaminated rotator cuff tear treatment.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (20)
참고문헌 신청
[학술지(정기간행물)] - Boileau P / 2005 / Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? / J Bone Joint Surg Am 87 (6) : 1229 ~ 1240
[학술지(정기간행물)] - Flurin PH / 2005 / Arthroscopic repair of full-thickness cuff tears: a multicentric retrospective study of 576 cases with anatomical assessment / Rev Chir Orthop Reparatrice Appar Mot 91 (S8) : 31 ~ 42
[학술지(정기간행물)] - Sonnabend DH / 2002 / Structural factors affecting the outcome of rotator cuff repair / J Shoulder Elbow Surg 11 (3) : 212 ~ 218
[학술지(정기간행물)] - Sonnabend DH / 2001 / Laminated tears of the human rotator cuff : a histologic and immunochemical study / J Shoulder Elbow Surg 10 : 109 ~ 115
[학술지(정기간행물)] - Mochizuki T / 2009 / Humeral insertion of the supraspinatus and infraspinatus. New anatomical findings regarding the footprint of the rotator cuff. Surgical technique / J Bone Joint Surg Am 91 (Suppl 2 Pt 1) : 1 ~ 7
[학술지(정기간행물)] - Flurin PH / 2005 / Arthroscopic repair of full-thickness cuff tears: a multicentric retrospective study of 576 cases with anatomical assessment / Rev Chir Orthop Reparatrice Appar Mot 91 (S8) : 31 ~ 42
[학술지(정기간행물)] - Sonnabend DH / 2002 / Structural factors affecting the outcome of rotator cuff repair / J Shoulder Elbow Surg 11 (3) : 212 ~ 218
[학술지(정기간행물)] - Sonnabend DH / 2001 / Laminated tears of the human rotator cuff : a histologic and immunochemical study / J Shoulder Elbow Surg 10 : 109 ~ 115
[학술지(정기간행물)] - Mochizuki T / 2009 / Humeral insertion of the supraspinatus and infraspinatus. New anatomical findings regarding the footprint of the rotator cuff. Surgical technique / J Bone Joint Surg Am 91 (Suppl 2 Pt 1) : 1 ~ 7
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment
대한견주관절의학회지
2019 .09
-
Delaminated rotator cuff tear : characteristics and anatomical healing after arthroscopic rotator cuff repair
대한견주관절의학회 학술대회논문집
2015 .04
-
Clinical outcomes of rotator cuff retear after arthroscopic rotator cuff repair according to preoperative tear size and tear progression
대한견주관절의학회 학술대회논문집
2015 .04
-
Revision for rotator cuff re-tear(my technique)
대한견주관절의학회 학술대회논문집
2022 .11
-
회전근 개 파열의 치료에서 층분리 파열과 단층 파열 간의 임상적 결과 비교
대한견주관절의학회 학술대회논문집
2018 .03
-
Arthroscopic repair of rotator cuff tear according to the tear pattern
대한견주관절의학회 학술대회논문집
2015 .04
-
Which factors are related to pain in patients with re-torn rotator cuffs?
대한견주관절의학회 학술대회논문집
2019 .03
-
Comparison Study between Rotator Cuff Remnants Preserving And Sacrificing Repair In Full Thickness Rotator Cuff Tears
대한견주관절의학회 학술대회논문집
2017 .03
-
Usefulness of the axial MRI views to identify the tear configuration in rotator cuff tears
대한견주관절의학회 학술대회논문집
2019 .03
-
Correlation between supraspinatus tendon tear and muscle atrophy in rotator cuff disease
대한견주관절의학회 학술대회논문집
2015 .04
-
Patch Augmentation for Massive Rotator Cuff Tears
대한견주관절의학회지
2017 .06
-
Outcome of arthroscopic rotator cuff repair with muscle advancement for large-to-massive rotator cuff tear
대한견주관절의학회 학술대회논문집
2015 .04
-
Rotator cuff surgery in geriatric population over 75 years old
대한견주관절의학회 학술대회논문집
2015 .04
-
Rotator cuff tear-induced loss of aquaporin 4 leads to rotator cuff muscle atrophy in mice
대한견주관절의학회 학술대회논문집
2019 .03
-
Acute Rotator Cuff Tears due to Low Voltage Electrical Injury : A Case Report
대한견주관절의학회지
2018 .06
-
Serial Magnetic Resonance Imaging to Determine the Progression of Neglected Recalcitrant Rotator Cuff Tears: A Retrospective Multicenter Study
대한견주관절의학회지
2017 .09
-
The Natural Course and Risk Factors of Tear Progression in Conservatively Treated Full-thickness Rotator Cuff Tears
대한견주관절의학회 학술대회논문집
2019 .03
-
Similar Degree of Degeneration in the Articular and Bursal Layers of Delaminated Rotator Cuff Tear
대한견주관절의학회지
2016 .12
-
Predictive Model using Artificial Intelligence Algorithm for Postoperative Results Considering Preoperative Factors after Rotator Cuff Repair for Cuff Tears.: Pilot Study
대한견주관절의학회 학술대회논문집
2022 .04
-
Minimal Medial-row Tie with Suture-bridge Technique for Medium to Large Rotator Cuff Tears
대한견주관절의학회지
2015 .12
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2019-514-000210691