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
- 2020.9
- 수록면
- 144 - 151 (8page)
이용수
초록· 키워드
오류제보하기
Background: This study was designed to evaluate characters of the rotator cuff tear (RCT) recognized after primary shoulder dislocation in patients older than 40.
Methods: From 2008 to 2019, patients who visited two hospitals after dislocation were retrospectively reviewed. Inclusion criteria were patients over 40 who had dislocation, with magnetic resonance imaging (MRI) undergone. Exclusion criteria were patients who lost to follow-up, combined with any proximal humerus fracture, brachial plexus injury, and previous operation or dislocation history in the ipsilateral shoulder. Also patients who had only bankart or bony bakart lesion in MRI were excluded. We evaluated RCTs that were recognized by MRI after the primary shoulder dislocation with regard to tear size, degree, involved tendons, fatty degeneration, the age when the first dislocation occurred, and the duration until the MRI was evaluated after the dislocation.
Results: Fifty-five RCTs were included. According to age groups, the tear size was increased in coronal and sagittal direction, the number of involved tendons was increased, and the degree of fatty degeneration was advanced in infraspinatus muscle. Thirty-two cases (58.2%) conducted MRI after 3 weeks from the first shoulder dislocation event. This group showed that the retraction size of the coronal plane was increased significantly and the fatty accumulation of the supraspinatus muscle had progressed significantly.
Conclusions: Age is also a strong factor to affect the feature of RCT after the shoulder dislocation in patients over 40. And the delay of the MRI may deteriorate the degree of tear size and fatty degeneration.
Methods: From 2008 to 2019, patients who visited two hospitals after dislocation were retrospectively reviewed. Inclusion criteria were patients over 40 who had dislocation, with magnetic resonance imaging (MRI) undergone. Exclusion criteria were patients who lost to follow-up, combined with any proximal humerus fracture, brachial plexus injury, and previous operation or dislocation history in the ipsilateral shoulder. Also patients who had only bankart or bony bakart lesion in MRI were excluded. We evaluated RCTs that were recognized by MRI after the primary shoulder dislocation with regard to tear size, degree, involved tendons, fatty degeneration, the age when the first dislocation occurred, and the duration until the MRI was evaluated after the dislocation.
Results: Fifty-five RCTs were included. According to age groups, the tear size was increased in coronal and sagittal direction, the number of involved tendons was increased, and the degree of fatty degeneration was advanced in infraspinatus muscle. Thirty-two cases (58.2%) conducted MRI after 3 weeks from the first shoulder dislocation event. This group showed that the retraction size of the coronal plane was increased significantly and the fatty accumulation of the supraspinatus muscle had progressed significantly.
Conclusions: Age is also a strong factor to affect the feature of RCT after the shoulder dislocation in patients over 40. And the delay of the MRI may deteriorate the degree of tear size and fatty degeneration.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (39)
참고문헌 신청
Maier M / 2009 / Midterm results after operatively stabilised shoulder dislocations in elderly patients / Int Orthop 33:719~723
Hovelius L / 1983 / Recurrences after initial dislocation of the shoulder : results of a prospective study of treatment / J Bone Joint Surg Am 65:343~349
Pevny T / 1998 / Primary traumatic anterior shoulder dislocation in patients 40 years of age and older / Arthroscopy 14:289~294
Bassett RW / 1983 / Acute tears of the rotator cuff : the timing of surgical repair / Clin Orthop Relat Res (175):18~24
Braune C / 2003 / Mid-term results and quantitative comparison of postoperative shoulder function in traumatic and non-traumatic rotator cuff tears / Arch Orthop Trauma Surg 123:419~424
Hovelius L / 1983 / Recurrences after initial dislocation of the shoulder : results of a prospective study of treatment / J Bone Joint Surg Am 65:343~349
Pevny T / 1998 / Primary traumatic anterior shoulder dislocation in patients 40 years of age and older / Arthroscopy 14:289~294
Bassett RW / 1983 / Acute tears of the rotator cuff : the timing of surgical repair / Clin Orthop Relat Res (175):18~24
Braune C / 2003 / Mid-term results and quantitative comparison of postoperative shoulder function in traumatic and non-traumatic rotator cuff tears / Arch Orthop Trauma Surg 123:419~424
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UCI(KEPA) : I410-ECN-0101-2020-514-001168404