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
- 2021.6
- 수록면
- 80 - 87 (8page)
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초록· 키워드
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Background: Complex regional pain syndrome (CRPS)-related hand lesions are one of the complications following arthroscopic rotator cuff repair (ARCR). This study aimed to investigate the clinical outcomes of patients with CRPS-related hand lesions following ARCR.
Methods: Altogether, 103 patients with ARCR were included in this study (mean age, 63.6±8.2 years; 66 males and 37 females; follow-up period, preoperative to 12 months postoperative). Clinical assessment included the Japanese Orthopaedic Association (JOA) score, University of California, Los Angeles (UCLA) score, Constant score, 36-item short form health survey (SF-36) score, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score from preoperative to 12 months postoperatively. The patients were either assigned to the CRPS group or non-CRPS group depending on CRPS diagnosis until the final follow-up, and clinical outcomes were then compared between the groups.
Results: Of 103 patients, 20 (19.4%) had CRPS-related hand lesions that developed entirely within 2 months postoperatively. Both groups showed significant improvement in JOA, UCLA, and Constant scores preoperatively to 12 months postoperatively (p<001). Comparisons between the two groups were not significantly different, except for SF-36 “general health perception” (p<0.05) at 12 months postoperatively. At final follow-up, three patients had residual CRPS-related hand lesions with limited range of motion and finger edema.
Conclusions: CRPS-related hand lesions developed in 19.4% of patients following ARCR. Shoulder or upper-limb function improved in most cases at 12 months, with satisfactory SF-36 patient-based evaluation results. Patients with residual CRPS-related hand lesions at the last follow-up require long-term follow-up.
Methods: Altogether, 103 patients with ARCR were included in this study (mean age, 63.6±8.2 years; 66 males and 37 females; follow-up period, preoperative to 12 months postoperative). Clinical assessment included the Japanese Orthopaedic Association (JOA) score, University of California, Los Angeles (UCLA) score, Constant score, 36-item short form health survey (SF-36) score, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score from preoperative to 12 months postoperatively. The patients were either assigned to the CRPS group or non-CRPS group depending on CRPS diagnosis until the final follow-up, and clinical outcomes were then compared between the groups.
Results: Of 103 patients, 20 (19.4%) had CRPS-related hand lesions that developed entirely within 2 months postoperatively. Both groups showed significant improvement in JOA, UCLA, and Constant scores preoperatively to 12 months postoperatively (p<001). Comparisons between the two groups were not significantly different, except for SF-36 “general health perception” (p<0.05) at 12 months postoperatively. At final follow-up, three patients had residual CRPS-related hand lesions with limited range of motion and finger edema.
Conclusions: CRPS-related hand lesions developed in 19.4% of patients following ARCR. Shoulder or upper-limb function improved in most cases at 12 months, with satisfactory SF-36 patient-based evaluation results. Patients with residual CRPS-related hand lesions at the last follow-up require long-term follow-up.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
Kukkonen J / 2015 / Treatment of nontraumatic rotator cuff tears : a randomized controlled trial with two years of clinical and imaging follow-up / J Bone Joint Surg Am 97:1729~1737
Iyengar JJ / 2014 / Current trends in rotator cuff repair: surgical technique, setting, and cost / Arthroscopy 30:284~288
McElvany MD / 2015 / Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome / Am J Sports Med 43:491~500
Severud EL / 2003 / All-arthroscopic versus mini-open rotator cuff repair : a long-term retrospective outcome comparison / Arthroscopy 19:234~238
Morse K / 2008 / Arthroscopic versus mini-open rotator cuff repair : a comprehensive review and meta-analysis / Am J Sports Med 36:1824~1828
Iyengar JJ / 2014 / Current trends in rotator cuff repair: surgical technique, setting, and cost / Arthroscopy 30:284~288
McElvany MD / 2015 / Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome / Am J Sports Med 43:491~500
Severud EL / 2003 / All-arthroscopic versus mini-open rotator cuff repair : a long-term retrospective outcome comparison / Arthroscopy 19:234~238
Morse K / 2008 / Arthroscopic versus mini-open rotator cuff repair : a comprehensive review and meta-analysis / Am J Sports Med 36:1824~1828
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UCI(KEPA) : I410-ECN-0101-2021-514-001741238