Wang J C, Horner G, Brown E D, Shapiro M S
Department of Orthopedic Surgery, UCLA School of Medicine, Los Angeles, Calif 90077, USA.
Orthopedics. 2000 Jun;23(6):557-9. doi: 10.3928/0147-7447-20000601-12.
This study assessed the predictive value of acromial morphology in the treatment outcome of patients with impingement syndrome. Sixty-five patients with impingement syndrome were treated by a single orthopedic surgeon according to the same protocol and initially received the same conservative modalities. The incidence of acromial types in the nonoperative group was significantly different from those in the operative group (P=.008). A large proportion (88.9%) of the patients with type I acromions responded to conservative measures, while fewer (73.1%) patients with type II acromions responded to conservative measures. The majority (58.3%) of patients with type III acromions required surgical intervention. Acromial morphology appears to have a predictive value in determining the success of conservative measures and the need for surgery in patients with impingement syndrome.
本研究评估了肩峰形态对撞击综合征患者治疗结果的预测价值。65例撞击综合征患者由同一位骨科医生按照相同方案进行治疗，最初均接受相同的保守治疗方式。非手术组肩峰类型的发生率与手术组显著不同（P = 0.008）。I型肩峰患者中很大比例（88.9%）对保守治疗有反应，而II型肩峰患者中对保守治疗有反应的较少（73.1%）。III型肩峰患者中的大多数（58.3%）需要手术干预。肩峰形态在确定撞击综合征患者保守治疗的成功率和手术需求方面似乎具有预测价值。
