Krief Olivier P, Huguet Dominique
Service Radiologie, Polyclinique Atlantique, Rue Claude Bernard, BP419, Saint Herblain, Cedex 44819, France.
AJR Am J Roentgenol. 2006 May;186(5):1234-9. doi: 10.2214/AJR.04.1766.
The objective of our study was to compare the level of disability induced by shoulder pain as reported by patients on the L'Insalata Self-Administered Questionnaire (SAQ) with shoulder MRI results.
One thousand seventy-nine consecutive patients referred for shoulder MRI were asked to complete the L'Insalata SAQ. Results from the L'Insalata SAQ and MRI were cross-tabulated and analyzed with multivariable linear regression.
No statistical relationship could be found between the level of pain, impairment, and disability as reported on the L'Insalata SAQ and the location and size of full-thickness tears of the rotator cuff as observed on MRI. Pain and disability are significantly linked to the presence of supraspinatus tendon lesions and the presence of bursitis, but these factors contribute little to the symptoms. Patients with biceps tendinopathy did not experience increased pain when compared with patients without biceps tendinopathy or with biceps tendon rupture.
No statistical relationship was found between the level of pain and disability and the size and location of full-thickness tears of the rotator cuff.
我们研究的目的是比较患者在因萨拉塔自我管理问卷（SAQ）上报告的肩部疼痛所致残疾水平与肩部磁共振成像（MRI）结果。
1079例连续接受肩部MRI检查的患者被要求完成因萨拉塔SAQ。将因萨拉塔SAQ的结果与MRI结果进行交叉制表，并采用多变量线性回归进行分析。
在因萨拉塔SAQ上报告的疼痛、功能障碍和残疾水平与MRI上观察到的肩袖全层撕裂的位置和大小之间未发现统计学关系。疼痛和残疾与冈上肌腱损伤的存在以及滑囊炎的存在显著相关，但这些因素对症状的影响很小。与没有肱二头肌肌腱病或肱二头肌肌腱断裂的患者相比，患有肱二头肌肌腱病的患者并未经历疼痛加剧。
在疼痛和残疾水平与肩袖全层撕裂的大小和位置之间未发现统计学关系。
