Ecklund Kier J, Lee Thay Q, Tibone James, Gupta Ranjan
Department of Orthopaedic Surgery, University of California, Irving, Orange 92868, USA.
J Am Acad Orthop Surg. 2007 Jun;15(6):340-9. doi: 10.5435/00124635-200706000-00003.
Rotator cuff tear arthropathy represents a spectrum of shoulder pathology characterized by rotator cuff insufficiency, diminished acromiohumeral distance with impingement syndromes, and arthritic changes of the glenohumeral joint. Additional features may include subdeltoid effusion, humeral head erosion, and acetabularization of the acromion. Although the progression of rotator cuff tears seems to play a role in the development of cuff tear arthropathy, information is lacking regarding the natural progression of rotator cuff tears to cuff tear arthropathy. Controversy remains about the role of basic calcium phosphate crystals in the development of cuff tear arthropathy. Nonsurgical management is the first line of treatment in most patients. Traditionally, surgical management of rotator cuff tear arthropathy has been disappointing because of the development of complications long-term and poor patient satisfaction with functional outcomes. Recent studies, however, report promising experience with reverse ball-and-socket arthroplasty.
肩袖撕裂关节病是一系列肩部病理状况，其特征为肩袖功能不全、肩峰下间隙减小伴撞击综合征以及盂肱关节的关节炎改变。其他特征可能包括三角肌下积液、肱骨头侵蚀以及肩峰髋臼化。尽管肩袖撕裂的进展似乎在肩袖撕裂关节病的发展中起作用，但关于肩袖撕裂向肩袖撕裂关节病自然进展的信息却很缺乏。碱性磷酸钙晶体在肩袖撕裂关节病发展中的作用仍存在争议。非手术治疗是大多数患者的一线治疗方法。传统上，肩袖撕裂关节病的手术治疗一直令人失望，因为长期会出现并发症，且患者对功能结果的满意度较低。然而，最近的研究报告了反向球窝关节置换术的良好经验。
