Maffulli Nicola, Longo Umile Giuseppe, Franceschi Francesco, Rabitti Carla, Denaro Vincenzo
Department of Trauma and Orthopaedic Surgery, University Hospital of North Staffordshire, Keele University School of Medicine, Thornburrow Drive, Hartshill, Stoke on Trent, ST4 7QB, Staffs, England, UK.
Clin Orthop Relat Res. 2008 Jul;466(7):1605-11. doi: 10.1007/s11999-008-0261-0. Epub 2008 Apr 25.
The Movin scoring system and its validated modifications and the Bonar scoring system are used to classify the histopathological findings of tendinopathy. We compared the reliability of these two different histopathological evaluation scores of tendon tissue. Tendon samples were harvested from 88 individuals (49 men, 39 women; mean age, 58.2 years) who underwent arthroscopic repair of a rotator cuff tear, and from five male patients who died of cardiovascular events (mean age, 69.6 years). A piece of supraspinatus tendon that was not directly involved in the tear was harvested en bloc within the intact middle portion of the tendon. Using hematoxylin and eosin staining and Alcian blue, slides were assessed using Bonar and Movin scores. The intraclass correlation was 0.921 (confidence interval 95% 0.790-0.963). Movin's and Bonar's scores have a high correlation and assess similar characteristics and variables of tendon abnormalities.
Movin评分系统及其经过验证的改良版本以及Bonar评分系统用于对肌腱病的组织病理学发现进行分类。我们比较了这两种不同的肌腱组织组织病理学评估评分的可靠性。肌腱样本取自88例接受肩袖撕裂关节镜修复的个体(49名男性,39名女性;平均年龄58.2岁),以及5例死于心血管事件的男性患者(平均年龄69.6岁)。在肌腱完整的中间部分整块获取一块未直接参与撕裂的冈上肌腱。使用苏木精-伊红染色和阿尔辛蓝染色,用Bonar评分和Movin评分对切片进行评估。组内相关性为0.921(95%置信区间0.790-0.963)。Movin评分和Bonar评分具有高度相关性,且评估肌腱异常的相似特征和变量。