Blauth W, Gärtner J
Orthopädische Universitätsklinik, Kiel.
Orthopade. 1991 Sep;20(4):262-5.
The authors examined 41 shoulder joints by arthrography after the patients had undergone surgery for rotator cuff tears. In 26 cases the arthrographic findings were negative; that is to say the region of the tendon suture was tightly closed. In 10 of these 26 cases the underside of the rotator cuff had a rather irregular border. The arthrograms were positive for 12 of the other 15 patients who had undergone surgery. In 3 cases contrast medium leakage into tendinous tissue on the joint side was seen. The postoperative results, ascertained with reference to the assessment guidelines proposed by Neer and Patte, were largely unrelated to the arthrographic findings. In patients with contrast medium leakage from the rotator cuff only the muscular strength was slightly reduced. There was no correlation with the clinical symptoms. In the comparison of all patients who had undergone postoperative arthrography with the total study population a lower number in the index was striking. It may be that patients with symptoms persisting after surgery were more prepared to undergo control arthrography.
在患者接受肩袖撕裂手术后，作者通过关节造影检查了41个肩关节。26例关节造影结果为阴性，也就是说肌腱缝合区域紧密闭合。在这26例中的10例，肩袖下表面边界相当不规则。另外15例接受手术的患者中，12例关节造影结果为阳性。3例可见造影剂漏入关节侧的腱性组织。参照Neer和Patte提出的评估指南确定的术后结果，在很大程度上与关节造影结果无关。在造影剂从肩袖漏出的患者中，仅肌肉力量略有下降。与临床症状无相关性。在将所有接受术后关节造影的患者与整个研究人群进行比较时，指数中的较低数值引人注目。可能是术后症状持续的患者更愿意接受对照关节造影。
