Weiser L, Assheuer J, Schulitz K P, Castro W H M
Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
Versicherungsmedizin. 2012 Sep 1;64(3):122-6.
It is often not easy to classify a rotator cuff tear into traumatic or non-traumatic. For individual medical examinations the classification depends basically on the following four criteria: Case history, analysis of the accident, analysis of the complaints after the accident (or even before) and the pathomorphological findings. The aim of this study was to identify findings in the magnetic resonance imaging of the shoulder joints of patients with rotator cuff tears that could help in the differentiation of traumatic versus non-traumatic. As a result it could be shown that infraspinatus and subscapularis tears, Hill-Sachs lesions and fractures of the tuberculum majus are significantly more detectable among those patients reporting a trauma. In contrast degeneration of the supraspinatus tendon, calcific tendinitis of the supraspinatus tendon, ac-joint degeneration and an absence of the subacromial fat pad are more verifiable in the non-traumatic group. These results can be used as additional important information in the individual medical examination of patients with rotator cuff tears.
将肩袖撕裂分类为创伤性或非创伤性通常并不容易。对于个体医学检查，分类基本上取决于以下四个标准：病史、事故分析、事故后（甚至事故前）的症状分析以及病理形态学发现。本研究的目的是确定肩袖撕裂患者肩关节磁共振成像中的发现，这些发现有助于区分创伤性与非创伤性肩袖撕裂。结果表明，在报告有创伤的患者中，冈下肌和肩胛下肌撕裂、希尔-萨克斯损伤以及大结节骨折的检出率显著更高。相比之下，在非创伤性组中，冈上肌腱退变、冈上肌腱钙化性肌腱炎、肩锁关节退变以及肩峰下脂肪垫缺失的情况更易得到证实。这些结果可作为肩袖撕裂患者个体医学检查中的重要补充信息。
