普通人群中有症状和无症状肩袖撕裂的患病率：来自一个村庄的大规模筛查。
Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village.
作者信息
Minagawa Hiroshi, Yamamoto Nobuyuki, Abe Hidekazu, Fukuda Masashi, Seki Nobutoshi, Kikuchi Kazuma, Kijima Hiroaki, Itoi Eiji
机构信息
Joto Orthopedic Clinic, Akita, Japan.
Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.
出版信息
J Orthop. 2013 Feb 26;10(1):8-12. doi: 10.1016/j.jor.2013.01.008. eCollection 2013.
PURPOSE
Rotator cuff tear is the most common shoulder disease in patients with shoulder problems, but its prevalence is not well known.
METHODS
We performed a health care check-up of locomotive organs in 664 residents (21.3% of the population) in one village. Ultrasonography on bilateral shoulders was performed in all the participants.
RESULTS
One hundred and forty seven out of 664 subjects (22.1%) had full-thickness rotator cuff tears. The prevalence of tear in each decade was 0% in the 20s to 40s, 10.7% in the 50s, 15.2% in the 60s, 26.5% in the 70s, and 36.6% in the 80s. Symptomatic rotator cuff tears accounted for 34.7% of all tears and asymptomatic tears for 65.3%. The prevalence of asymptomatic rotator cuff tears was one-half of all tears in the 50s, whereas it accounted for two-thirds of those over the age of 60. The prevalence of tear was significantly greater in male than in female in the 50s and 60s, but not in the 70s and 80s.
CONCLUSION
The prevalence of rotator cuff tear in the general population was 22.1%, which increased with age. Asymptomatic tear was twice as common as symptomatic tear.
目的
肩袖撕裂是肩部问题患者中最常见的肩部疾病，但其患病率尚不明确。
方法
我们对一个村庄的664名居民（占总人口的21.3%）进行了运动器官的健康检查。所有参与者均接受了双侧肩部的超声检查。
结果
664名受试者中有147名（22.1%）存在全层肩袖撕裂。各年龄段的撕裂患病率分别为：20多岁至40多岁为0%，50多岁为10.7%，60多岁为15.2%，70多岁为26.5%，80多岁为36.6%。有症状的肩袖撕裂占所有撕裂的34.7%，无症状的撕裂占65.3%。无症状肩袖撕裂的患病率在50多岁时占所有撕裂的一半，而在60岁以上人群中占三分之二。50多岁和60多岁时，男性的撕裂患病率显著高于女性，但70多岁和80多岁时并非如此。
结论
普通人群中肩袖撕裂的患病率为22.1%，且随年龄增长而增加。无症状撕裂的发生率是有症状撕裂的两倍。
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