Visonà E, Paladini P, Merolla G, Cerciello S, Porcellini G
Unit of Shoulder and Elbow Surgery, D. Cervesi Hospital, Cattolica, RN, Italy.
ULSS 17, Ospedale di Este, via San Fermo 10, Este, PD, Italy.
Musculoskelet Surg. 2015 Sep;99 Suppl 1:S37-42. doi: 10.1007/s12306-015-0369-9. Epub 2015 May 10.
The purpose of this study was to look at the functional outcomes of arthroscopic repair of anterosuperior rotator cuff tears.
Sixty-one patients who underwent arthroscopic repair of anterosuperior cuff tears were retrospectively reviewed. At a minimum 6 months of follow-up, shoulder functional outcome scores including the Constant score (CS), simple shoulder test (SST) and visual analogic scale (VAS) were collected. Strength recovery for supraspinatus and subscapularis was investigated.
All patients (mean age 59 ± 7) were available at a mean follow-up of 18 ± 7 months. The average CS improved from 30.8 ± 10.2 preoperatively to 76.5 ± 12.0 postoperatively, average SST from 2.6 ± 2.0 to 8.8 ± 2.9 and average VAS pain scale from 3.8 ± 1 to 0.5 ± 0.5 (p < 0.0001). Strength at belly-press and Jobe tests significantly improved (p < 0.0001). All patients with the exception of one were satisfied with the intervention.
Arthroscopic repair of anterosuperior rotator cuff tears provides a significant improvement in pain relief and shoulder function. Strength recovery is demonstrated in medium correlation with tendon healing.
本研究旨在观察关节镜下修复肩袖前上部分撕裂的功能结果。
对61例行关节镜下肩袖前上部分撕裂修复术的患者进行回顾性分析。至少随访6个月，收集肩部功能结果评分，包括Constant评分（CS）、简单肩关节试验（SST）和视觉模拟评分（VAS）。研究了冈上肌和肩胛下肌的力量恢复情况。
所有患者（平均年龄59±7岁）在平均随访18±7个月时均可用。平均CS从术前的30.8±10.2提高到术后的76.5±12.0，平均SST从2.6±2.0提高到8.8±2.9，平均VAS疼痛评分从3.8±1降低到0.5±0.5（p<0.0001）。腹部按压试验和Jobe试验的力量显著改善（p<0.0001）。除1例患者外，所有患者对干预措施均满意。
关节镜下修复肩袖前上部分撕裂可显著改善疼痛缓解和肩部功能。力量恢复与肌腱愈合呈中等相关性。
