反肩关节置换术：新加坡中央医院的经验及一种测量旋转中心变化的简单方法。
Reverse shoulder arthroplasty: The Singapore General Hospital experience and a simple method of measuring change in the center-of-rotation.
作者信息
Ang Chay-You, Lai Kah-Weng, Tjiauw Tjoen Denny Lie, Chang Chee Cheng Paul
机构信息
Singapore General Hospital, Singapore.
出版信息
J Orthop. 2014 Jun 10;12(2):97-101. doi: 10.1016/j.jor.2014.04.019. eCollection 2015 Jun.
Abstract
INTRODUCTION
This study reviews the outcomes of reverse shoulder arthroplasty (RSA) and introduces a novel method of measuring changes in the center-of-rotation (COR) of the shoulder joint post-operatively.
METHODS
We performed 10 reverse shoulders in 2011. Patients were evaluated pre-operatively and post-operatively using the Constant Score. The COR of the shoulder was determined pre- and post-operatively on radiographs and the differences were analysed.
RESULTS
There was significant improvement in Constant Scores post-operatively with reduction in pain and increase in strength. Medialisation but not distalisation of the COR was achieved.
DISCUSSION
Longer follow-up studies and studies on survivalship are required.
摘要
引言
本研究回顾了反式肩关节置换术（RSA）的结果，并介绍了一种测量肩关节术后旋转中心（COR）变化的新方法。
方法
2011年我们实施了10例反式肩关节置换手术。术前和术后使用Constant评分对患者进行评估。通过X线片确定术前和术后肩关节的旋转中心，并分析其差异。
结果
术后Constant评分显著改善，疼痛减轻，力量增加。实现了旋转中心的内移而非下移。
讨论
需要进行更长时间的随访研究和生存率研究。
相似文献
1
Reverse shoulder arthroplasty: The Singapore General Hospital experience and a simple method of measuring change in the center-of-rotation.反肩关节置换术：新加坡中央医院的经验及一种测量旋转中心变化的简单方法。
J Orthop. 2014 Jun 10;12(2):97-101. doi: 10.1016/j.jor.2014.04.019. eCollection 2015 Jun.
2
Reverse total shoulder arthroplasty for cuff tear arthropathy: the clinical effect of deltoid lengthening and center of rotation medialization.肩袖撕裂性关节病的反式全肩关节置换术：三角肌延长和旋转中心内侧化的临床效果。
J Shoulder Elbow Surg. 2012 Oct;21(10):1269-77. doi: 10.1016/j.jse.2011.08.049. Epub 2011 Nov 6.
3
A method for documenting the change in center of rotation with reverse total shoulder arthroplasty and its application to a consecutive series of 68 shoulders having reconstruction with one of two different reverse prostheses.一种用于记录反式全肩关节置换术后旋转中心变化的方法及其在 68 例连续肩关节中两种不同反式假体重建的应用。
J Shoulder Elbow Surg. 2010 Oct;19(7):1028-33. doi: 10.1016/j.jse.2010.01.021.
4
Isokinetic strength differences between patients with primary reverse and total shoulder prostheses: muscle strength quantified with a dynamometer.初次翻修肩关节置换与全肩关节置换患者之间的等速肌力差异：用测力计量化肌肉力量。
Clin Biomech (Bristol). 2014 Nov;29(9):965-70. doi: 10.1016/j.clinbiomech.2014.08.018. Epub 2014 Sep 16.
5
Does bony increased-offset reverse shoulder arthroplasty decrease scapular notching?增加骨偏移的反肩关节置换术是否能减少肩胛切迹？
J Shoulder Elbow Surg. 2015 Mar;24(3):468-73. doi: 10.1016/j.jse.2014.08.015. Epub 2014 Oct 22.
6
Does lateralisation of the centre of rotation in reverse shoulder arthroplasty avoid scapular notching? Clinical and radiological review of one hundred and forty cases with forty five months of follow-up.反肩关节置换术中旋转中心的侧方化能否避免肩胛切迹？140例患者随访45个月的临床及影像学回顾
Int Orthop. 2016 Jan;40(1):99-108. doi: 10.1007/s00264-015-2976-3. Epub 2015 Sep 4.
7
Isokinetic Evaluation of Shoulder Strength and Endurance after Reverse Shoulder Arthroplasty: A Comparative Study.反式肩关节置换术后肩部力量和耐力的等速评估：一项对比研究。
Acta Orthop Traumatol Turc. 2019 Nov;53(6):452-456. doi: 10.1016/j.aott.2019.08.001. Epub 2019 Aug 19.
8
A reverse shoulder arthroplasty with increased offset for the treatment of cuff-deficient shoulders with glenohumeral arthritis.反式肩关节置换术增加了偏心距，用于治疗伴有肩袖缺损的肩袖关节病。
Bone Joint J. 2014 Jul;96-B(7):936-42. doi: 10.1302/0301-620X.96B7.32946.
9
Clinical results of bony increased-offset reverse shoulder arthroplasty (BIO-RSA) associated with an onlay 145° curved stem in patients with cuff tear arthropathy: a comparative study.肩袖撕裂性关节病患者采用骨增量型反肩关节置换（BIO-RSA）联合 145°拱形骨水泥型假体的临床疗效：一项对比研究。
J Shoulder Elbow Surg. 2020 Jan;29(1):58-67. doi: 10.1016/j.jse.2019.05.023. Epub 2019 Aug 7.
10
Early outcomes of staged bilateral reverse total shoulder arthroplasty: a case-control study.分期双侧反式全肩关节置换术的早期结果：一项病例对照研究。
Bone Joint J. 2013 Sep;95-B(9):1232-8. doi: 10.1302/0301-620X.95B9.31445.
引用本文的文献
1
Comparable outcomes of reverse shoulder arthroplasty for proximal humerus fractures and for rotator cuff arthropathy in a predominantly asian population.在以亚洲人群为主的群体中，肱骨近端骨折和肩袖关节病行反肩关节置换术的疗效比较。
Shoulder Elbow. 2023 Nov;15(4 Suppl):53-62. doi: 10.1177/17585732221097415. Epub 2022 May 3.
2
CT versus MRI planning for reverse geometry total shoulder arthroplasty.用于反向几何全肩关节置换术的CT与MRI规划
J Orthop. 2021 Oct 14;28:21-25. doi: 10.1016/j.jor.2021.10.003. eCollection 2021 Nov-Dec.
本文引用的文献
1
Investigating minimal clinically important difference for Constant score in patients undergoing rotator cuff surgery.调查行肩袖修补术患者 Constant 评分的最小临床重要差异。
J Shoulder Elbow Surg. 2013 Dec;22(12):1650-5. doi: 10.1016/j.jse.2013.05.002. Epub 2013 Jul 12.
2
Early clinical results of reverse total shoulder arthroplasty in the Korean population.韩国人群反向全肩关节置换术的早期临床结果。
J Shoulder Elbow Surg. 2013 Aug;22(8):1102-7. doi: 10.1016/j.jse.2012.07.019. Epub 2013 Feb 14.
3
Reverse shoulder arthroplasty.反向肩关节置换术。
Curr Rev Musculoskelet Med. 2011 Dec;4(4):183-90. doi: 10.1007/s12178-011-9097-4.
4
Reverse shoulder arthroplasty leads to significant biomechanical changes in the remaining rotator cuff.反式肩关节置换术会导致剩余肩袖的生物力学发生显著变化。
J Orthop Surg Res. 2011 Aug 16;6:42. doi: 10.1186/1749-799X-6-42.
5
A method for documenting the change in center of rotation with reverse total shoulder arthroplasty and its application to a consecutive series of 68 shoulders having reconstruction with one of two different reverse prostheses.一种用于记录反式全肩关节置换术后旋转中心变化的方法及其在 68 例连续肩关节中两种不同反式假体重建的应用。
J Shoulder Elbow Surg. 2010 Oct;19(7):1028-33. doi: 10.1016/j.jse.2010.01.021.
6
Reversed shoulder arthroplasty with modified L'Episcopo for combined loss of active elevation and external rotation.改良 L'Episcopo 技术反肩关节置换术治疗主动抬高和外旋联合丧失。
J Shoulder Elbow Surg. 2010 Mar;19(2 Suppl):20-30. doi: 10.1016/j.jse.2009.12.011.
7
Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency.反式肩关节置换术治疗肩袖损伤
J Bone Joint Surg Am. 2008 Jun;90(6):1244-51. doi: 10.2106/JBJS.G.00775.
8
A review of the Constant score: modifications and guidelines for its use.康斯坦特评分综述：其使用的修改与指南
J Shoulder Elbow Surg. 2008 Mar-Apr;17(2):355-61. doi: 10.1016/j.jse.2007.06.022. Epub 2008 Jan 22.
9
Reverse total shoulder arthroplasty: a review of results according to etiology.反式全肩关节置换术：根据病因的结果综述
J Bone Joint Surg Am. 2007 Jul;89(7):1476-85. doi: 10.2106/JBJS.F.00666.
10
Impact of fatty infiltration of the teres minor muscle on the outcome of reverse total shoulder arthroplasty.小圆肌脂肪浸润对反式全肩关节置换术疗效的影响。
J Bone Joint Surg Am. 2007 May;89(5):934-9. doi: 10.2106/JBJS.F.01075.
Zotero 插件