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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.

DOI:10.1016/j.jor.2014.04.019
PMID:25972701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4421105/
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。

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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.
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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.
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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.
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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.