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关节镜下肩袖修复术后对无症状患者进行系统的长期超声随访是否有用?

Is systematic long-term sonographic follow-up after arthroscopic rotator cuff repair useful in asymptomatic patients?

作者信息

Desportes Emilie, Lefere Mathieu, Flurin Pierre-Henri, Abadie Pierre, Pesquer Lionel, Dallaudiere Benjamin

出版信息

Acta Orthop Belg. 2015 Sep;81(3):478-84.

PMID:26435244
Abstract

OBJECTIVE

To establish whether ultrasonographic (US) appearance is correlated to functional outcome in asymptomatic patients 12 months after rotator cuff repair.

MATERIAL AND METHODS

26 asymptomatic patients at twelve months after arthroscopic cuff repair and 26 controls were retrospectively included. A clinical score (Constant's Shoulder Score, CSS) was compared with a US score (the modified Sugaya Score, mSS). The minimal thickness of the anterior and posterior parts of the cuff was also measured.

RESULTS

CSS improved significantly from preoperatively to postoperatively (mean increased from 41 to 82.6, p<.001). Correlation between the postoperative CSS and the minimal thickness of the cuff at its anterior and posterior part (p=0.55 and p=0.13) was not significant. There was also no significant correlation between the postoperative CSS and mSS (p=0.34).

CONCLUSION

The sonographic appearance of the cuff repair is not correlated to the functional outcome at 12 months after arthroscopic surgery in asymptomatic patients.

摘要

目的

确定无症状患者肩袖修复术后12个月时超声(US)表现与功能结果是否相关。

材料与方法

回顾性纳入26例关节镜下肩袖修复术后12个月的无症状患者及26例对照。将临床评分(Constant肩关节评分,CSS)与超声评分(改良Sugaya评分,mSS)进行比较。同时测量肩袖前后部的最小厚度。

结果

CSS从术前到术后显著改善(平均从41提高到82.6,p<0.001)。术后CSS与肩袖前后部最小厚度之间的相关性不显著(p=0.55和p=0.13)。术后CSS与mSS之间也无显著相关性(p=0.34)。

结论

无症状患者关节镜手术后12个月时,肩袖修复的超声表现与功能结果不相关。

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