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诊断为退行性肩袖肌腱疾病患者的临床特征:来自土耳其的一项为期6个月的前瞻性确定性临床研究。

Clinical features of patients diagnosed with degenerative rotator cuff tendon disease: a 6-month prospective-definitive clinical study from turkey.

作者信息

Koca Tuba Tülay, Arslan Aydın, Özdemir Filiz, Acet Günseli

机构信息

Physical Medicine and Rehabilitation Clinic, Research and Training Hospital, Turkey.

Orthopedics and Traumatology Clinic, Research and Training Hospital, Turkey.

出版信息

J Phys Ther Sci. 2017 Aug;29(8):1433-1437. doi: 10.1589/jpts.29.1433. Epub 2017 Aug 10.

DOI:10.1589/jpts.29.1433
PMID:28878478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5574353/
Abstract

[Purpose] In rotator cuff tendon disease (RCTD), anamnesis is as important as clinical findings and anatomic/radio diagnostic examination. This study aimed to investigate the clinical features of patients diagnosed with RCTD using clinical and radiological methods between March 2015 and August 2015 at Malatya Research and Training Hospital Physical Medicine and Rehabilitation department. [Subjects and Methods] The study included 178 patients who were diagnosed with RCTD (128 females and 50 males). A questionnaire comprising 33 questions was given to each patient. [Results] Eighty-eight of the patients (49.9%) had an involvement on their right side, eighty-four (47.1%) had an involvement on their left side, and 6 had bilateral involvement. Mean visual analog scale (VAS) score was found to be statistically significant in favor of female patients. A statistically significant correlation was found between educational status and VAS. The body mass index (BMI) of the female patients was found to be higher than that of the male patients. Statistically significant correlation between doing risky work and gender showed that males were at a higher risk. [Conclusion] RCDT is more seen in people who have high BMI and are at their 50s. Pain complaint and BMI were found higher in female patients. DM, thyroid and cardiac diseases were seen more in the patients who are diagnosed with RCTD relative to the healthy population.

摘要

[目的] 在肩袖肌腱疾病(RCTD)中,病史与临床检查结果以及解剖学/放射学诊断检查同样重要。本研究旨在调查2015年3月至2015年8月在马拉蒂亚研究与培训医院物理医学与康复科采用临床和放射学方法诊断为RCTD的患者的临床特征。[对象与方法] 该研究纳入了178例被诊断为RCTD的患者(128例女性和50例男性)。向每位患者发放了一份包含33个问题的问卷。[结果] 88例患者(49.9%)右侧受累,84例(47.1%)左侧受累,6例双侧受累。发现平均视觉模拟量表(VAS)评分在女性患者中具有统计学意义。教育程度与VAS之间存在统计学显著相关性。发现女性患者的体重指数(BMI)高于男性患者。从事危险工作与性别之间的统计学显著相关性表明男性风险更高。[结论] RCTD在BMI较高且年龄在50多岁的人群中更为常见。女性患者的疼痛主诉和BMI更高。相对于健康人群,被诊断为RCTD的患者中糖尿病、甲状腺疾病和心脏病更为常见。

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本文引用的文献

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The Effectiveness of Multimodal Care for the Management of Soft Tissue Injuries of the Shoulder: A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.多模式护理对肩部软组织损伤管理的有效性:安大略省交通伤管理协议(OPTIMa)协作组的系统评价
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Radiological and clinical predictors of long-term outcome in rotator cuff calcific tendinitis.肩袖钙化性肌腱炎长期预后的影像学和临床预测因素
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Mental Health Has a Stronger Association with Patient-Reported Shoulder Pain and Function Than Tear Size in Patients with Full-Thickness Rotator Cuff Tears.在全层肩袖撕裂患者中,心理健康与患者报告的肩部疼痛和功能的相关性强于撕裂大小。
J Bone Joint Surg Am. 2016 Feb 17;98(4):251-6. doi: 10.2106/JBJS.O.00444.
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