Şahan Mehmet Hamdi, Serbest Sancar, Tiftikçi Uğur, Durgut Erdogan, İnal Mikail
1 Department of Radiology, Kirikkale University School of Medicine, Kirikkale, Turkey.
2 Department of Orthopedics and Traumatology, Kirikkale University School of Medicine, Kirikkale, Turkey.
J Orthop Surg (Hong Kong). 2019 Jan-Apr;27(1):2309499019825602. doi: 10.1177/2309499019825602.
The purpose of this study was to investigate the clinical results of arthroscopic rotator cuff repair in patients with anterior greater tubercle cyst in magnetic resonance imaging (MRI).
The cyst-present group comprised 38 patients with anterior greater tubercle cyst in MRI, and age- and sex-matched 30 patients without cyst in humeral head were included in the control group. The cystic group was divided into two groups, smaller than 5 mm (21 patients) and larger than 5 mm (17 patients), according to the cyst size. A total of three groups were created. In the evaluation of clinical outcomes, modified University of California at Los Angeles (UCLA) and the Western Ontario Rotator Cuff Index (WORC) were used. The visual analog scale (VAS) was used to assess pain. One-way analysis of variance was used to compare VAS, UCLA, and WORC scores among the groups.
There was a statistically significant difference in the clinical results of VAS, UCLA, and WORC among the cystic and noncystic groups in the anterior greater tubercle ( p < 0.05). There was also a statistically significant difference in the clinical results of UCLA, WORC, and VAS scores according to the cyst sizes in the anterior greater tubercle cyst group ( p < 0.05).
Anterior greater tubercle cysts have negative effects on rotator cuff repair results. If the anterior greater tubercle cyst size is greater than 5 mm, the negative effects of rotator cuff repair results are more pronounced. An understanding of anterior greater tubercle cysts has a critical importance for rotator cuff surgery planning.
本研究旨在探讨磁共振成像（MRI）显示存在前侧大结节囊肿的患者行关节镜下肩袖修复的临床结果。
囊肿存在组包括38例MRI显示有前侧大结节囊肿的患者，年龄和性别匹配的30例肱骨头无囊肿的患者纳入对照组。根据囊肿大小，囊肿组分为两组，小于5mm（21例患者）和大于5mm（17例患者），共创建三组。在评估临床结果时，使用改良的加州大学洛杉矶分校（UCLA）评分和西安大略肩袖指数（WORC）。采用视觉模拟量表（VAS）评估疼痛。采用单因素方差分析比较各组间的VAS、UCLA和WORC评分。
前侧大结节囊肿组与非囊肿组在VAS、UCLA和WORC的临床结果上存在统计学显著差异（p<0.05）。前侧大结节囊肿组根据囊肿大小在UCLA、WORC和VAS评分的临床结果上也存在统计学显著差异（p<0.05）。
前侧大结节囊肿对肩袖修复结果有负面影响。如果前侧大结节囊肿大小大于5mm，肩袖修复结果的负面影响更明显。了解前侧大结节囊肿对肩袖手术规划至关重要。
