Sallai Imre, Weidl Márton, Szatmári Attila, Antal Imre, Skaliczki Gábor
Ortopédiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78/b, II. em., 1082.
Orv Hetil. 2019 Apr;160(14):533-539. doi: 10.1556/650.2019.31326.
In the case of rotator cuff tears, the severity of the muscle atrophy and fatty degeneration has an effect on the success of the repair and on the functional outcome after surgery.
The ability of regeneration reduces with ageing; therefore, the study examined the atrophy and the fatty degeneration after rotator cuff repair in patients over 65.
Eleven patients over 65 years of age were involved whose surgery was performed at the Department of Orthopaedics of Semmelweis University between 2012 and 2015. Their average age was 71.9 years and the average follow-up period was 39.9 months. Tear sizes were C1 in 3 cases, C2 in 3 cases, C3 in 4 cases, and C4 in 1 case. Each patient had magnetic resonance examination before and after the repair; the muscle atrophy and fatty degeneration were evaluated together with the type of the tear. Visual analogue scale and Constant score were used for the assessment of the pain and the shoulder function.
The average Constant score was 75 points. The occupancy ratio - referring to the severity of the atrophy - did not show significant improvement. The change in fatty degeneration and the atrophy were examined in different groups according to the size of the tears. In each group, the results showed progression.
After rotator cuff repair in patients over 65, fatty degeneration and muscle atrophy also show progression. No significant relationship was found between the size of the tear and fatty degeneration or between the size of the tear and muscle atrophy. Orv Hetil. 2019; 160(14): 533-539.
在肩袖撕裂的情况下，肌肉萎缩和脂肪变性的严重程度会影响修复的成功率以及术后的功能结果。
再生能力会随着年龄增长而降低；因此，本研究对65岁以上患者肩袖修复后的萎缩和脂肪变性情况进行了检查。
纳入11例65岁以上患者，他们于2012年至2015年在塞梅尔维斯大学骨科接受手术。他们的平均年龄为71.9岁，平均随访期为39.9个月。撕裂大小为C1的有3例，C2的有3例，C3的有4例，C4的有1例。每位患者在修复前后均进行了磁共振检查；对肌肉萎缩、脂肪变性以及撕裂类型进行了评估。使用视觉模拟量表和Constant评分对疼痛和肩部功能进行评估。
平均Constant评分为75分。反映萎缩严重程度的占有率未显示出明显改善。根据撕裂大小将不同组的脂肪变性和萎缩变化进行了检查。在每组中，结果均显示有进展。
65岁以上患者肩袖修复后，脂肪变性和肌肉萎缩也会进展。未发现撕裂大小与脂肪变性之间或撕裂大小与肌肉萎缩之间存在显著关系。《匈牙利医学周报》。2019年；160(14):533 - 539。
