Lawrence Rebekah L, Moutzouros Vasilios, Bey Michael J
Department of Orthopaedic Surgery, Bone & Joint Center, Henry Ford Health System, Detroit, Michigan.
JBJS Rev. 2019 Jun;7(6):e9. doi: 10.2106/JBJS.RVW.18.00149.
Asymptomatic rotator cuff tears (RCTs) are prevalent in the general population; they are positively associated with age and are common in the contralateral shoulder of individuals who are being treated for shoulder pain or a symptomatic RCT. Asymptomatic RCTs are likely to become symptomatic over time, corresponding with decreased patient-reported function, strength, and range of motion. Previous studies have largely reported inconsistent findings regarding patient-reported outcomes, strength, range of motion, and kinematics in individuals with asymptomatic RCTs. Future research would benefit from characterizing any functional alteration that is associated with asymptomatic rotator cuff pathology, including determining whether such alterations are detrimental or compensatory and understanding the mechanism by which an asymptomatic RCT becomes symptomatic.
无症状性肩袖撕裂(RCTs)在普通人群中很普遍;它们与年龄呈正相关,在因肩部疼痛或有症状的RCT接受治疗的个体的对侧肩部也很常见。无症状性RCTs可能会随着时间推移而出现症状,这与患者报告的功能、力量和活动范围下降相对应。先前的研究在很大程度上报告了关于无症状性RCTs个体的患者报告结局、力量、活动范围和运动学方面的不一致结果。未来的研究将受益于对与无症状性肩袖病变相关的任何功能改变进行特征描述,包括确定这些改变是有害的还是代偿性的,以及了解无症状性RCTs出现症状的机制。