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社论评论:关节镜肩袖修复的结果:我们是在治疗患者还是在治疗 X 光片?

Editorial Commentary: Outcomes in Arthroscopic Rotator Cuff Repairs: Are We Treating Patients or Radiographs?

机构信息

Singapore.

出版信息

Arthroscopy. 2019 Oct;35(10):2948-2949. doi: 10.1016/j.arthro.2019.05.033.

DOI:10.1016/j.arthro.2019.05.033
PMID:31604516
Abstract

Rotator cuff tears are among the most common disorders of the shoulder girdle requiring surgical intervention, and it is no surprise that orthopaedic surgeons have searched far and wide for means to improve on rotator cuff repair outcomes. Radiological parameters such as the critical shoulder angle have recently emerged and have been associated with the presence of degenerative rotator cuff tears. However, their true impact on postoperative outcomes are still unclear. Although radiological parameters, because of their objectivity, will always remain a critical part of a surgeon's preoperative assessment, we must remember that ultimately we are treating patients and not radiographs.

摘要

肩袖撕裂是肩部最常见的需要手术干预的疾病之一,因此,矫形外科医生一直在寻找改善肩袖修复效果的方法,这并不奇怪。最近出现了一些影像学参数,如临界肩角,与退行性肩袖撕裂的存在有关。然而,它们对术后结果的真正影响尚不清楚。虽然影像学参数因其客观性而始终是外科医生术前评估的关键部分,但我们必须记住,我们最终治疗的是患者,而不是 X 光片。

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Editorial Commentary: Outcomes in Arthroscopic Rotator Cuff Repairs: Are We Treating Patients or Radiographs?社论评论:关节镜肩袖修复的结果:我们是在治疗患者还是在治疗 X 光片?
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引用本文的文献

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Increased preoperative greater tuberosity angle does not affect patient-reported outcomes postarthroscopic rotator cuff repair.术前大结节角度增加不影响关节镜下肩袖修复术后患者报告的结果。
JSES Int. 2020 Dec 7;5(1):72-76. doi: 10.1016/j.jseint.2020.10.008. eCollection 2021 Jan.
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Lateral Acromioplasty has a Positive Impact on Rotator Cuff Repair in Patients with a Critical Shoulder Angle Greater than 35 Degrees.对于肩峰角大于35度的严重病例,外侧肩峰成形术对肩袖修复有积极影响。
J Clin Med. 2020 Dec 5;9(12):3950. doi: 10.3390/jcm9123950.