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对《肩胛盂骨量和肩胛盂版本的定性与定量分析:阅片者间分析以及与肩骨关节炎患者肩袖肌腱病和萎缩的相关性》的勘误

Correction to: Qualitative and quantitative analysis of glenoid bone stock and glenoid version: inter-reader analysis and correlation with rotator cuff tendinopathy and atrophy in patients with shoulder osteoarthritis.

作者信息

Siebert Matthew J, Chalian Majid, Sharifi Arghavan, Pezeshk Parham, Xi Yin, Lawson Parker, Chhabra Avneesh

机构信息

Radiology, UT Southwestern Medical Center, Dallas, TX, USA.

Orthopedics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.

出版信息

Skeletal Radiol. 2020 Jun;49(6):995-1003. doi: 10.1007/s00256-020-03386-z.

Abstract

Purpose Glenoid bone stock and morphology and rotator cuff muscle quality and tendon integrity affect the outcome of total shoulder arthroplasty. We hypothesized that glenoid bone loss correlates with rotator cuff muscle fatty infiltration (FI), tendinopathy, and atrophy.Design Forty-three 3-D CT scans and MRIs of 43 patients (mean age 62 years; SD 13 years; range 22-77 years) referred for primary shoulder pain were evaluated. Measurements of glenoid bone stock, version, and posterior humeral subluxation index (HSI) were assessed on an axial CT image reconstructed in the true scapular plane. Measurements utilized the Friedman line to approximate the pre-pathologic surface. Glenoid morphology was assigned by modified Walch classification. Rotator cuff FI, atrophy, and tendon integrity were assessed on corresponding MRIs.Results There was a very strong negative correlation between increasing glenoid version and HSI (r = - 0.908; p < 0.0001). There was a moderately negative correlation between anterior bone loss and HSI (r = - 0.562; p < 0.0001) and a moderately positive correlation between posterior bone loss and HSI (r = 0.555; p < 0.0001). Subscapularis muscle FI correlated moderately with increased anterior and central bone loss and increased humeral head medialization (r = 0.512, p = 0.0294; r = 0.479, p = 0.033; r = 0.494, p = 0.0294, respectively). Inter-observer reliability (intra-class correlation coefficient [ICC] and kappa) was good to excellent for all measurements and grading.Conclusion Glenoid anteversion and anterior and posterior bone loss are associated with varying HSI. Subscapularis muscle FI, not tendon integrity, correlates to anterior and central glenoid erosion. The study adds evidence that neither rotator cuff tendinopathy nor muscle atrophy exhibits a significant relationship to HSI.

摘要

目的 肩胛盂骨量及形态、肩袖肌肉质量和肌腱完整性会影响全肩关节置换术的效果。我们假设肩胛盂骨丢失与肩袖肌肉脂肪浸润(FI)、肌腱病和萎缩相关。

设计 对43例因原发性肩部疼痛就诊患者(平均年龄62岁;标准差13岁;范围22 - 77岁)的43份三维CT扫描和MRI进行评估。在真正肩胛平面重建的轴向CT图像上评估肩胛盂骨量、版本及肱骨头后脱位指数(HSI)。测量采用弗里德曼线来近似病理前表面。肩胛盂形态通过改良的瓦尔什分类法确定。在相应的MRI上评估肩袖FI、萎缩和肌腱完整性。

结果 肩胛盂版本增加与HSI之间存在非常强的负相关(r = - 0.908;p < 0.0001)。前侧骨丢失与HSI之间存在中度负相关(r = - 0.562;p < 0.0001),后侧骨丢失与HSI之间存在中度正相关(r = 0.555;p < 0.0001)。肩胛下肌FI与前侧和中央骨丢失增加及肱骨头内移增加中度相关(分别为r = 0.512,p = 0.0294;r = 0.479,p = 0.033;r = 0.494,p = 0.0294)。所有测量和分级的观察者间可靠性(组内相关系数[ICC]和kappa)良好至优秀。

结论 肩胛盂前倾角以及前侧和后侧骨丢失与不同的HSI相关。肩胛下肌FI而非肌腱完整性与肩胛盂前侧和中央侵蚀相关。该研究补充了证据,表明肩袖肌腱病和肌肉萎缩与HSI均无显著关系。

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