Yamak Kamil, Karahan Hüseyin Gökhan, Altay Taşkın, Kayalı Cemil, Ozan Fırat
1 Department of Orthopedics and Traumatology, University of Health Sciences, İzmir Bozyaka Education and Research Hospital, İzmir, Turkey.
Department of Orthopedics and Traumatology, University of Health Sciences, İzmir Bozyaka Education and Research Hospital, İzmir, Turkey.
Ortop Traumatol Rehabil. 2019 Dec 31;21(6):417-426. doi: 10.5604/01.3001.0013.7399.
The aim of this study was to evaluate the clinical and radiographic results of surgical treatment of irreparable rotator cuff tears by subacromial balloon spacer insertion in patients over 65 years old.
Results of patients with failed conservative treatment for irreparable rotator cuff tears and who underwent subacromial balloon spacer insertion were evaluated retrospectively. The VAS and Quick-DASH scores were used for clinical and functional assessment.
Eleven patients were included. Mean age of patients was 69.1 (range: 65-77) years old. Evaluation of anteroposterior shoulder x-rays revealed Hamada grade 2 and grade 1 arthropathy in 10 patients (91%) and 1 patient (9%),respectively. Mean duration of follow-up was 45.09 (±5.43,37-52) months. The difference in the subacromial space measured from standard AP shoulder x-rays in the preoperative period, in the 6th postoperative month, and at the end of follow-up was 5.44 mm (2.29), 6.51 mm (±2.23), and 5.08 mm (±2.13), respectively. Mean Quick-DASH score was 74.49(±14.36) in the preoperative period, compared to 72.19 (±14.38) at the end of follow-up. There was no statistically significant difference between preoperative period and end of follow-up scores in terms of mean Quick-DASH scores (p= 0.232). Mean VAS score was 7.09 (±0.831) in the preoperative period and 6.64 (±0.809) at the end of follow-up. No statistically significant difference was revealed in terms of mean VAS scores when preoperative and end of follow-up scores were compared (p=0.333).
Clinical and radiographic results of subacromial balloon spacer insertion in the treatment of irreparable rotator cuff tears could not be evaluated as satisfactory.
本研究的目的是评估在65岁以上患者中通过肩峰下气囊间隔器植入术治疗不可修复的肩袖撕裂的临床和影像学结果。
回顾性评估因不可修复的肩袖撕裂而保守治疗失败并接受肩峰下气囊间隔器植入术的患者的结果。采用视觉模拟评分法（VAS）和快速 Disabilities of the Arm, Shoulder and Hand 评分（Quick-DASH）进行临床和功能评估。
纳入11例患者。患者的平均年龄为69.1岁（范围：65 - 77岁）。对肩部前后位X线片的评估显示，10例患者（91%）为滨田2级关节病，1例患者（9%）为滨田1级关节病。平均随访时间为45.09（±5.43，37 - 52）个月。术前、术后第6个月和随访结束时，通过标准肩部前后位X线片测量的肩峰下间隙差异分别为5.44 mm（±2.29）、6.51 mm（±2.23）和5.08 mm（±2.13）。术前平均Quick-DASH评分为74.49（±14.36），随访结束时为72.19（±14.38）。术前和随访结束时的平均Quick-DASH评分之间无统计学显著差异（p = 0.232）。术前平均VAS评分为7.09（±0.831），随访结束时为6.64（±0.809）。比较术前和随访结束时的平均VAS评分，未发现统计学显著差异（p = 0.333）。
肩峰下气囊间隔器植入术治疗不可修复的肩袖撕裂的临床和影像学结果不能被评估为令人满意。
