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肩峰形态学参数与肩袖撕裂的关联以及年龄和性别对这些参数的影响及其对肩袖撕裂的作用评估:一项针对中东人群的研究

Association of acromial morphological parameters and rotator cuff tears, and evaluation of the influence of age and gender on the parameters and impact on cuff tears: A study on a Middle Eastern population.

作者信息

Maalouly Joseph, Tawk Antonios, Aouad Dany, Abdallah Ali, Darwiche Mohammad, Abboud Ghadi, El Rassi Georges

机构信息

Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O.Box 166378, Achrafieh, Beirut, 1100 2807, Lebanon.

出版信息

Asia Pac J Sports Med Arthrosc Rehabil Technol. 2020 Mar 5;20:17-23. doi: 10.1016/j.asmart.2020.02.002. eCollection 2020 Apr.

Abstract

OBJECTIVE

The aim of this study is to evaluate the presence of significant differences regarding the lateral acromial angle, critical shoulder angle, and the acromial index between patients with and without rotator cuff tears.

METHOD

The MRIs (Magnetic Resonnance Imaging) of 82 patients were studied. The rotator cuff tear group (RCT group) included 41 patients while the control group also included 41 patients without rotator cuff tears. Acromial parameters and demographical data were extracted for statistical analysis.

RESULTS

No statistical significant difference was found in terms of the studied acromial parameters between patients with and without rotator cuff tears. No correlation was found between age and any of the studied parameters. LAA (Lateral Acromial Angle) was found to be significantly different between males and females of the studied sample. However, no difference was found between patients with and without rotator cuff tears when both genders were studied separately. Moreover, no statistical significant difference was found in terms of the studied acromial parameters between males and females when the RCT group and the control group were studied separately. When gender was the covariate in the one-way MANCOVA test, gender was not significantly dependent on the type of groups (RCT group vs control group).

CONCLUSION

The results obtained from this study suggested that the studied acromial parameters in patients with rotator cuff tears were not different from the parameters found in patients without rotator cuff tears. Moreover, gender was not found to influence the acromial parameters, with no subsequent effect on the development of rotator cuff tears. Further studies may be required for better understanding on the biomechanics, taking into consideration age, gender, and the given population.

摘要

目的

本研究旨在评估肩袖损伤患者与非肩袖损伤患者在肩峰外侧角、临界肩角和肩峰指数方面是否存在显著差异。

方法

对82例患者的磁共振成像(MRI)进行研究。肩袖损伤组(RCT组)包括41例患者,对照组也包括41例无肩袖损伤的患者。提取肩峰参数和人口统计学数据进行统计分析。

结果

在肩袖损伤患者与非肩袖损伤患者之间,所研究的肩峰参数方面未发现统计学显著差异。年龄与任何所研究的参数之间均未发现相关性。在所研究的样本中,发现男性和女性之间的肩峰外侧角(LAA)存在显著差异。然而,当分别研究男性和女性时,肩袖损伤患者与非肩袖损伤患者之间未发现差异。此外,当分别研究RCT组和对照组时,男性和女性在所研究的肩峰参数方面未发现统计学显著差异。在单因素多变量协方差分析(MANCOVA)测试中,当性别作为协变量时,性别与组类型(RCT组与对照组)无显著相关性。

结论

本研究结果表明,肩袖损伤患者所研究的肩峰参数与无肩袖损伤患者的参数无差异。此外,未发现性别会影响肩峰参数,进而对肩袖损伤的发生无后续影响。考虑到年龄、性别和特定人群,可能需要进一步研究以更好地理解生物力学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e36b/7058845/f69307baba22/egi10SJ6NQVLQZ.jpg

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