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盂肱滑膜炎评分可预测关节镜下肩袖修复术后早期肩部僵硬情况。

Glenohumeral synovitis score predicts early shoulder stiffness following arthroscopic rotator cuff repair.

作者信息

Tan Zhen, Hendy Benjamins A, Zmistowski Benjamin, Camp Robin S, Getz Charles L, Abboud Joseph A, Namdari Surena

机构信息

Department of Orthopaedic, The Second Affiliated Hospital of Guangxi Medical University, Nanning City, Guangxi Province, China.

Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

出版信息

J Orthop. 2020 Mar 30;22:17-21. doi: 10.1016/j.jor.2020.03.050. eCollection 2020 Nov-Dec.

Abstract

BACKGROUND

This study was conducted to determine if there is an association between an intraoperative glenohumeral synovitis score (GHSS) and postoperative shoulder stiffness in patients undergoing arthroscopic rotator cuff repair (ARCR).

METHODS

Intraoperative GHSS was collected retrospectively from standardized arthroscopic images on consecutive patients undergoing primary ARCR. Range of motion was collected preoperatively and postoperatively at 3 and 6 months.

RESULTS

290 consecutive patients underwent primary ARCR. At three-months follow-up, 32 (11.0%) patients had glenohumeral stiffness. Patients with stiffness had significantly higher mean GHSS.

CONCLUSION

Higher intraoperative GHSS was associated with early postoperative shoulder stiffness at three-months after ARCR.

摘要

背景

本研究旨在确定接受关节镜下肩袖修补术(ARCR)的患者术中盂肱滑膜炎评分(GHSS)与术后肩部僵硬之间是否存在关联。

方法

回顾性收集连续接受初次ARCR患者的标准化关节镜图像中的术中GHSS。术前及术后3个月和6个月收集活动范围数据。

结果

290例连续患者接受了初次ARCR。在3个月的随访中,32例(11.0%)患者出现盂肱关节僵硬。僵硬患者的平均GHSS显著更高。

结论

较高的术中GHSS与ARCR术后3个月时早期肩部僵硬相关。

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