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本文引用的文献

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Critical shoulder angle: Acromial coverage is more relevant than glenoid inclination.关键肩部角度：肩峰覆盖比肩胛盂倾斜更相关。
J Orthop Res. 2019 Jan;37(1):205-210. doi: 10.1002/jor.24053. Epub 2019 Jan 8.
2
What can be learned from an analysis of 215 glenoid component failures?从对 215 个肩盂假体失败的分析中可以得到什么启示？
J Shoulder Elbow Surg. 2018 Mar;27(3):478-486. doi: 10.1016/j.jse.2017.09.029. Epub 2018 Jan 5.
3
Glenoid component loosening associated with increased critical shoulder angle at midterm follow-up.中期随访时，肩峰下骨溶解与临界肩角增加相关。
J Shoulder Elbow Surg. 2018 Mar;27(3):449-454. doi: 10.1016/j.jse.2017.10.002. Epub 2017 Dec 11.
4
Critical shoulder angle combined with age predict five shoulder pathologies: a retrospective analysis of 1000 cases.临界肩角联合年龄可预测五种肩部病变：1000例回顾性分析
BMC Musculoskelet Disord. 2017 Jun 15;18(1):259. doi: 10.1186/s12891-017-1559-4.
5
The influence of critical shoulder angle on secondary rotator cuff insufficiency following shoulder arthroplasty.
Arch Orthop Trauma Surg. 2017 Jul;137(7):913-918. doi: 10.1007/s00402-017-2707-x. Epub 2017 May 20.
6
A larger critical shoulder angle requires more rotator cuff activity to preserve joint stability.更大的临界肩角需要更多的肩袖活动来维持关节稳定性。
J Orthop Res. 2016 Jun;34(6):961-8. doi: 10.1002/jor.23104. Epub 2015 Dec 29.
7
Correlation between glenoid inclination and critical shoulder angle: a radiographic and computed tomography study.肩胛盂倾斜度与临界肩角之间的相关性：一项X线摄影和计算机断层扫描研究。
J Shoulder Elbow Surg. 2015 Dec;24(12):1948-53. doi: 10.1016/j.jse.2015.07.013. Epub 2015 Sep 6.
8
The influence of radiographic viewing perspective and demographics on the critical shoulder angle.影像学观察视角和人口统计学因素对临界肩角的影响。
J Shoulder Elbow Surg. 2015 Jun;24(6):e149-58. doi: 10.1016/j.jse.2014.10.021. Epub 2015 Jan 13.
9
Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up.50岁以下患者的肩关节置换术：至少20年的随访
J Shoulder Elbow Surg. 2015 May;24(5):705-10. doi: 10.1016/j.jse.2014.07.016. Epub 2014 Oct 8.
10
Longitudinal observational study of total shoulder replacements with cement: fifteen to twenty-year follow-up.水泥型全肩关节置换的纵向观察性研究：十五至二十年随访结果。
J Bone Joint Surg Am. 2014 Feb 5;96(3):198-205. doi: 10.2106/JBJS.M.00079.

全肩关节置换术后临界肩角对严重颅骨化的影响。

Effect of the critical shoulder angle on severe cranialization following total shoulder arthroplasty.

作者信息

Wolf Matthias, Bülhoff Matthias, Raiss Patric, Zeifang Felix, Maier Michael W

机构信息

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Germany.

OCM Klinik, Steinerstrasse 6, 81369, München, Germany.

出版信息

J Orthop. 2020 Mar 25;21:240-244. doi: 10.1016/j.jor.2020.03.024. eCollection 2020 Sep-Oct.

DOI:10.1016/j.jor.2020.03.024
PMID:32280160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7136606/
Abstract

PURPOSE

This study assesses the relationship of CSA, cranialization and radiographic glenoid loosening following TSA in the long-term follow-up.

METHODS

26 shoulders with TSA were examined radiographically postoperatively and after a mean 12.6 years. Severe cranialization was defined as direct humeral contact with the acromion and/or acetabularization of the acromion.

RESULTS

A CSA ≥35° was associated with severe cranialization. Glenoid loosening was present in 6/24 shoulders (25%). Severe cranialization was associated with glenoid loosening (p = 0.003).

CONCLUSION

A postoperative CSA ≥ 35° was associated with severe humeral cranialization after TSA in the long-term follow-up. Severe cranialization correlated with glenoid loosening.Level of evidence IV - retrospective cohort study.

摘要

目的

本研究在长期随访中评估全肩关节置换术（TSA）后肱骨头颈干角（CSA）、颅化及影像学上的关节盂松动之间的关系。

方法

对26例接受TSA的肩关节进行术后及平均12.6年后的影像学检查。严重颅化定义为肱骨头与肩峰直接接触和/或肩峰髋臼化。

结果

CSA≥35°与严重颅化相关。24例肩关节中有6例（25%）出现关节盂松动。严重颅化与关节盂松动相关（p = 0.003）。

结论

在长期随访中，TSA术后CSA≥35°与严重的肱骨头颅化相关。严重颅化与关节盂松动相关。证据等级IV - 回顾性队列研究。