与关节镜下肩袖修复术后的Constant和牛津肩部评分相比，加州大学洛杉矶分校肩部评分是治疗成功的更好预测指标：一项为期2年的随访研究。
The UCLA Shoulder Score Is a Better Predictor of Treatment Success Than the Constant and Oxford Shoulder Scores After Arthroscopic Rotator Cuff Repair: A 2-Year Follow-Up Study.
作者信息
Moorthy Vikaesh, Chen Jerry Yongqiang, Lee Merrill, Ang Benjamin Fu Hong, Lie Denny Tjiauw Tjoen
机构信息
Yong Loo Lin School of Medicine, National University Singapore, Singapore.
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
出版信息
Arthrosc Sports Med Rehabil. 2021 Feb 25;3(2):e485-e490. doi: 10.1016/j.asmr.2020.11.003. eCollection 2021 Apr.
PURPOSE
The aim of this study was to determine the correlation between functional outcome scores and treatment success after arthroscopic rotator cuff repair.
METHODS
We conducted a retrospective cohort study of patients who underwent unilateral rotator cuff repair at a tertiary hospital between 2010 and 2015. University of California at Los Angeles Shoulder Score (UCLASS), Constant Shoulder Score (CSS), and Oxford Shoulder Score (OSS) were measured before and at 6, 12, and 24 months after surgery. Patients were divided into 2 groups at each follow-up: (1) those with successful treatment and (2) those with unsuccessful treatment. Treatment success was defined as simultaneous fulfilment of 3 criteria: clinically significant improvement in pain, expectations for surgery met, and patient satisfied with surgery.
RESULTS
A total of 214 subjects met the inclusion criteria. UCLASS was a consistent significant predictor of treatment success at 6 months (odds ratio [OR] 1.192, = .005, 95% confidence interval [CI] 1.054-1.348), 12 months (OR 1.274, < .001, 95% CI 1.153-1.406), and 24 months (OR 1.266, < .001, 95% CI 1.162-1.380). Lower preoperative CSS was significant in predicting treatment success at 6 months (OR 0.952, = .001, 95% CI 0.926-0.979), while larger tear size was significant in predicting treatment success at 24 months (OR 1.773, = .043, 95% CI 1.019-3.083).
CONCLUSION
UCLASS is a better tool for predicting treatment success than CSS and OSS in patients undergoing arthroscopic rotator cuff repair, up to a minimum of 24 months' follow-up. A holistic assessment of shoulder function, taking into account both subjective and objective evaluation of function, as well as patient-reported satisfaction, is important in determining treatment success after arthroscopic rotator cuff repair.
LEVEL OF EVIDENCE
III, retrospective comparative study.
目的
本研究旨在确定关节镜下肩袖修复术后功能结局评分与治疗成功之间的相关性。
方法
我们对2010年至2015年在一家三级医院接受单侧肩袖修复的患者进行了一项回顾性队列研究。在手术前以及术后6个月、12个月和24个月测量加利福尼亚大学洛杉矶分校肩袖评分（UCLASS）、Constant肩袖评分（CSS）和牛津肩袖评分（OSS）。在每次随访时将患者分为两组：（1）治疗成功组和（2）治疗失败组。治疗成功定义为同时满足3条标准：疼痛有临床显著改善、手术预期达成、患者对手术满意。
结果
共有214名受试者符合纳入标准。UCLASS在术后6个月（优势比[OR]1.192，P = .005，95%置信区间[CI]1.054 - 1.348）、12个月（OR 1.274，P < .001，95% CI 1.153 - 1.406）和24个月（OR 1.266，P < .001，95% CI 1.162 - 1.380）时均是治疗成功的一致显著预测指标。术前较低的CSS在预测术后6个月治疗成功方面具有显著性（OR 0.952，P = .001，95% CI 0.926 - 0.979），而较大的撕裂尺寸在预测术后24个月治疗成功方面具有显著性（OR 1.773，P = .043，95% CI 1.019 - 3.083）。
结论
在接受关节镜下肩袖修复的患者中，长达至少24个月的随访期内，UCLASS在预测治疗成功方面比CSS和OSS是更好的工具。在确定关节镜下肩袖修复术后的治疗成功时，综合评估肩部功能，兼顾功能的主观和客观评估以及患者报告的满意度很重要。
证据水平
III级，回顾性比较研究。
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