Department of Sports Medical, Ganzhou People's Hospital & the Affiliated Ganzhou Hospital of Nanchang University, Ganzhou, 341000 Jiangxi Province, China.
Comput Math Methods Med. 2022 Aug 18;2022:9137706. doi: 10.1155/2022/9137706. eCollection 2022.
The shoulder joint is the most flexible joint in the human body. It is a typical multiaxial ball-and-socket joint. The humeral head is approximately spherical, and the glenoid is small and shallow. This article mainly discusses the application value of computerized tomography (CT) in the early diagnosis of skeletal Bankart injury of the shoulder joint.
The chemical quality was evaluated according to the physical therapy evidence database PEDro scale. The literature quality evaluation scale and the NO scale are also used to evaluate the quality of each nonrandomized study. The standard quality scores of the literature quality evaluation scale are as follows: (1) the selection of the study group; (2) the comparability of the study group; and (3) (cohort study) clear interest results. Outcome measurement: Postoperative shoulder joint stability and range of motion (ROM) are the main results of Bankart injury patients undergoing open repair surgery and arthroscopic repair surgery. The secondary results of the survey included the Rowe score, the shoulder stability score, the American shoulder and elbow surgery score ASES, the University of California, Los Angeles, shoulder score UCLA, and the operation time.
Four of the included studies are randomized controlled trials, and the other studies are cohort studies. After meta-analysis, a fixed-effect model ( = 34%) was used to observe the difference in shoulder stability treatment between the two groups and was statistically significant ( = 0.008, RR = 0.94, 95% confidence interval: 0.890.98). The analysis results showed that compared with patients undergoing open surgery, patients' undergoing arthroscopic repair had better postoperative shoulder motion range ( < 0.001, SMD = 0.47, 95% confidence interval: -0.720.22), and there is no significant heterogeneity.
The Bankart injury of the shoulder joint cannot be diagnosed by X-ray examination alone due to its anatomical location and the size of the fracture fragments. CT examination has a better auxiliary diagnostic effect in the early stage of skeletal Bankart injury.
肩关节是人体最灵活的关节。它是一种典型的多轴球窝关节。肱骨头近似球形，关节盂小而浅。本文主要探讨计算机断层扫描（CT）在早期诊断肩关节Bankart 损伤中的应用价值。
根据物理治疗证据数据库 PEDro 量表评估化学质量。还使用文献质量评估量表和 NO 量表评估每个非随机研究的质量。文献质量评估量表的标准质量评分如下：（1）研究组的选择；（2）研究组的可比性；（3）（队列研究）明确的兴趣结果。结局测量：肩关节稳定性和活动度（ROM）是接受开放修复手术和关节镜修复手术的 Bankart 损伤患者的主要结果。调查的次要结果包括 Rowe 评分、肩关节稳定性评分、美国肩肘外科协会评分 ASES、加利福尼亚大学洛杉矶分校评分 UCLA 和手术时间。
纳入的 4 项研究为随机对照试验，其余研究为队列研究。经荟萃分析，采用固定效应模型（ = 34%）观察两组间肩关节稳定性治疗的差异，差异有统计学意义（ = 0.008，RR = 0.94，95%置信区间：0.890.98）。分析结果表明，与接受开放手术的患者相比，接受关节镜修复的患者术后肩关节运动范围更好（ < 0.001，SMD = 0.47，95%置信区间：-0.720.22），且无明显异质性。
由于其解剖位置和骨折碎片的大小，X 线检查不能单独诊断肩关节 Bankart 损伤。CT 检查在骨骼 Bankart 损伤的早期具有更好的辅助诊断效果。
