Longo Umile Giuseppe, Risi Ambrogioni Laura, Candela Vincenzo, Berton Alessandra, Lo Presti Daniela, Denaro Vincenzo
Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.
J Clin Med. 2023 Jun 4;12(11):3841. doi: 10.3390/jcm12113841.
Scapular dyskinesis (SD) is a condition of loss of normal mobility or function of the scapula. SD is frequently observed in patients with other shoulder disorders, such as rotator cuff (RC) tears. This study evaluates the different presentations in clinical outcomes and range of motions (ROMs) in patients suffering from RC tears with and without SD. A total of 52 patients were enrolled, of which 32 patients with RC tears and SD (group A) and 20 patients with RC tears without SD (group B). Statistically significant differences between the groups in terms of clinical outcomes were identified. There were statistically significant differences in terms of flexion ( = 0.019), extension ( = 0.015), abduction ( = 0.005), and external rotation at 90° ( = 0.003) and at 0° ( = 0.025). In conclusion, this prospective study demonstrated that SD influences the clinical presentation of patients with RC tears in terms of clinical outcomes and ROMs, apart from internal rotation. Further studies will need to show whether these differences occur regardless of SD type.
肩胛运动障碍（SD）是一种肩胛骨正常活动度或功能丧失的病症。SD在患有其他肩部疾病的患者中经常出现，比如肩袖（RC）撕裂。本研究评估了伴有和不伴有SD的RC撕裂患者在临床结果和活动范围（ROM）方面的不同表现。共纳入52例患者，其中32例患有RC撕裂且伴有SD（A组），20例患有RC撕裂但不伴有SD（B组）。确定了两组在临床结果方面存在统计学显著差异。在屈曲（=0.019）、伸展（=0.015）、外展（=0.005）以及90°（=0.003）和0°（=0.025）时的外旋方面存在统计学显著差异。总之，这项前瞻性研究表明，除了内旋外，SD在临床结果和ROM方面会影响RC撕裂患者的临床表现。进一步的研究需要表明这些差异是否与SD类型无关而出现。
