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菲律宾人的肩袖足迹:一项尸体研究。

The Rotator Cuff Footprint in Filipinos: A Cadaveric Study.

作者信息

Dizon Patrick M, Genuino-Regalado Karissa Arielle F, Rubio Donnel Alexis T, Genuino Rowena F, Abesamis Julius Bryan C

机构信息

Department of Orthopedics, Philippine General Hospital, University of the Philippines Manila.

Manila Doctors Hospital.

出版信息

Acta Med Philipp. 2023 Oct 26;57(10):65-70. doi: 10.47895/amp.v57i10.7144. eCollection 2023.

DOI:10.47895/amp.v57i10.7144
PMID:39483189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11522340/
Abstract

INTRODUCTION

Rotator cuff tears are one of the common etiologies of shoulder pain. Rotator cuff repair is recommended for a patient who failed conservative treatment. Proper knowledge of the rotator cuff footprint is needed in restoring correct anatomy during the repair. The size of the footprint is important in determining the kind of repair.

OBJECTIVE

This study aimed to define the average measurements of the rotator cuff footprint on the humerus in Filipino cadavers.

METHODS

This is a descriptive, cross-sectional study of preserved human cadaver upper extremity specimens. We measured the length, width, and shape of the supraspinatus, infraspinatus, subscapularis, and teres minor.

RESULTS

We obtained 27 upper extremity specimens. The median age of the source cadavers was 50.5 years with the equal male-to-female distribution. The mean measurement of the supraspinatus is 22.92 mm in length and 10.17 mm in width. The shape of the supraspinatus was found to be trapezoidal. The infraspinatus length was found to be 17.20 mm and the width at 10.72 mm. Its shape was found to be trapezoidal. The teres minor length was measured at 15.15 mm and the width at 11.04 mm. The shape was mostly trapezoidal but some were triangular. Finally, the subscapularis length was 17.68 mm while the width was 11.26 mm. The shape was trapezoidal or comma-shaped.

CONCLUSION

The average measurement of the rotator cuff footprint was found to be smaller in our study than reported in terms of length and width. The footprint shape was similar to the studies reported.

摘要

引言

肩袖撕裂是肩部疼痛的常见病因之一。对于保守治疗失败的患者,建议进行肩袖修复。在修复过程中恢复正确的解剖结构需要对肩袖足迹有充分的了解。足迹的大小对于确定修复方式很重要。

目的

本研究旨在确定菲律宾尸体肱骨上肩袖足迹的平均测量值。

方法

这是一项对保存的人体尸体上肢标本进行的描述性横断面研究。我们测量了冈上肌、冈下肌、肩胛下肌和小圆肌的长度、宽度和形状。

结果

我们获得了27个上肢标本。来源尸体的中位年龄为50.5岁,男女分布均等。冈上肌的平均测量长度为22.92毫米,宽度为10.17毫米。发现冈上肌的形状为梯形。冈下肌长度为17.20毫米,宽度为10.72毫米。其形状为梯形。小圆肌长度测量为15.15毫米,宽度为11.04毫米。形状大多为梯形,但有些为三角形。最后,肩胛下肌长度为17.68毫米,宽度为11.26毫米。形状为梯形或逗号形。

结论

在我们的研究中,发现肩袖足迹的平均测量值在长度和宽度方面比报道的要小。足迹形状与报道的研究相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a88a/11522340/470af6ab76dd/AMP-57-10-7144-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a88a/11522340/2a5017ef128b/AMP-57-10-7144-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a88a/11522340/a67279b57ee9/AMP-57-10-7144-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a88a/11522340/470af6ab76dd/AMP-57-10-7144-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a88a/11522340/2a5017ef128b/AMP-57-10-7144-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a88a/11522340/a67279b57ee9/AMP-57-10-7144-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a88a/11522340/470af6ab76dd/AMP-57-10-7144-g003.jpg

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本文引用的文献

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Effects of different cadaver preservation methods on muscles and tendons: a morphometric, biomechanical and histological study.不同尸体保存方法对肌肉和肌腱的影响:一项形态计量学、生物力学和组织学研究。
Anat Sci Int. 2020 Mar;95(2):174-189. doi: 10.1007/s12565-019-00508-z. Epub 2019 Nov 6.
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The experimental design of postmortem studies: the effect size and statistical power.死后研究的实验设计:效应大小与统计功效
Forensic Sci Med Pathol. 2016 Sep;12(3):343-9. doi: 10.1007/s12024-016-9793-x. Epub 2016 Jul 13.
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Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village.
普通人群中有症状和无症状肩袖撕裂的患病率:来自一个村庄的大规模筛查。
J Orthop. 2013 Feb 26;10(1):8-12. doi: 10.1016/j.jor.2013.01.008. eCollection 2013.
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An anatomic study of the subscapularis insertion to the humerus: the subscapularis footprint.肩胛下肌在肱骨上附着点的解剖学研究:肩胛下肌足迹
Arthroscopy. 2008 Jul;24(7):749-53. doi: 10.1016/j.arthro.2008.02.009. Epub 2008 Apr 14.
5
Humeral insertion of the supraspinatus and infraspinatus. New anatomical findings regarding the footprint of the rotator cuff.冈上肌和冈下肌在肱骨上的附着点。关于肩袖足迹的新解剖学发现。
J Bone Joint Surg Am. 2008 May;90(5):962-9. doi: 10.2106/JBJS.G.00427.
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Partial-thickness rotator cuff tears.肩袖部分厚度撕裂
J Am Acad Orthop Surg. 2006 Dec;14(13):715-25. doi: 10.5435/00124635-200612000-00003.
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The insertional footprint of the rotator cuff: an anatomic study.肩袖的插入足迹:一项解剖学研究。
Arthroscopy. 2006 Jun;22(6):609.e1. doi: 10.1016/j.arthro.2006.04.001.
8
Prevalence and incidence of shoulder pain in the general population; a systematic review.普通人群中肩痛的患病率和发病率;一项系统综述。
Scand J Rheumatol. 2004;33(2):73-81. doi: 10.1080/03009740310004667.
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The supraspinatus footprint: an anatomic study of the supraspinatus insertion.冈上肌足迹:冈上肌止点的解剖学研究
Arthroscopy. 2004 Mar;20(3):246-9. doi: 10.1016/j.arthro.2004.01.002.
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J Shoulder Elbow Surg. 2002 Sep-Oct;11(5):498-503. doi: 10.1067/mse.2002.126208.