Fabiś J, Zwierzchowski H
Katedra i Klinika Ortopedii AM w Lodzi.
Chir Narzadow Ruchu Ortop Pol. 1997;62(6):491-6.
Thirteen patients aged 36-63 years underwent surgery for full thickness rotator cuff rupture. The average follow-up was 21.1 months (range 12-36 months). Supraspinatus tendon was torn in 7 cases, supraspinatus and infraspinatus in 4, subscapularis in 1 and all three tendons were ruptured in 1 patient. Subacromial decompression and cuff reconstruction was done in 11 cases, decompression combined with cuff debridement and partial subscapularis tendon reconstruction in 1 case and subscapularis reconstruction in 1 patient. Constant Score (version corrected for age and sex) was used for shoulder function evaluation. There were 6 very good, 4 good, 1 fair and 2 bad results. Recurrence of cuff tear was diagnosed sonographically in 2 cases of both supra- and infraspinatus rupture. Statistical analysis disclosed significant correlation between extent of the tear and final functional result. Constant Score can be recommended as an objective and useful method for shoulder function assessment.
13例年龄在36至63岁之间的患者接受了全层肩袖撕裂修复手术。平均随访时间为21.1个月（范围12至36个月）。其中7例冈上肌腱撕裂，4例冈上肌和冈下肌撕裂，1例肩胛下肌撕裂，1例患者所有三根肌腱均断裂。11例行肩峰下减压及肩袖重建，1例行减压联合肩袖清创及部分肩胛下肌腱重建，1例行肩胛下肌重建。采用Constant评分（根据年龄和性别校正后的版本）评估肩部功能。结果6例非常好，4例好，1例一般，2例差。超声诊断2例冈上肌和冈下肌撕裂患者出现肩袖撕裂复发。统计分析显示撕裂程度与最终功能结果之间存在显著相关性。Constant评分可作为一种客观有效的肩部功能评估方法。
