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150105江苏高绪仁膝肩关节镜手术SCI研读会Shoulder Journal Club

已有 1935 次阅读 2015-1-6 00:03 |个人分类:Dr. Xuren Gao knee&Shoulder Jour|系统分类:论文交流| 徐州医学院附属医院, 江苏省, 徐州市, 徐医附院, 徐州二院

20150105高绪仁膝肩关节尖端手术SCI论文研读会

Dr. Xuren GAO knee & Shoulder Journal Club

2015年1月5日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150105高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee & Shoulder Journal Club)。
本次研讨的论文题目是：Differences in acromial morphology of shoulders in patients with degenerative and traumatic supraspinatus tendon tears.
通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee & Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节肩袖损伤与肩峰形态之间的关系的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜微创手术治疗退变性肩袖损伤和创伤性肩袖损伤的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。

原文链接：http://www.ncbi.nlm.nih.gov/pubmed/25547273

2014 Dec 30. [Epub ahead of print]

Differences in acromial morphology of shoulders in patients with degenerative and traumatic supraspinatus tendon tears.

Balke M¹, Liem D, Greshake O, Hoeher J, Bouillon B, Banerjee M.

Author information

Abstract

PURPOSE:

Distinct characteristics of acromial morphology seem to be one factor for the development of degenerative supraspinatus tendon tears. Thus, it is questionable whether patients with traumatic tendon tears also present these parameters. The hypothesis of the present study was that the acromial morphology of patients with degenerative supraspinatus tendon tears differs from patients with traumatic tears.

METHODS:

One hundred and thirty-six patients that were treated by arthroscopic rotator cuff repair from 2010 to 2013 were included in this study. Seventy-two patients had degenerative (group 1), and 64 had traumatic (group 2) supraspinatus tendon tears. On preoperative radiographs the Bigliani type, acromial slope, acromiohumeral (AH) distance, lateral acromial angle (LAA), acromion index (AI), and critical shoulder angle (CSA) were measured. Medians of these parameters as well as of age of both groups were compared using the t test.

RESULTS:

The percentaged distribution of the Bigliani type differed (group 1 vs. 2: type 1: 18/38, type 2: 56/55, type 3: 26/8). All parameters showed significant differences between degenerative and traumatic tears. Slope: 21.2° (SD 7.6°) versus 19.2° (SD 7.9°, p = 0.026), AH distance: 8.4 mm (SD 2.3 mm) versus 9.9 mm (SD 1.9 mm, p = 0.0006), LAA: 77.0° (SD 4.0°) versus 82.5° (SD 4.7°, p < 0.0001), AI: 0.77 (SD 0.07) versus 0.73 (0.06, p = 0.0239), and CSA: 36.8° (SD 3.6°) versus 35.3° (SD 2.9°, p = 0.007). An LAA <70° or an AH distance of <5 mm only occurred in degenerative tears. Patients with degenerative tears were significantly older (60 vs. 54 years).

CONCLUSIONS:

The hypothesis that the acromial morphology of patients with degenerative supraspinatus tendon tears differs from patients with traumatic tears was confirmed. Shoulders with degenerative tears show a narrower subacromial space and a larger lateral extension as well as a steeper angulation of the acromion than with traumatic tears. Thus, the results of this study support the theory of external impingement as a cause for degenerative rotator cuff tears. LEVEL OF EVIDENCE: IV.