[1]王守立,周晓波,刘福存,等.国人肩峰指数与肩袖撕裂的关系研究…[J].中医正骨,2017,29(12):31-33,42.
 WANG Shouli,ZHOU Xiaobo,LIU Fucun,et al.Study on the relationship between acromion index and rotator cuff tear in Chinese[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(12):31-33,42.
点击复制

国人肩峰指数与肩袖撕裂的关系研究…()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期数:
2017年12期
页码:
31-33,42
栏目:
临床研究
出版日期:
2017-12-20

文章信息/Info

Title:
Study on the relationship between acromion index and rotator cuff tear in Chinese
作者:
王守立1周晓波1刘福存2张庆国1夏坚峰1祝云利2
1.浙江省台州医院,浙江 临海 317000; 2.上海交通大学医学院附属同仁医院,上海 200050
Author(s):
WANG Shouli1ZHOU Xiaobo1LIU Fucun2ZHANG Qingguo1XIA Jianfeng1ZHU Yunli2
1.Taizhou Hospital of Zhejiang Province,Linhai 317000,Zhejiang,China 2.Tong Ren Hospital Affiliated to Medical College of Shanghai Jiao Tong University,Shanghai 200050,China
关键词:
肩关节 肩袖损伤 肩峰指数
Keywords:
Key words shoulder joint rotator cuff injury acromion index
摘要:
目的:探讨国人肩峰指数(acromion index,AI)与肩袖撕裂的关系。方法:收集130例确诊为肩袖全层撕裂患者(肩袖撕裂组)和70例肩袖完整者(肩袖完整组)的病例资料。在肩关节正位X线片上测定研究对象的AI,并根据肩袖撕裂的程度将肩袖撕裂分为小型、中型、大型和巨大型,分析AI与肩袖撕裂的关系。结果:肩袖撕裂组AI高于肩袖完整组(0.73±0.06,0.67±0.07,t=6.524,P=0.000)。在130例肩袖撕裂患者中,小型肩袖撕裂15例、中型肩袖撕裂63例、大型肩袖撕裂38例、巨大型肩袖撕裂14例; 4种类型肩袖撕裂患者的AI比较,差异无统计学意义(0.73±0.07,0.73±0.06,0.73±0.06,0.75±0.08,F=0.529,P=0.663); 肩袖撕裂程度与AI之间不存在直线相关关系(r=0.067,P=0.451)。经受试者工作特征曲线分析,采用AI诊断肩袖撕裂的准确性中等(Az=0.75,P=0.000); 最佳诊断分界点为0.70,对应的灵敏度和特异度分别为0.70和0.67。结论:在国内人群中可以应用AI诊断肩袖撕裂,AI诊断肩袖撕裂的最佳诊断分界点为0.70; 肩袖损伤的程度与AI不存在直线相关关系。
Abstract:
ABSTRACT Objective:To explore the relationship between acromion index(AI)and rotator cuff tear in Chinese.Methods:The medical records of 130 patients with full-thickness rotator cuff tears(rotator cuff tear group)and 70 patients with intact rotator cuff(rotator cuff integrity group)were collected.The AI of patients were measured on anteroposterior X-ray films of shoulder joint.The rotator cuff tears were divided into small-,medium-,large- and huge-sized type according to the degree of rotator cuff tear,and the relationship between AI and rotator cuff tear were analyzed.Results:The AI was higher in rotator cuff tear group compared to rotator cuff integrity group(0.73+/-0.06 vs 0.67+/-0.07,t=6.524,P=0.000).The rotator cuff tear of the 130 patients included small-sized(15),medium-sized(63),large-sized(38)and huge-sized(14)rotator cuff tears.There was no statistical difference in AI between the 4 groups of rotator cuff tears(0.73+/-0.07,0.73+/-0.06,0.73+/-0.06,0.75+/-0.08,F=0.529,P=0.663).There was no linear correlation between the degree of rotator cuff tear and AI(r=0.067,P=0.451).The result of receiver operator characteristic curve(ROC)analysis showed that AI had moderate accuracy of measurement in diagnosing rotator cuff tear(Az=0.75,P=0.000),and the optimum diagnostic cutoff point was 0.70,and the corresponding sensitivity and specificity were 0.70 and 0.67 respectively.Conclusion:AI can be used for diagnosing rotator cuff tear in Chinese,and the optimum diagnostic cutoff point of AI was 0.70.There is no linear correlation between the degree of rotator cuff injury and AI.

参考文献/References:

[1] NEER CS.Anterior acromioplasty for the chronic impingement syndrome in the shoulder:a preliminary report[J].J Bone Joint Surg Am,1972,54(1):41-50.
[2] NEER CS 2nd.Impingement lesions[J].Clin Orthop Relat Res,1983,(173):70-77.
[3] CODMAN EA.Rupture of the supraspinatus tendon.1911[J].Clin Orthop Relat Res,1990,(254):3-26.
[4] BIGLIANI LU,MORRISON DS,APRIL EW.The morphology of the acromion and its relationship to rotator cuff tears[J].Orthop Trans,1986,10(9):228.
[5] NYFFELER RW,WERNER CN,SUKTHANKAR A,et al.Association of a large lateral extension of the acromion with rotator cuff tears[J].J Bone Joint Surg Am,2006,88A(4):800-805.
[6] MIYAZAKI AN,ITOI E,SANO H,et al.Comparison between the acromion index and rotator cuff tears in the Brazilian and Japanese populations[J].J Shoulder Elbow Surg,2011,20(7):1082-1086.
[7] DEORIO JK,COFIELD RH.Results of a second attempt at surgical repair of a failed initial rotator-cuff repair[J].J Bone Joint Surg Am,1984,66(4):563-567.
[8] BALKE M,SCHMIDT C,DEDY N,et al.Correlation of acromial morphology with impingement syndrome and rotator cuff tears[J].Acta Orthop,2013,84(2):178-183.
[9] KIM JR,RYU KJ,HONG IT,et al.Can a high acromion index predict rotator cuff tears?[J].Int Orthop,2012,36(5):1019-1024.
[10] MOOR BK,WIESER K,SLANKAMENAC K,et al.Relationship of individual scapular anatomy and degenerative rotator cuff tears[J].J Shoulder Elbow Surg,2014,23(4):536-541.
[11] TORRENS C,LPEZ JM,PUENTE I,et al.The influence of the acromial coverage index in rotator cuff tears[J].J Shoulder Elbow Surg,2007,16(3):347-351.
[12] ZUMSTEIN MA,JOST B,HEMPEL J,et al.The clinical and structural Long-Term results of open repair of massive tears of the rotator cuff[J].J Bone Joint Surg Am,2008,90A(11):2423-2431.
[13] BALKE M,LIEM D,GRESHAKE O,et al.Differences in acromial morphology of shoulders in patients with degenerative and traumatic supraspinatus tendon tears[J].Knee Surg Sports Traumatol Arthrosc,2016,24(7):2200-2205.
[14] MISWAN MF,SAMAN MS,HUI TS,et al.Correlation between anatomy of the scapula and the incidence of rotator cuff tear and glenohumeral osteoarthritis via radiological study[J].J Orthop Surg(Hong Kong),2017,25(1):2309499017690317.
[15] PANDEY V,VIJAYAN D,TAPASHETTI S,et al.Does scapular morphology affect the integrity of the rotator cuff?[J].J Shoulder Elbow Surg,2016,25(3):413-421.
[16] HEUBERER PR,PLACHEL F,WILLINGER L,et al.Critical shoulder angle combined with age predict five shoulder pathologies:a retrospective analysis of 1000 cases[J].BMC Musculoskelet Disord,2017,18(1):259.
[17] HAMID N,OMID R,YAMAGUCHI K,et al.Relationship of radiographic acromial characteristics and rotator cuff disease:a prospective investigation of clinical,radiographic,and sonographic findings[J].J Shoulder Elbow Surg,2012,21(10):1289-1298.
[18] AMES JB,HORAN MP,VAN DER MEIJDEN OA,et al.Association between acromial index and outcomes following arthroscopic repair of Full-Thickness rotator cuff tears[J].J Bone Joint Surg Am,2012,94A(20):1862-1869.
[19] FUJISAWA Y,MIHATA T,MURASE T,et al.Three-dimensional analysis of acromial morphologic characteristics in patients with and without rotator cuff tears using a reconstructed computed tomography model[J].Am J Sports Med,2014,42(11):2621-2626.

相似文献/References:

[1]娄路馨,程晓光,于爱红.MRI在儿童三角肌挛缩诊断中的应用价值[J].中医正骨,2018,30(01):41.
[2]陈罗西,沈海.传统关节黏连松解术配合运动疗法治疗创伤性肩关节僵硬[J].中医正骨,2018,30(12):52.
[3]李文杰,包招兰,江显俊,等.体外冲击波联合腕踝针治疗肱二头肌长头肌腱炎的临床研究[J].中医正骨,2019,31(02):5.
 LI Wenjie,BAO Zhaolan,JIANG Xianjun,et al.A clinical study of extracorporeal shockwave therapy combined with wrist-ankle acupuncture therapy for treatment of myotenositis of long head of biceps brachii[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(12):5.
[4]彭兆祥,李瑾,林杰,等.全身应用抗生素治疗关节镜下肩袖撕裂修复术后感染[J].中医正骨,2019,31(02):52.
[5]田子睿,姚敏,王拥军,等.中文版Constant-Murley肩关节评分量表的研制与应用[J].中医正骨,2019,31(05):20.
[6]孙风凡,张盛君,何金林.肱二头肌长头肌腱损伤的研究进展[J].中医正骨,2019,31(12):47.
[7]钱颖燕,寿利迪.腕踝针在肩袖损伤术后康复治疗中的应用[J].中医正骨,2020,32(05):11.
 QIAN Yingyan,SHOU Lidi.Application of wrist-ankle acupuncture therapy to postoperative functional rehabilitation in patients with rotator cuff injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(12):11.
[8]李宁,秦立武,王佩,等.关节镜下单排改良Mason-Allen缝合技术修复老年中型肩袖撕裂[J].中医正骨,2020,32(11):52.
[9]刘怀省,韩文朝,王冠军,等.超声引导肌间沟入路臂丛神经麻醉下手法松解治疗粘连期肩周炎[J].中医正骨,2023,35(01):61.
[10]侯俊成,张善华,周海伟,等.三维稳态采集快速成像序列在肩周炎患者喙肱韧带MRI扫描中的应用价值[J].中医正骨,2023,35(02):22.
[11]王亮,王予彬,汤华林.肩袖损伤和创伤性肩关节前方不稳定患者肩部疼痛 与肩峰下滑囊组织中炎症反应的关系研究[J].中医正骨,2015,27(10):5.
 WANG Liang,WANG Yubin,TANG Hualin.Study on the relationship between shoulder pain and inflammatory reaction in the subacromial bursa tissues in patients with rotator cuff injury and traumatic shoulder joint anterior instability[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):5.
[12]张昕煜,曹旭,李少雷,等.推拿手法联合康复训练治疗慢性肩袖损伤[J].中医正骨,2017,29(01):52.
[13]李霞,迟涛胜,徐美丽,等.肩关节镜手术治疗肩袖损伤的围手术期护理[J].中医正骨,2017,29(09):77.
[14]应亚草,彭兆祥,李瑾,等.1129例肩袖损伤患者的冈上肌出口位X线片分析[J].中医正骨,2018,30(03):39.
[15]熊晓扬,钱平康,高峰,等.维生素D在肩袖损伤修复中的作用研究进展[J].中医正骨,2019,31(01):33.
[16]诸葛京乐,沈进稳.肩袖疾病与睡眠障碍关系的研究进展[J].中医正骨,2020,32(04):35.
[17]刘爽,刘希斗,闫茹,等.肩袖损伤发病机制的研究进展[J].中医正骨,2020,32(08):34.
[18]陈明峰,林玲香,周健.中医药疗法治疗肩袖损伤的研究进展[J].中医正骨,2021,33(01):38.

备注/Memo

备注/Memo:
基金项目:中国博士后科学基金特别资助项目(2015T80637); 中国博士后科学基金面上项目(2014M561793) 通讯作者:祝云利 E-mail:joint-zhu@126.com
更新日期/Last Update: 2018-05-02