지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.12
- 수록면
- 211 - 216 (6page)
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초록· 키워드
오류제보하기
Background: Few studies have investigated magnetic resonance (MR) characteristics of traumatic posterosuperior rotator cuff tears involving the supraspinatus and infraspinatus. We hypothesized that traumatic rotator cuff tears may have MR characteristics distinguishable from those of non-traumatic tears.
Methods: Preoperative MR arthrography and intraoperative tear size measurements were compared in 302 patients who underwent MR arthrography and subsequent arthroscopic rotator cuff repairs for traumatic (group T, 61 patients) or non-traumatic (group NT, 241 patients) tears. The inclusion criteria for both groups were posterosuperior full-thickness rotator cuff tear and age between 40 and 60 years. For group T, traumas were limited to accidental falls or slips, or sports injuries, motor vehicle accidents; injuries were associated with acute onset of pain followed by functional shoulder impairment; and time between injury and magnetic resonance imaging (MRI) was 6 weeks or less.
Results: In group T, 72.1% of shoulders (44 patients) had tendon tears with blunt edges while 27.9% of shoulders (17 patients) had tears with tapering edges. In contrast, 21.2% of patients in group NT (51 patients) had blunt-edge tears, while 78.8% (190 patients) of tears had tapering edges. These results were statistically significant (p<0.001) and estimated odds ratio was 9.6. The size of tear did not vary significantly between groups.
Conclusions: We found no exclusive MR characteristic to define traumatic tears. However, oblique coronal MRI of traumatic tears showed a significant tendency for abrupt and rough torn tendon edges and relatively consistent tendon thicknesses (without lateral tapering) compared to non-traumatic cuff tears.
Methods: Preoperative MR arthrography and intraoperative tear size measurements were compared in 302 patients who underwent MR arthrography and subsequent arthroscopic rotator cuff repairs for traumatic (group T, 61 patients) or non-traumatic (group NT, 241 patients) tears. The inclusion criteria for both groups were posterosuperior full-thickness rotator cuff tear and age between 40 and 60 years. For group T, traumas were limited to accidental falls or slips, or sports injuries, motor vehicle accidents; injuries were associated with acute onset of pain followed by functional shoulder impairment; and time between injury and magnetic resonance imaging (MRI) was 6 weeks or less.
Results: In group T, 72.1% of shoulders (44 patients) had tendon tears with blunt edges while 27.9% of shoulders (17 patients) had tears with tapering edges. In contrast, 21.2% of patients in group NT (51 patients) had blunt-edge tears, while 78.8% (190 patients) of tears had tapering edges. These results were statistically significant (p<0.001) and estimated odds ratio was 9.6. The size of tear did not vary significantly between groups.
Conclusions: We found no exclusive MR characteristic to define traumatic tears. However, oblique coronal MRI of traumatic tears showed a significant tendency for abrupt and rough torn tendon edges and relatively consistent tendon thicknesses (without lateral tapering) compared to non-traumatic cuff tears.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (20)
참고문헌 신청
[학술지(정기간행물)] - Brewer BJ / 1979 / Aging of the rotator cuff / Am J Sports Med 7 (2) : 102 ~ 110
[학술지(정기간행물)] - Neer CS 2nd / 1983 / Impingement lesions / Clin Orthop Relat Res 173 : 70 ~ 77
[학술지(정기간행물)] - McLaughlin HL / 1951 / Lesions of the musculotendinous cuff of the shoulder. IV. Some observations based upon the results of surgical repair / J Bone Joint Surg Am 33 (1) : 76 ~ 86
[학술지(정기간행물)] - Bassett RW / 1983 / Acute tears of the rotator cuff. The timing of surgical repair / Clin Orthop Relat Res 175 : 18 ~ 24
[학술지(정기간행물)] - Ide J / 2007 / Arthroscopic repair of traumatic combined rotator cuff tears involving the subscapularis tendon / J Bone Joint Surg Am 89 (11) : 2378 ~ 2388
[학술지(정기간행물)] - Neer CS 2nd / 1983 / Impingement lesions / Clin Orthop Relat Res 173 : 70 ~ 77
[학술지(정기간행물)] - McLaughlin HL / 1951 / Lesions of the musculotendinous cuff of the shoulder. IV. Some observations based upon the results of surgical repair / J Bone Joint Surg Am 33 (1) : 76 ~ 86
[학술지(정기간행물)] - Bassett RW / 1983 / Acute tears of the rotator cuff. The timing of surgical repair / Clin Orthop Relat Res 175 : 18 ~ 24
[학술지(정기간행물)] - Ide J / 2007 / Arthroscopic repair of traumatic combined rotator cuff tears involving the subscapularis tendon / J Bone Joint Surg Am 89 (11) : 2378 ~ 2388
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UCI(KEPA) : I410-ECN-0101-2016-514-002319577