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
- 2017.9
- 수록면
- 133 - 137 (5page)
이용수
초록· 키워드
오류제보하기
Background: To determine the natural progression of conservatively treated rotator cuff tears, we evaluated changes in radiologic and clinical parameters in patients whose recalcitrant tears were neglected after conservative treatment.
Methods: A total of 73 patients with recalcitrant rotator cuff tears in spite of conservative treatment were included in this study. We measured changes in tear size and in the extent of fatty infiltration of the rotator cuff by comparing the initial and final follow-up magnetic resonance imagings (MRIs). To determine factors influencing the change in tear size, we collected the medical history of patients taken at the time of initial admission.
Results: The average follow-up period was 20.1 months, and the average increase in tear size across this period was 6.2 mm. In terms of steroid injection, we found that the increases in tear size of the steroid injection group (p=0.049) and of the sub-group that had received more than three steroid injections (p=0.010) were significantly greater than that of the non-steroid injection group.
Conclusions: We found that the increase in cuff tear size was on average 6.2 mm across the follow-up period, indicating that neglecting cuff tears may cause them to progress into more severe tears. We also observed that a history of steroid injection might be a possible risk factor for a worse prognosis of cuff tears. Therefore, we suggest that patients with rotator cuff tears and a history of steroid injection are recommended aggressive modes of treatment such as surgery.
Methods: A total of 73 patients with recalcitrant rotator cuff tears in spite of conservative treatment were included in this study. We measured changes in tear size and in the extent of fatty infiltration of the rotator cuff by comparing the initial and final follow-up magnetic resonance imagings (MRIs). To determine factors influencing the change in tear size, we collected the medical history of patients taken at the time of initial admission.
Results: The average follow-up period was 20.1 months, and the average increase in tear size across this period was 6.2 mm. In terms of steroid injection, we found that the increases in tear size of the steroid injection group (p=0.049) and of the sub-group that had received more than three steroid injections (p=0.010) were significantly greater than that of the non-steroid injection group.
Conclusions: We found that the increase in cuff tear size was on average 6.2 mm across the follow-up period, indicating that neglecting cuff tears may cause them to progress into more severe tears. We also observed that a history of steroid injection might be a possible risk factor for a worse prognosis of cuff tears. Therefore, we suggest that patients with rotator cuff tears and a history of steroid injection are recommended aggressive modes of treatment such as surgery.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (23)
참고문헌 신청
[학술지(정기간행물)] - Reilly P / 2006 / Dead men and radiologists don’t lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence / Ann R Coll Surg Engl 88 (2) : 116 ~ 121
[학술지(정기간행물)] - Rees JD / 2006 / Current concepts in the management of tendon disorders / Rheumatology 45 (5) : 508 ~ 521
[학술지(정기간행물)] - Moosmayer S / 2013 / The natural history of asymptomatic rotator cuff tears: a three-year follow-up of fifty cases / J Bone Joint Surg Am 95 (14) : 1249 ~ 1255
[학술지(정기간행물)] - Maman E / 2009 / Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging / J Bone Joint Surg Am 91 (8) : 1898 ~ 1906
[학술지(정기간행물)] - Mall NA / 2010 / Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables / J Bone Joint Surg Am 92 (16) : 2623 ~ 2633
[학술지(정기간행물)] - Rees JD / 2006 / Current concepts in the management of tendon disorders / Rheumatology 45 (5) : 508 ~ 521
[학술지(정기간행물)] - Moosmayer S / 2013 / The natural history of asymptomatic rotator cuff tears: a three-year follow-up of fifty cases / J Bone Joint Surg Am 95 (14) : 1249 ~ 1255
[학술지(정기간행물)] - Maman E / 2009 / Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging / J Bone Joint Surg Am 91 (8) : 1898 ~ 1906
[학술지(정기간행물)] - Mall NA / 2010 / Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables / J Bone Joint Surg Am 92 (16) : 2623 ~ 2633
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