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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background: Osteoporosis is an important clinical factor for tendon healing after arthroscopic rotator cuff repair (ARCR). Conventional dual energy X-ray absorptiometry (DXA) of the hip and lumbar spine (LS) does not represent proximal humeral bone mineral density (BMD). Theoretically, direct measurement of the BMD of the proximal humerus is the best method; however, it is not popular and is non-standardized. Therefore, we evaluate whether the trabecular bone score (TBS) using LS DXA would represent proximal humeral BMD. Methods: Conventional hip and LS DXA and proximal humeral BMD were measured in 212 consecutive ARCR patients, and TBS was calculated using LS DXA. Comparative analysis between the affected and contralateral asymptomatic shoulders was done; moreover, correlation analysis was conducted to evaluate the representativity of TBS for proximal humeral BMD. Regression analysis was performed to elucidate the risk factor of intraoperative suture anchor failure (ISAF). Results: BMDs of the affected shoulder were significantly lower than those of the contralateral side (all P<0.05). TBS failed to present a strong correlation with proximal humeral BMD (correlation coefficients 0.155-0.506, all P<0.05), and the BMD of the greater tuberosity (GT) of the proximal humerus was revealed to be a sole risk factor for ISAF (odds ratio, 0.01, P=0.020). Conclusions: TBS and conventional hip and LS DXA did not represent proximal humeral BMD. Furthermore, among the various radiological measurements, the BMD of the GT was a sole risk factor of ISAF. Therefore, further research for the direct measurement of proximal humeral BMD is mandatory to predict proximal humeral focal osteoporosis.
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참고문헌 (21)
참고문헌 신청
L. Joseph Melton / 1992 / Perspective how many women have osteoporosis? / Journal of Bone and Mineral Research 7(9):1005~1010
Seok Won Chung / 2011 / Factors Affecting Rotator Cuff Healing After Arthroscopic Repair / The American Journal of Sports Medicine 39(10):2099~2107
S. Gumina / 2013 / The impact of aging on rotator cuff tear size / MUSCULOSKELETAL SURGERY 97(Suppl 1):69~72
Eric J. Cotter / 2021 / Osteoporosis Screening Is Often Indicated but Overlooked Prior to Rotator Cuff Repair / Arthroscopy, Sports Medicine, and Rehabilitation 3(3):e659~e665
Seok Won Chung / 2013 / Arthroscopic Repair of Massive Rotator Cuff Tears / The American Journal of Sports Medicine 41(7):1674~1683
Seok Won Chung / 2011 / Factors Affecting Rotator Cuff Healing After Arthroscopic Repair / The American Journal of Sports Medicine 39(10):2099~2107
S. Gumina / 2013 / The impact of aging on rotator cuff tear size / MUSCULOSKELETAL SURGERY 97(Suppl 1):69~72
Eric J. Cotter / 2021 / Osteoporosis Screening Is Often Indicated but Overlooked Prior to Rotator Cuff Repair / Arthroscopy, Sports Medicine, and Rehabilitation 3(3):e659~e665
Seok Won Chung / 2013 / Arthroscopic Repair of Massive Rotator Cuff Tears / The American Journal of Sports Medicine 41(7):1674~1683
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