首页|肩胛骨形态与滑轮结构及肱二头肌长头肌腱损伤的相关性研究

肩胛骨形态与滑轮结构及肱二头肌长头肌腱损伤的相关性研究

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目的 旨在测量肩胛骨的相关形态学参数并探讨其与滑轮结构和肱二头肌长头肌腱(LHBT)损伤的相关性.方法 回顾性分析2022年1月至2023年6月四川省人民医院骨科因关节镜下肩袖撕裂行肩袖修补的99例患者的临床资料.测量肩峰指数、临界肩角、肩峰倾斜角、外侧肩角,肩峰类型.术中评估滑轮结构损伤类型及LHBT损伤程度.依据LHBT是否损伤分为LHBT损伤组(71例,71肩)和LHBT非损伤组(28例,28肩);依据滑轮结构是否损伤分为滑轮损伤组(79例,79肩)及滑轮结构非损伤组(20例,20肩).分析损伤与肩胛骨形态学参数的相关性.结果 肩峰指数、临界肩角、肩峰倾斜角、外侧肩角,肩峰类型与滑轮结构和LHBT的损伤相关性无统计学意义(P>0.05).滑轮结构损伤与LHBT损伤呈正相关(rs=0.687,P<0.05).结论 滑轮结构损伤是LHBT病变的危险指征,它们之间具有正相关趋势,没有发现滑轮结构或LHBT的损伤与肩胛骨形态之间的相关性.
Correlation between scapular morphology and injuries to the biceps pulley and the long head of the biceps tendon
Objective This article aims to investigate the correlation between the morphological parameters of scapula and the injury of pulley and long head of the biceps tendon(LHBT).Methods The clinical data of 99 patients undergoing rotator cuff repair due to arthroscopic rotator cuff tear in the Department of Orthopedics of Sichuan Provincial People's Hospital from January 2022 to June 2023 were retrospectively analyzed.Acromion index,critical shoulder angle,acromion inclination angle,lateral shoulder angle,and acromion type were measured.The type of pulley damage and the degree of LHBT damage were evaluated during operation.They were divided into LHBT injury group(71 cases,71 shoulders)and LHBT non-injury group(28 cases,28 shoulders)according to whether LHBT was injured or not.According to whether the pulley structure was damaged or not,the pulley structure was divided into a damaged pulley group(79 cases,79 shoulders)and a non-damaged pulley group(20 cases,20 shoulders).The correlation between in-jury and morphological parameters of scapula was analyzed.Results There was no significant correlation between acromion index,critical shoulder angle,acromion inclination angle,lateral shoulder angle,acromion type and pulley structure and LHBT injury(P>0.05).The damage of pulley structure was positively correlated with the damage of LHBT(rs=0.687,P<0.05).Conclusion Pulley structure injury is a risk indicator of LHBT lesions,and there is a posi-tive correlation between them.No correlation between pulley structure injury or LHBT injury and scapular morphology was found.

rotator cuff injurybiceps pulley injurylesions of LHBTscapular morphology

李雨鹏、黎富民、杨晓

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610072 成都,四川省医学科学院·四川省人民医院(电子科技大学附属医院)骨科

肩袖损伤 二头肌滑轮结构损伤 肱二头肌长头腱损伤 肩胛骨形态

四川省科技厅基金

2023YFS0213

2024

医学研究生学报
南京军区南京总医院

医学研究生学报

CSTPCD北大核心
影响因子:1.652
ISSN:1008-8199
年,卷(期):2024.37(4)
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