摘要
[目的]基于核磁共振成像(MRI)的影像学检查结果,探讨并分析肩袖损伤与肱骨头囊变的相关性。[方法] 2017年10月~2019年4月行肩关节MRI扫描并报告肩袖损伤的MRI患者200例纳入本研究,采用PACS系统测量损伤的具体肌肉、损伤深度、损伤长度、止点到损伤点的距离,是否伴随肱骨头囊变及肱骨头囊变面积。[结果] 200例患者中,冈上肌腱损伤191例(95.50%),冈下肌腱损伤5例(2.50%),肩胛下肌腱损伤2例(1.00%),小圆肌腱损伤2例(1.00%)。肩袖损伤同时伴有肱骨头囊变45例(22.50%),均为冈上肌腱损伤。各肩袖肌腱的损伤深度和其止点到损伤点距离的差异无统计学意义(P>0.05),但是4块肌肉损伤长度显著不同,冈下肌腱的损伤长度显著大于冈上肌腱、肩胛下肌和小圆肌腱,差异具有统计学意义(P<0.05)。45例肱骨头囊变患者,囊变面积与肌腱损伤深度和止点到损伤点的距离无相关(P>0.05);但与肌腱损伤长度呈显著正相关(P<0.05)。[结论]肱骨头囊变主要见于冈上肌腱损伤,冈上肌腱损伤长度与肱骨头囊变面积呈正相关。
[Objective] To explore the correlation between rotator cuff tear and humeral head cyst based on the results of magnetic resonance imaging(MRI) examination. [Methods] A total of 200 patients who were diagnosed as rotator cuff injuries by MRI were include into this study from October 2017 to April 2019. The PACS system was used for evaluation of the concrete muscle involved, the depth and length of tear, the distance from insertion to tear point, as well as whether or not cyst on the humoral head and its area. [Results] Of the 200 patients, the rotator cuff tears were noted in supraspinatus in 191(95.50%), infraspinatus in 5(2.50%), subscapularis in 2(1.00%), teres minor in 2(1.00%). The humeral head cyst accompanied with rotator cuff tear was found in 45 patients(22.50%), which all involved the supraspinatus. Although there were no significant differences among the 4 muscles in the depth and distance from insertion to tear point, the length of tear was significantly different among them, with the greatest length of tear in the infraspinatus(P<0.05). Regarding to the 45 patients with humeral head cyst,the area of cyst had no significant correlation to the tear depth and distance from the insertion to the tear(P>0.05), whereas was of positive correlation to the tear length(P<0.05). [Conclusion] The humeral head cyst is commonly seen in supraspinatus tear,and its area is positive related to the tear length.
作者
尚如国
熊鹿静
张磊
程翰文
王俊秋
罗蓓
SHANG Ru-guo;XIONG Lu-jing;ZHANG Lei;CHENG Han-wen;WANG Jun-qiu;LUO Bei(Department of Trauma and Pediatric Orthopedics,Guangzhou Orthopedic Hospital,Guangzhou 510000,China;Southwest Medical University,Luzhou 646600,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2020年第8期688-692,共5页
Orthopedic Journal of China
基金
2017年西南医科大学科技成果转化类项目(编号:0903-00050003)
2019年西南医科大学附属中医医院科研项目
西南医科大学2018年度国家级大学生创新创业训练计划(编号:201816032088)
泸州市院士工作站在建项目(编号:20180101)。
关键词
肩袖损伤
肱骨头囊变
相关性
冈上肌
rotator cuff injury
humeral head cyst
correlation
supraspinatus
