[1]金日龙,杨骥,张驰,等.老年肩袖损伤的特点及治疗进展[J].中华老年骨科与康复电子杂志,2017,(03):188-192.[doi:10.3877/cma.j.issn.2096-0263.2017.03.011]
　Jin Rilong,Yang Ji,Zhang Chi,et al.The characteristics of the elderly rotator cuff injury and current treatments[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(03):188-192.[doi:10.3877/cma.j.issn.2096-0263.2017.03.011]
点击复制

老年肩袖损伤的特点及治疗进展()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2017年03期
页码:
188-192
栏目:
综述
出版日期:
2017-06-01

文章信息/Info

Title:
The characteristics of the elderly rotator cuff injury and current treatments
作者:
金日龙; 杨骥; 张驰; 林向进
310003 杭州，浙江大学医学院附属第一医院运动医学中心
Author(s):
Jin Rilong;  Yang Ji;  Zhang Chi;  Lin Xiangjin
Center for Sport Medicine, the First Affiliated Hospital, College of Medicine Zhejiang University, Hangzhou 310003, China
关键词:
肩袖;  创伤与损伤;  诊断;  治疗
Keywords:
Rotator cuff;  Wounds and injuries;  Diagnosis;  Therapy
DOI:
10.3877/cma.j.issn.2096-0263.2017.03.011
文献标志码:
A
摘要:
肩袖损伤是老年人常见的肩关节疾病。肩袖的退行病变是老年肩袖损伤主要特点。肩袖作为肩关节软组织中最重要的结构，其损伤会出现肩关节疼痛和功能障碍，严重时影响肩关节活动。文章描述了肩袖损伤的 X线、MRI和 B超特点及其评估方法，进一步阐述了肩袖损伤的保守治疗及手术治疗方法，分析其优劣性，本文最后对肩袖损伤的功能康复锻炼方法进行了探讨，以期为临床提供诊疗依据。
Abstract:
Rotator cuff injury is a common disease in the elderly, and the main feature of elderly rotator cuff injury is degenerative diseases. It often leads shoulder pain, motion range restriction and may eventually influence patient’s quality of life as the rotator cuff is the most important structure of shoulder joint. Degenerative changes of rotator cuff lesion is the main character in the elderly. This review present commonly examinations (X ray, MRI and type- B ultrasound) for this injury, furthermore comment conservative and surgical treatments for rotator cuff injury and analyses their merits and demerits. Finally discuss certain rehabilitation trainings for clinics.

参考文献/References:

1 Yamaguchi K, Ditsios K, Middleton WD, et al. The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders [J]. J Bone Joint Surg Am, 2006, 88(8): 1699-1704.
2 Moosmayer S, Smith HJ, Tariq R, et al. Prevalence and characteristics of asymptomatic tears of the rotator cuff: an ultrasonographic and clinical study [J]. J Bone Joint Surg Br. 2009, 91(2): 196-200.
3 Cadet ER, Hsu JW, Levine WN, et al. The relationship between greater tuberosity osteopenia and the chronicity of rotator cuff tears [J]. J Shoulder Elbow Surg, 2008, 17(1): 73-77.
4 Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report [J]. J Bone Joint Surg Am, 1972, 54(1): 41-50.
5 Mcginley JC, Agrawal S, Biswal S. Rotator cuff tears: association with acromion angulation on MRI [J]. Clin Imaging, 2012, 36(6): 791-796.
6 Musil D, Sadovsky P, Rost M, et al. [Relationship of acromial morphology and rotator cuff tears] [J]. Acta Chir Orthop Traumatol Cech, 2012, 79(3): 238-242.
7 Neer CS. Impingement lesions [J]. Clin Orthop Relat Res, 1983 (173): 70-77.
8 Flatow EL, Soslowsky LJ, Ticker JB, et al. Excursion of the rotator cuff under the acromion. Patterns of subacromial contact [J].Am J Sports Med, 1994, 22(6): 779-788.
9 Iannotti JP, Zlatkin MB, Esterhai JL, et al. Magnetic resonance imaging of the shoulder. Sensitivity, specificity, and predictive value [J].J Bone Joint Surg Am, 1991, 73(1): 17-29.
10 Carrino JA, Mccauley TR, Katz LD, et al. Rotator cuff: evaluation with fast spin-echo versus conventional spin-echo Mr imaging [J]. Radiology, 1997, 202(2): 533-539.
11 Farley TE, Neumann CH, Steinbach LS, et al. Full-thickness tears of the rotator cuff of the shoulder: diagnosis with Mr imaging [J]. AJR Am J Roentgenol, 1992, 158(2): 347-351.
12 Farshad- Amacker NA, Buck FM, Farshad M, et al. Partial supraspinatus tears are associated with tendon lengthening [J]. Knee Surg Sports Traumatol Arthrosc, 2015, 23(2): 408-414.
13 Smith TO, Daniell H, Geere JA, et al. The diagnostic accuracy of MRI for the detection of partial- and full-thickness rotator cuff tears in adults [J]. Magn Reson Imaging, 2012, 30(3): 336-346.
14 Rutten MJ, Gj S, Van Loon T. de Waal malefijt MC,kiemeney LA, jager GJ [J]. Detection of rotator cuff tears:the value of MRI following ultrasound.Eur Radiol, 2010, 20(2): 450-457.
15 Milosavljevic J, Elvin A, Rahme H. Ultrasonography of the rotator cuff: a comparison with arthroscopy in one- hundred- and- ninety consecutive cases [J]. Acta Radiol, 2005, 46(8): 858-865.
16 Pedowitz RA, Yamaguchi K, Ahmad CS, et al. American Academy of Orthopaedic Surgeons Clinical Practice Guideline on: optimizing the management of rotator cuff problems [J]. J Bone Joint Surg Am, 2012, 94(2): 163-167.
17 Eisner EA, Roocroft JH, Moor MA, et al. Partial rotator cuff tears in adolescents: factors affecting outcomes [J]. J Pediatr Orthop, 2013, 33(1): 2-7.
18 Deering SJ, Mair SD, Lattermann C. Treatment options for chronic retracted degenerative rotator cuff tears [J]. Med Sport Sci, 2012, 57: 153-167.
19 Chou WY, Ko JY, Wang FS, et al. Effect of Sodium hyaluronate treatment on rotator cuff lesions without complete tears: a randomized, double-blind, placebo-controlled study [J]. J Shoulder Elbow Surg, 2010, 19(4): 557-563.
20 Mall NA, Kim HM, Keener JD, et al. Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables [J]. J Bone Joint Surg Am, 2010, 92(16): 2623-2633.
21 Safran O, Schroeder J, Bloom R, et al. Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger [J]. Am J Sports Med, 2011, 39(4): 710-714.
22 Goldberg A, Lippitt B, Matsen A. Improvement in comfort and function after cuff repair without acromioplasty [J]. Clin Orthop Relat Res, 2001 (390): 142-150.
23 GarofaloR,ContiM,MassazzaG,etal.Subcoracoid impingement syndrome:a painful shoulder condition related to different pathologic factors [J]. Musculoskelet surg, 2011, 95 Suppl 1:25-S29.
24 Shin Jin, Kook Hwan, Rao Nandan, et al. Clinical outcomes of modified Mason-Allen Single-Row repair for Bursal-Sided PartialThickness rotator cuff tears: comparison with the Double- Row Suture-Bridge technique [J]. Am J Sports Med, 2015, 43(8): 1976- 1982.
25 Ji X, Bi C, Wang F, et al. Arthroscopic versus mini-open rotator cuff repair: an up-to-date meta-analysis of randomized controlled trials [J]. Arthroscopy, 2015, 31(1): 118-124.
26 Norberg FB, Field LD, Savoie F3. Repair of the rotator cuff. Miniopen and arthroscopic repairs [J].Clin Sports Med, 2000, 19(1): 77- 99.
27 Uquillas A, Capogna M, Rossy H, et al. Postoperative pain control after arthroscopic rotator cuff repair [J]. J Shoulder Elbow Surg, 2016, 25(7): 1204-1213.
28 Hawkins RJ, Morin WD, Bonutti PM. Surgical treatment of fullthickness rotator cuff tears in patients 40 years of age or younger [J]. J Shoulder Elbow Surg, 1999, 8(3): 259-265.
29 Gerber C, Vinh TS, Hertel R, et al. Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. A preliminary report [J].Clin Orthop Relat Res, 1988, 232: 51-61.
30 Mihata Teruhisa, Lee Q, Watanabe Chisato, et al. Clinical results of arthroscopic superior capsule Reconstruction for irreparable rotator cuff tears [J]. Arthroscopy, 2013, 29(3): 459-470.
31 Burkhart S. The burden of craft in arthroscopic rotator cuff repair: where have we been and where we are going [J]. Am J Orthop (Belle Mead NJ), 2015, 44(8): 353-358.
32 Mall NA, Tanaka MJ, Choi LS, et al. Factors affecting rotator cuff healing [J]. J Bone Joint Surg Am, 2014, 96(9): 778-788.
33 Galatz LM, Ball CM, Teefey SA, et al. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears [J]. J Bone Joint Surg Am, 2004, 86-A(2): 219-224.
34 Tashjian RZ, Hollins AM, Kim HM, et al. Factors affecting healing rates after arthroscopic double- row rotator cuff repair [J]. Am J Sports Med, 2010, 38(12): 2435-2442.
35 Yi JW, Cho NS, Cho SH, et al. Arthroscopic suture bridge repair technique for full thickness rotator cuff tear [J]. Clin Orthop Surg, 2010, 2(2): 105-111.
36 Burkhart SS, Lo IK. Arthroscopic rotator cuff repair [J]. J Am Acad Orthop Surg, 2006, 14(6): 333-346.
37 Rodeo SA. Biologic augmentation of rotator cuff tendon repair [J]. J Shoulder Elbow Surg, 2007, 16(5 Suppl): S191-S197.
38 Denard PJ, Burkhart SS. Techniques for managing poor quality tissue and bone during arthroscopic rotator cuff repair [J]. Arthroscopy, 2011, 27(10): 1409-1421.
39 Dehaan AM, Axelrad TW, Kaye E, et al. Does double-row rotator cuff repair improve functional outcome of patients compared with single-row technique? A systematic review [J]. Am J Sports Med, 2012, 40(5): 1176-1185.
40 Nho SJ, Slabaugh MA, Seroyer ST, et al. Does the literature support double- row suture anchor fixation for arthroscopic rotator cuff repair? A systematic review comparing double-row and single-row suture anchor configuration [J]. Arthroscopy, 2009, 25(11): 1319- 1328.
41 Jo CH, Kim JE, Yoon KS, et al. Does platelet-rich plasma accelerate recovery after rotator cuff repair? A prospective cohort study [J]. Am J Sports Med, 2011, 39(10): 2082-2090.
42 Bergeson AG, Tashjian RZ, Greis PE, et al. Effects of platelet-rich fibrin matrix on repair integrity of at-risk rotator cuff tears [J]. Am J Sports Med, 2012, 40(2): 286-293.
43 Cai YZ, Zhang C, Lin XJ. Efficacy of platelet- rich plasma in arthroscopic repair of full- thickness rotator cuff tears: a metaanalysis [J]. J Shoulder Elbow Surg, 2015, 24(12): 1852-1859.
44 Hernigou P, Merouse G, Duffiet P, et al. Reduced levels of mesenchymal stem cells at the tendon- bone interface tuberosity in patients with symptomatic rotator cuff tear [J]. Int Orthop, 2015, 39 (6): 1219-1225.
45 Horwitz EM, Le Blanc K, Dominici M, et al. Clarification of the nomenclature for MSC: The International Society for Cellular Therapy position statement [J]. Cytotherapy, 2005, 7(5): 393-395.
46 Tateishi K, Ando W, Higuchi C, et al. Comparison of human serum with fetal bovine serum for expansion and differentiation of human synovial MSC: potential feasibility for clinical applications [J]. Cell Transplant, 2008, 17(5): 549-557.
47 Hernigou P, Flouzat Lachaniette CH, Delambre J, et al. Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears: a case-controlled study [J]. Int Orthop, 2014, 38(9): 1811-1818.
48 Düzgün I, Baltac? G, Atay OA. Comparison of slow and accelerated rehabilitation protocol after arthroscopic rotator cuff repair: pain and functional activity [J]. Acta Orthop Traumatol Turc, 2011, 45 (1): 23-33.
49 van der Meijden OA, Westgard P, Chandler Z, et al. Rehabilitation after arthroscopic rotator cuff repair:current concepts review and evidence- based guidelines [J]. Int J Sports Phys Ther, 2012, 7(2): 197-218.

相似文献/References:

[1]赵晨,商培洋,车凌宾,等.锁定钢板治疗老年肱骨近端骨折合并肩袖撕裂的疗效分析[J].中华老年骨科与康复电子杂志,2015,(01):22.
[2]张爱民,方艳伟,张英泽.增强现实技术在创伤骨科疾病的应用现状[J].中华老年骨科与康复电子杂志,2017,(02):120.[doi:10.3877/cma.j.issn.2096-0263.2017.02.011]
　Zhang Aimin,Fang Yanwei,Zhang Yingze.Application status of augmented reality in orthopaedic trauma surgery in China[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(03):120.[doi:10.3877/cma.j.issn.2096-0263.2017.02.011]
[3]吴云军,王华军,郑小飞.肩袖修补术后再撕裂危险因素的研究进展[J].中华老年骨科与康复电子杂志,2019,(06):359.[doi:10.3877/cma.j.issn.2096-0263.2019.06.010]
　Wu Yun jun,Wang Huajun,Zheng Xiaofei..Research Progress on risk factors of retear after rotator cuff repair[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(03):359.[doi:10.3877/cma.j.issn.2096-0263.2019.06.010]

备注/Memo

备注/Memo:
基金项目：浙江省医药卫生科技一般项目（2015KYB133）
更新日期/Last Update: 2017-06-01