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
- 2015.6
- 수록면
- 61 - 67 (7page)
이용수
초록· 키워드
오류제보하기
Background: The purposes of the study were to examine rotator cuff tendon degeneration with respect to harvesting location, to determine a rationale for debridement of the torn end, and thus, to determine adequate debridement extent.
Methods: Twenty-four patients with a full-thickness rotator cuff tear were included in the study. Tendon specimens were harvested during arthroscopic rotator cuff repair from three locations; from torn ends after minimal regularization of fraying (native end group, NE group), from torn ends after complete freshening of the frayed end (freshened end group, FE group), and from the macroscopically intact portion just distal to the musculotendinous junction (musculotendinous junction group, MTJ group). Control samples were harvested from patients admitted for surgery for proximal humerus fracture. Harvested samples were evaluated using a semi-quantitative grading scale.
Results: Mean total degeneration scores in the NE group (13.3 ± 3.21), the FE group (12.5 ± 2.30), and in the MTJ group (10.8 ± 3.10) were significantly higher than those in the normal control group (5.0 ± 2.87; all p<0.001). Mean total degeneration score in the NE group was significantly higher than that in the MTJ group (p=0.012), but was not from that of the FE group. Mean total degeneration score in the FE group was not significantly different from that of the MTJ group.
Conclusions: Tendon degeneration exists throughout the entire tendon to the macroscopically intact portion of full-thickness rotator cuff tear. Therefore, aggressive debridement to grossly normal appearing, bleeding tendon is unnecessary for enhancing healing after repair.
Methods: Twenty-four patients with a full-thickness rotator cuff tear were included in the study. Tendon specimens were harvested during arthroscopic rotator cuff repair from three locations; from torn ends after minimal regularization of fraying (native end group, NE group), from torn ends after complete freshening of the frayed end (freshened end group, FE group), and from the macroscopically intact portion just distal to the musculotendinous junction (musculotendinous junction group, MTJ group). Control samples were harvested from patients admitted for surgery for proximal humerus fracture. Harvested samples were evaluated using a semi-quantitative grading scale.
Results: Mean total degeneration scores in the NE group (13.3 ± 3.21), the FE group (12.5 ± 2.30), and in the MTJ group (10.8 ± 3.10) were significantly higher than those in the normal control group (5.0 ± 2.87; all p<0.001). Mean total degeneration score in the NE group was significantly higher than that in the MTJ group (p=0.012), but was not from that of the FE group. Mean total degeneration score in the FE group was not significantly different from that of the MTJ group.
Conclusions: Tendon degeneration exists throughout the entire tendon to the macroscopically intact portion of full-thickness rotator cuff tear. Therefore, aggressive debridement to grossly normal appearing, bleeding tendon is unnecessary for enhancing healing after repair.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (29)
참고문헌 신청
[학술지(정기간행물)] - Hermans J / 2013 / Does this patient with shoulder pain have rotator cuff disease? : The Rational Clinical Examination systematic review / JAMA 310 (8) : 837 ~ 847
[학술지(정기간행물)] - Chard MD / 1991 / Shoulder disorders in the elderly : a community survey / Arthritis Rheum 34 (6) : 766 ~ 769
[학술지(정기간행물)] - Oh LS / 2007 / Indications for rotator cuff repair: a systematic review. Clin Orthop Relat Res / Clin Orthop Relat Res 455 : 52 ~ 63
[학술지(정기간행물)] - Colvin AC / 2012 / National trends in rotator cuff repair / J Bone Joint Surg Am 94 (3) : 227 ~ 233
[학술지(정기간행물)] - Via AG / 2013 / Clinical and biological aspects of rotator cuff tears / Muscles Ligaments Tendons J 3 (2) : 70 ~ 79
[학술지(정기간행물)] - Chard MD / 1991 / Shoulder disorders in the elderly : a community survey / Arthritis Rheum 34 (6) : 766 ~ 769
[학술지(정기간행물)] - Oh LS / 2007 / Indications for rotator cuff repair: a systematic review. Clin Orthop Relat Res / Clin Orthop Relat Res 455 : 52 ~ 63
[학술지(정기간행물)] - Colvin AC / 2012 / National trends in rotator cuff repair / J Bone Joint Surg Am 94 (3) : 227 ~ 233
[학술지(정기간행물)] - Via AG / 2013 / Clinical and biological aspects of rotator cuff tears / Muscles Ligaments Tendons J 3 (2) : 70 ~ 79
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UCI(KEPA) : I410-ECN-0101-2016-514-001625814