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
- 2016.12
- 수록면
- 197 - 201 (5page)
이용수
초록· 키워드
오류제보하기
Background: The purpose of the study was to compare the degree of degeneration of the articular and bursal layers of delaminated supraspinatus tendons based on histological examination.
Methods: Fifty-four patients with a full-thickness rotator cuff tear were included in the study. Tendon specimens were harvested during arthroscopic rotator cuff repair from the lateral torn edges of the articular and bursal layers of the delaminated tear. Harvested samples were stained with H&E dye and evaluated based on a semi-quantitative grading scale.
Results: There were no significant differences in the seven histological characteristics of tendon degeneration: fiber structure, fiber arrangement, round nuclei, regional variations in cellularity, vascularity, collagen stainability, and hyalinization between the articular and bursal layers of the delaminated rotator cuff tear (all p>0.05). Total degeneration scores of articular and bursal sides were 13.1 ± 3.85 points and 13.2 ± 3.42 points, respectively, and were not significantly different (p=0.958).
Conclusions: The study demonstrates that tendon degeneration was similar in the articular and bursal sides of the delaminated fullthickness rotator cuff tear, suggesting that degeneration would be a main etiology for the rotator cuff tear not only in the articular side but also in the bursal side. Considering potential disadvantages of subacromial decompression, this study tentatively suggests routine use of subacromial decompression as well as the need for halting or recovery from rotator cuff degeneration for better rotator cuff repair.
Methods: Fifty-four patients with a full-thickness rotator cuff tear were included in the study. Tendon specimens were harvested during arthroscopic rotator cuff repair from the lateral torn edges of the articular and bursal layers of the delaminated tear. Harvested samples were stained with H&E dye and evaluated based on a semi-quantitative grading scale.
Results: There were no significant differences in the seven histological characteristics of tendon degeneration: fiber structure, fiber arrangement, round nuclei, regional variations in cellularity, vascularity, collagen stainability, and hyalinization between the articular and bursal layers of the delaminated rotator cuff tear (all p>0.05). Total degeneration scores of articular and bursal sides were 13.1 ± 3.85 points and 13.2 ± 3.42 points, respectively, and were not significantly different (p=0.958).
Conclusions: The study demonstrates that tendon degeneration was similar in the articular and bursal sides of the delaminated fullthickness rotator cuff tear, suggesting that degeneration would be a main etiology for the rotator cuff tear not only in the articular side but also in the bursal side. Considering potential disadvantages of subacromial decompression, this study tentatively suggests routine use of subacromial decompression as well as the need for halting or recovery from rotator cuff degeneration for better rotator cuff repair.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (23)
참고문헌 신청
Hermans J / 2013 / Does this patient with shoulder pain have rotator cuff disease? : the rational clinical examination systematic review / JAMA 310(8):837~847
Oh LS / 2007 / Indications for rotator cuff repair : a systematic review / Clin Orthop Relat Res 455:52~63
Colvin AC / 2012 / National trends in rotator cuff repair / J Bone Joint Surg Am 94(3):227~233
Via AG / 2013 / Clinical and biological aspects of rotator cuff tears / Muscles Ligaments Tendons J 3(2):70~79
Kannus P / 1991 / Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients / J Bone Joint Surg Am 73(10):1507~1525
Oh LS / 2007 / Indications for rotator cuff repair : a systematic review / Clin Orthop Relat Res 455:52~63
Colvin AC / 2012 / National trends in rotator cuff repair / J Bone Joint Surg Am 94(3):227~233
Via AG / 2013 / Clinical and biological aspects of rotator cuff tears / Muscles Ligaments Tendons J 3(2):70~79
Kannus P / 1991 / Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients / J Bone Joint Surg Am 73(10):1507~1525
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UCI(KEPA) : I410-ECN-0101-2017-514-001985073