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
- 2016.1
- 수록면
- 252 - 262 (11page)
이용수
초록· 키워드
오류제보하기
Objective To compare the clinical outcomes following conservative treatment and arthroscopic repair in patients with a rotator cuff tear.Methods In this retrospective study, patients aged >50 years with a symptomatic rotator cuff tear were reviewed. The rotator cuff tendons were evaluated using ultrasonography, shoulder magnetic resonance imaging or MR arthrography, and the patients with either a high-grade partial-thickness or small-to-medium-sized (≤3 cm) full-thickness tear were included in this study. The primary outcome measures were a pain assessment score and range of motion (ROM) at 1-year follow-up. The secondary outcomes were the rate of tear progression or retear along with the rate of symptom aggravation after the treatments.Results A total of 357 patients were enrolled, including 183 patients that received conservative treatment and 174 patients who received an arthroscopic repair. The pain assessment score (p<0.001) and the ROM in forward flexion (p<0.001) were significantly improved in both groups. The ROM in internal rotation did not significantly change after conservative treatment and arthroscopic repair. The pain assessment score and ROM were not significantly different between the two groups. Retear was observed in 9.6% of patients who had an arthroscopic repair and tear progression was found in 6.7% of those who underwent conservative treatment. The proportion of aggravation for pain and ROM did not significantly differ between the two groups.Conclusion The effectiveness of conservative treatment is not inferior to arthroscopic repair for patients >50 years old with a less than medium-sized rotator cuff tear in a 1-year follow-up period. Further study is warranted to find the optimal combination of conservative treatment for a symptomatic rotator cuff tear.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Tempelhof S / 1999 / Age-related prevalence of rotator cuff tears in asymptomatic shoulders / J Shoulder Elbow Surg 8:296~299
Tashjian RZ / 2012 / Epidemiology, natural history, and indications for treatment of rotator cuff tears / Clin Sports Med 31:589~604
Pedowitz RA / 2011 / Optimizing the management of rotator cuff problems / J Am Acad Orthop Surg 19:368~379
Safran O / 2011 / Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger / Am J Sports Med 39:710~714
Maman E / 2009 / Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging / J Bone Joint Surg Am 91:1898~1906
Tashjian RZ / 2012 / Epidemiology, natural history, and indications for treatment of rotator cuff tears / Clin Sports Med 31:589~604
Pedowitz RA / 2011 / Optimizing the management of rotator cuff problems / J Am Acad Orthop Surg 19:368~379
Safran O / 2011 / Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger / Am J Sports Med 39:710~714
Maman E / 2009 / Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging / J Bone Joint Surg Am 91:1898~1906
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