关键词: Real-time tissue elastography postoperative re-tear rotator cuff repair supraspinatus muscle

Mesh : Humans Rotator Cuff / diagnostic imaging surgery Elasticity Imaging Techniques / methods Rotator Cuff Injuries / diagnostic imaging surgery Shoulder Elasticity Treatment Outcome

来  源:   DOI:10.1080/09593985.2022.2074553

Abstract:
UNASSIGNED: Although surgical techniques have advanced to avoid a postoperative re-tear after rotator cuff surgery, it remains unclear how to directly evaluate the risk of a re-tear.
UNASSIGNED: To describe how muscle elasticity with real-time tissue elastography could be used to avoid re-tear in individual cases after rotator cuff repair.
UNASSIGNED: This case series included four patients, two per tear size (small and large/massive), with contrasting changes in muscle elasticity of the supraspinatus muscle. All patients underwent primary arthroscopic or open rotator cuff repair. The elasticity of the supraspinatus muscle was evaluated at relaxed and elongated positions of 0° and 60° shoulder abduction angles, respectively. The change in muscle elasticity at 1 month after surgery was characteristically different, and we predicted that a greater elasticity in the elongated position indicated a higher risk of re-tear. The cases with high risk underwent careful rehabilitation to avoid re-tear, and no re-tears were recorded in this report.
UNASSIGNED: Our findings suggested that evaluation of muscle elasticity using real-time tissue elastography, which provides an indication of the risk of re-tear, in the clinical setting might be useful for therapists, who could adjust the intensity of rehabilitation, and for patients.
摘要:
UASSIGNED:尽管手术技术已经进步,以避免肩袖手术后的术后再撕裂,目前尚不清楚如何直接评估再撕裂的风险.
UNASSIGNED:描述实时组织弹性成像的肌肉弹性如何用于避免肩袖修复后个别病例的再撕裂。
未经评估:本病例系列包括4名患者,每个撕裂尺寸两个(小和大/大),与冈上肌的肌肉弹性变化形成对比。所有患者均接受初次关节镜或开放性肩袖修复。在0°和60°肩展角度的松弛和伸长位置评估冈上肌的弹性,分别。手术后1个月肌肉弹性的变化具有不同的特征,我们预测,在拉长的位置更大的弹性表明更高的再撕裂风险。高风险病例经过精心复诊,避免再次撕裂,这份报告中没有记录到再次流泪。
UNASSIGNED:我们的研究结果表明,使用实时组织弹性成像评估肌肉弹性,这表明了再撕裂的风险,在临床上可能对治疗师有用,谁能调整康复的强度,和病人。
公众号