PDF(Pubmed)
Abstract：
UNASSIGNED: Rotator cuff tears are a common source of shoulder pain and dysfunction. An irreparable rotator cuff tear poses a particular treatment challenge. There have been few studies reporting the outcomes of lower trapezius tendon (LTT) transfer for irreparable rotator cuff injuries. Therefore, the purpose of this review is to summarize the postoperative functional outcomes and complications of patients undergoing a LTT transfer for massive irreparable rotator cuff injuries.
UNASSIGNED: A scoping review was performed using the Medline, Embase, Cochrane Central Register of Controlled Trials, and Google Scholar databases with the search terms \"trapezius\" AND \"transfer.\" Of 362 studies included for initial screening, 37 full-text citations were reviewed, with 5 studies meeting all the inclusion criteria to be included in the review. Two reviewers extracted data on study design, patient demographics, surgical technique, functional outcomes, range of motion (ROM), and complications for each study according to the predefined criteria.
UNASSIGNED: Improvements in the preoperative to postoperative functional status, identified using the Disabilities of the Arm, Shoulder, and Hand (50.34 to 18), The American Shoulder and Elbow Surgeons Score (48.56 to 80.24), Visual Analog Scale (5.8 to 1.89), Single Assessment Numeric Evaluation (34.22 to 69.86), and Subjective Shoulder Value (52.24 to 77.66), were evident across all 5 studies. Preoperative to postoperative increases in ROM were seen for flexion (85 to 135), external rotation (18 to 52), and abduction (50 to 98). The overall complication rate was 18%, with seroma formation (8%) as the most common postoperative complication.
UNASSIGNED: Our analysis showed that LTT transfer improved postoperative function, ROM, and pain for patients with irreparable rotator cuff tears with an overall complication rate of 18%. Future controlled studies are required to directly compare LTT transfer to other tendon transfers and other surgical techniques for irreparable rotator cuff tears.
UNASSIGNED: A scoping review was performed using the Medline, Embase, Cochrane Central Register of Controlled Trials, and Google Scholar databases with the search terms \"trapezius\" AND \"transfer.\" Of 362 studies included for initial screening, 37 full-text citations were reviewed, with 5 studies meeting all the inclusion criteria to be included in the review. Two reviewers extracted data on study design, patient demographics, surgical technique, functional outcomes, range of motion (ROM), and complications for each study according to the predefined criteria.
UNASSIGNED: Improvements in the preoperative to postoperative functional status, identified using the Disabilities of the Arm, Shoulder, and Hand (50.34 to 18), The American Shoulder and Elbow Surgeons Score (48.56 to 80.24), Visual Analog Scale (5.8 to 1.89), Single Assessment Numeric Evaluation (34.22 to 69.86), and Subjective Shoulder Value (52.24 to 77.66), were evident across all 5 studies. Preoperative to postoperative increases in ROM were seen for flexion (85 to 135), external rotation (18 to 52), and abduction (50 to 98). The overall complication rate was 18%, with seroma formation (8%) as the most common postoperative complication.
UNASSIGNED: Our analysis showed that LTT transfer improved postoperative function, ROM, and pain for patients with irreparable rotator cuff tears with an overall complication rate of 18%. Future controlled studies are required to directly compare LTT transfer to other tendon transfers and other surgical techniques for irreparable rotator cuff tears.
摘要：
■肩袖撕裂是肩部疼痛和功能障碍的常见原因。不可修复的肩袖撕裂带来了特殊的治疗挑战。很少有研究报告下斜方肌肌腱（LTT）转移治疗不可修复的肩袖损伤的结果。因此,本综述的目的是总结大量不可修复的肩袖损伤接受LTT转移的患者的术后功能结局和并发症.
■使用Medline进行了范围审查，Embase,Cochrane中央控制试验登记册,以及带有搜索词“斜方”和“传输”的Google学者数据库。在纳入初步筛查的362项研究中，回顾了37篇全文引文，有5项研究符合所有纳入标准，将纳入审查。两名评审员提取了研究设计的数据，患者人口统计学，外科技术,功能结果，运动范围（ROM），根据预定义的标准，每个研究的并发症。
■术前术后功能状态的改善，使用手臂的残疾识别，肩膀,和手（50.34到18），美国肩肘外科医生评分（48.56至80.24），视觉模拟量表（5.8至1.89），单一评估数字评估（34.22至69.86），和主观肩值（52.24至77.66），在所有5项研究中都很明显。术前术后ROM增加可见屈曲（85～135），外部旋转（18到52），绑架（50至98）。总并发症发生率为18%,以血清肿形成（8％）为最常见的术后并发症。
■我们的分析表明，LTT转移改善了术后功能，ROM,不可修复的肩袖撕裂患者的疼痛，总并发症率为18％。需要进行未来的对照研究，以直接比较LTT转移与其他肌腱转移和其他手术技术，以治疗无法修复的肩袖撕裂。
■使用Medline进行了范围审查，Embase,Cochrane中央控制试验登记册,以及带有搜索词“斜方”和“传输”的Google学者数据库。在纳入初步筛查的362项研究中，回顾了37篇全文引文，有5项研究符合所有纳入标准，将纳入审查。两名评审员提取了研究设计的数据，患者人口统计学，外科技术,功能结果，运动范围（ROM），根据预定义的标准，每个研究的并发症。
■术前术后功能状态的改善，使用手臂的残疾识别，肩膀,和手（50.34到18），美国肩肘外科医生评分（48.56至80.24），视觉模拟量表（5.8至1.89），单一评估数字评估（34.22至69.86），和主观肩值（52.24至77.66），在所有5项研究中都很明显。术前术后ROM增加可见屈曲（85～135），外部旋转（18到52），绑架（50至98）。总并发症发生率为18%,以血清肿形成（8％）为最常见的术后并发症。
■我们的分析表明，LTT转移改善了术后功能，ROM,不可修复的肩袖撕裂患者的疼痛，总并发症率为18％。需要进行未来的对照研究，以直接比较LTT转移与其他肌腱转移和其他手术技术，以治疗无法修复的肩袖撕裂。
