■绑架没有区别,内部旋转,反向全肩关节置换术(rTSA)伴或不伴肩胛骨下修复后的外部旋转强度。肩胛骨下的修复在rTSA的设置中可以有效。然而,关于rTSA术后强度是否因肩胛骨下管理而不同,目前尚未达成共识.这篇综述的目的是评估有和没有肩胛骨下肌腱修复的rTSA术后的肩关节强度结果。
■使用PubMed中的关键术语“肩cap下”和“反向全肩关节置换术”和“肌肉力量”进行了全面的文献综述,Embase,WebofScience,Cochrane评论和试验,还有Scopus.Original,从2000年1月1日起,对rTSA发表后评估肩关节力量结果的英语研究进行了评估。报告的强度结果包括使用电动弹簧天平的外展强度(kg)和内部旋转强度(kg)以及使用手持式测力计的外部旋转强度(lb)。纳入研究的数据异质性不允许进行荟萃分析。
■搜索产生了4253个独特的结果,根据系统评价和荟萃分析(PRISMA)的首选报告项目筛选纳入。两篇文章符合资格标准,并被纳入最终全文审查。共有267个肩膀,111例肩胛骨下修复,156例无肩胛骨下修复。绑架没有显着差异(P=0.39),内部旋转(P=.09),和外旋转(P=.463)强度观察肩胛骨下修复和未修复组。
■绑架没有差异,内部旋转,或有或没有肩胛骨下修复的rTSA后的外部旋转强度。关于rTSA术后强度结果的文献有限,在这方面需要进一步的研究。
UNASSIGNED: There is no differences in abduction, internal rotation, or external rotation strength after reverse total shoulder arthroplasty (rTSA) with or without subscapularis repair. Repair of the
subscapularis can be effective in the setting of rTSA. However, consensus has yet to be reached on whether postoperative strength after rTSA differs based on subscapularis management. The purpose of this
review is to evaluate shoulder strength outcomes after rTSA with and without
subscapularis tendon repair.
UNASSIGNED: A comprehensive literature
review was conducted using the key terms \"
subscapularis\" AND \"reverse total shoulder arthroplasty\" AND \"muscle strength\" in PubMed, Embase, Web of Science, Cochrane Reviews and Trials, and Scopus. Original, English-language studies evaluating shoulder strength outcomes after rTSA published from January 1, 2000, to present were evaluated. Strength outcomes reported included abduction strength (kg) and internal rotation strength (kg) using an electric spring balance and external rotation strength (lb) using a handheld dynamometer. Heterogeneity of data in the included studies did not allow for meta-analysis.
UNASSIGNED: The search yielded 4253 unique results, which were screened for inclusion according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Two articles met eligibility criteria and were included in the final full-text
review. A total of 267 shoulders were represented, 111 with
subscapularis repair and 156 without
subscapularis repair. No significant differences in abduction (P = .39), internal rotation (P = .09), and external rotation (P = .463) strength were observed between subscapularis repair and nonrepair groups.
UNASSIGNED: There were no differences in abduction, internal rotation, or external rotation strength after rTSA with or without subscapularis repair. The literature on postoperative strength outcomes after rTSA is limited, and further study in this area is warranted.