肩关节镜手术后肩部吱吱作响:病例对照研究

Si Heng Sharon Tan, V. P. Kumar, Joel Louis Zongwei Lim, R. Manohara, D. Z. Ng, Keng Soon Poh, Hsi Ming Bryan Tan
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引用次数: 0

摘要

迄今为止,有关肩关节镜手术后肩部运动时出现异常吱吱声的报道极少。本研究旨在报告肩关节镜手术后出现吱吱声的患者的发病率、自然史、可能的风险因素和功能结果。在这项为期两年的病例对照研究中,纳入了在一家机构接受肩关节镜手术的所有患者。然后对所有患者进行术前和术后的人口统计学、病理学、手术因素和功能结果评估。然后将肩关节镜手术后出现吱吱声的患者与肩关节镜手术后未出现吱吱声的患者的可能风险因素和功能结果进行比较。在纳入研究的 360 名患者中,肩关节镜手术后出现吱吱声的发生率为 2.23%,肩关节镜肩关节唇修复术后出现吱吱声的发生率为 3.1%。出现吱吱声的患者与未出现吱吱声的患者在年龄、性别、手部优势、体重指数、运动参与度、病理类型、病理侧、使用打结缝合锚与无打结缝合锚、缝合锚数量以及手术持续时间等方面均无显著差异。所有患者在术前和术后(3 个月、6 个月和 1 年随访)的功能结果均具有可比性。该病例对照研究分析了一系列肩关节镜手术后出现肩关节吱吱声的患者。在这一系列病例中没有发现该病症的风险因素或病因。不过,这些在肩关节镜手术后出现吱吱声的患者并没有功能受损。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Squeaking Shoulder Following Arthroscopic Shoulder Surgery: A Case–Control Study
To date, the occurrence of unusual squeaking noises during shoulder movements following shoulder arthroscopic surgeries have been minimally reported. The aim of this study was to report the incidence, natural history, possible risk factors and functional outcomes of patients who reported to have squeaking noises following shoulder arthroscopic procedures. In this 2-year case-control study, all patients who underwent arthroscopic shoulder in a single institution were included. All patients were then evaluated preoperatively and postoperatively for demographics, pathology, surgical factors, and functional outcomes. The possible risk factors and functional outcomes of the patients who experienced squeaking following shoulder arthroscopic surgeries were then compared with those patients who did not experience squeaking following shoulder arthroscopic surgeries. Of the 360 patients included in the study, the incidence of squeaking following arthroscopic shoulder surgeries was 2.23%, and the incidence of squeaking following arthroscopic shoulder labral repair was 3.1%. The age, gender, hand dominance, body mass index, participation in sports, pathology, side of pathology, use of knot-tying versus knotless suture anchors, number of suture anchors, and surgical duration were not significantly different between patients who experienced squeaking and patients who did not. All patients had comparative functional outcomes preoperatively and postoperatively (at the 3-month, 6-month, and 1-year follow-ups). This case-control study provides an analysis of a series of patients with squeaking of the shoulder following arthroscopic shoulder surgeries. No risk factors or etiology of the condition have been identified in the series. However, there is no functional compromise among these patients who experienced squeaking following shoulder arthroscopic surgeries.
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