Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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The Correlation Between Clinical Features and Radiographic Grades in Massive Rotator Cuff Tear Patients

광범위 회전근 개 파열에서 방사선학적 소견과 임상 소견 간의 관계

  • Moon, Eun-Sun (Department of Orthopaedic Surgery, Chonnam National University School of Medicine) ;
  • Kim, Myung-Sun (Department of Orthopaedic Surgery, Chonnam National University School of Medicine) ;
  • Choi, Min-Sun (Department of Orthopaedic Surgery, Chonnam National University School of Medicine) ;
  • Kim, Hyung-Won (Department of Orthopaedic Surgery, Chonnam National University School of Medicine) ;
  • Lim, Keun-Young (Department of Orthopaedic Surgery, Chonnam National University School of Medicine)
  • 문은선 (전남대학교 의과대학 정형외과학교실) ;
  • 김명선 (전남대학교 의과대학 정형외과학교실) ;
  • 최민선 (전남대학교 의과대학 정형외과학교실) ;
  • 김형원 (전남대학교 의과대학 정형외과학교실) ;
  • 임근영 (전남대학교 의과대학 정형외과학교실)
  • Received : 2010.02.16
  • Accepted : 2010.12.05
  • Published : 2010.12.15
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Abstract

Purpose: The purpose of this study was to determine the correlation between the radiographic and clinical findings of massive rotator cuff tears. Materials and Methods: Forty-five diagnosed cases (35 patients) of massive rotator cuff tears were investigated in this study. Grade of arthritis in the massive rotator cuff tears was classified based on plain radiographs using the method of Hamada et al.. And we clinically evaluated cases using the UCLA scoring system. Results: No statistically significant correlation ($r_s$=0.220, p=0.151) was found between arthritis grades in massive rotator cuff tears and clinical features. Dominant arm involvement appeared to be related to a higher rate of surgical treatment and a lower UCLA score. Conclusion: In massive rotator cuff tear patients, radiographic findings of arthritis may not always correspond to clinical features relevant in daily life. Therefore, we suggest that treatment strategies should be carefully considered when considering treatment modalities.

목적: 본 연구의 목적은 광범위 회전근 개 파열에서 방사선학적 소견과 임상 소견 간의 관계를 알아보고자 하였다. 대상 및 방법: 광범위 회전근 개 파열로 진단된 45예 (35명)를 대상으로 하였다. Hamada의 분류법을 사용하여 광범위 회전근 개 파열 환자의 방사선학적 소견을 분석하고, 임상적 평가는 UCLA 점수를 이용하였으며, 서로 간의 결과를 비교하였다. 결과: 광범위 회전근 개 파열에서 관절염 등급과 임상 소견 사이에 유의한 연관성은 확인되지 않았다($r_s$=0.220, p=0.151). 우세수 측 침범이 더 높은 수술적 치료의 비율과 더 낮은 UCLA 점수와 관련이 있었다. 결론: 광범위 회전근 개 파열 환자에서 관절염의 방사선학적 소견이 일상 생활에 영향을 미치는 임상적 소견과 항상 관련이 있는 것은 아닌 것으로 사료된다. 따라서, 광범위 회전근 개 파열 환자의 치료 방법의 결정에 있어서는 신중한 고려가 필요할 것으로 사료된다.

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References

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