中国组织工程研究 ›› 2025, Vol. 29 ›› Issue (27): 5914-5923.doi: 10.12307/2025.842
• 骨与关节综述 bone and joint review • 上一篇 下一篇
黄子帅,王 健
收稿日期:
2024-06-04
接受日期:
2024-08-12
出版日期:
2025-09-28
发布日期:
2025-03-07
通讯作者:
王健,博士,主任医师,山东第一医科大学附属省立医院骨关节科,山东省济南市 250000
作者简介:
黄子帅,男,1999年生,山东省聊城市人,汉族,山东第一医科大学在读硕士,医师,主要从事骨科学方面的研究。
Huang Zishuai, Wang Jian
Received:
2024-06-04
Accepted:
2024-08-12
Online:
2025-09-28
Published:
2025-03-07
Contact:
Wang Jian, MD, Chief physician, Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250000, Shandong Province, China
About author:
Huang Zishuai, Master candidate, Physician, Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250000, Shandong Province, China
摘要:
文题释义:
临界肩角:肩关节盂上缘与下缘连线和肩关节盂下缘到肩峰最外侧缘连线的夹角,反映了肩峰和肩关节腔的相对位置关系。中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱;骨折;内固定;数字化骨科;组织工程
中图分类号:
黄子帅, 王 健. 关节镜下肩袖撕裂修补后再撕裂的非手术性影响因素[J]. 中国组织工程研究, 2025, 29(27): 5914-5923.
[1] ZHAO J LUO M, PAN J, et al. Risk factors affecting rotator cuff retear after arthroscopic repair: a meta-analysis and systematic review. J Shoulder Elbow Surg. 2021;30(11):2660-2670. [2] IANNOTTI JP, DEUTSCH A, GREEN A, et al. Time to failure after rotator cuff repair: a prospective imaging study. J Bone Joint Surg Am. 2013; 95(11):965-971. [3] LONG Z, NAKAGAWA K, WANG Z, et al. Age-related cellular and microstructural changes in the rotator cuff enthesis. J Orthop Res. 2022;40(8):1883-1895. [4] JO CH, SHIN WH, PARK JW, et al. Degree of tendon degeneration and stage of rotator cuff disease. Knee Surg Sports Traumatol Arthrosc. 2017;25(7):2100-2108. [5] TOKUNAGA T, KARASUGI T, TANIMURA S, et al. Association of Severe Histological Degeneration of the Torn Supraspinatus Tendon and Retear After Arthroscopic Repair of Full-Thickness Rotator Cuff Tears Using the Suture Bridge Technique. Am J Sports Med. 2023;51(9):2411-2421. [6] 庄鳌,黄长明,董辉详,等.影响肩袖术后再撕裂相关因素及研究进展[J]. 中国矫形外科杂志,2023,31(2):140-144. [7] ERSEN A, SAHIN K, ALBAYRAK MO. Older age and higher body mass index are independent risk factors for tendon healing in small- to medium-sized rotator cuff tears. Knee Surg Sports Traumatol Arthrosc. 2023;31(2):681-690. [8] KHAZZAM M, SAGER B, BOX HN, et al. The effect of age on risk of retear after rotator cuff repair: a systematic review and meta-analysis. JSES Int. 2020;4(3):625-631. [9] DIEBOLD G, LAM P, WALTON J, et al. Relationship Between Age and Rotator Cuff Retear: A Study of 1,600 Consecutive Rotator Cuff Repairs. J Bone Joint Surg Am. 2017;99(14):1198-1205. [10] PARK HB, GWARK JY, KWACK BH, et al. Hypo-High-Density Lipoproteinemia Is Associated With Preoperative Tear Size and With Postoperative Retear in Large to Massive Rotator Cuff Tears. Arthroscopy. 2020;36(8):2071-2079. [11] SCIORATI C, CLEMENTI E, MANFREDI AA, et al. Fat deposition and accumulation in the damaged and inflamed skeletal muscle: cellular and molecular players. Cell Mol Life Sci. 2015;72(11):2135-2156. [12] LEE S, LEE N, SHIN SJ, et al. Relationship of Missed Statin Therapy and 10-Year Atherosclerotic Cardiovascular Disease Risk Score to Retear Rate After Arthroscopic Rotator Cuff Repair. Am J Sports Med. 2023; 51(8):1988-1996. [13] KIM YK, JUNG KH, KIM JW. Factors affecting rotator cuff integrity after arthroscopic repair for medium-sized or larger cuff tears: a retrospective cohort study. J Shoulder Elbow Surg. 2018;27(6):1012-1020. [14] KIM MS, RHEE SM, CHO NS. Increased HbA1c Levels in Diabetics During the Postoperative 3-6 Months After Rotator Cuff Repair Correlated With Increased Retear Rates. Arthroscopy. 2023;39(2):176-182. [15] CHUNG SW, OH JH, GONG HS, et al. Factors affecting rotator cuff healing after arthroscopic repair: osteoporosis as one of the independent risk factors. Am J Sports Med. 2011;39(10):2099-2107. [16] PIETSCHMANN MF, FROHLICH V, FICKLSCHERER A, et al. Suture anchor fixation strength in osteopenic versus non-osteopenic bone for rotator cuff repair. Arch Orthop Trauma Surg. 2009;129(3):373-379. [17] TINGART MJ, APRELEVA M, LEHTINEN J, et al. Anchor design and bone mineral density affect the pull-out strength of suture anchors in rotator cuff repair: which anchors are best to use in patients with low bone quality? Am J Sports Med. 2004;32(6):1466-1473. [18] DENARD PJ, BURKHART SS. Techniques for managing poor quality tissue and bone during arthroscopic rotator cuff repair. Arthroscopy. 2011; 27(10):1409-1421. [19] LEE JH, YOON JY, LEE YB. The Use of Intravenous Zoledronate May Reduce Retear Rate after Rotator Cuff Repair in Older Female Patients with Osteoporosis: A First In-Human Prospective Study. J Clin Med. 2022;11(3):836. [20] LEI M, ZHU Z, HU X, et al. Postoperative Antiosteoporotic Treatment with Zoledronic Acid Improves Rotator Cuff Healing but Does Not Improve Outcomes in Female Patients with Postmenopausal Osteoporosis: A Prospective, Single-Blinded, Randomized Study. Arthroscopy. 2024;40(3):714-722. [21] SHAH SA, KORMPAKIS I, HAVLIOGLU N, et al. Sclerostin Antibody Treatment Enhances Rotator Cuff Tendon-to-Bone Healing in an Animal Model. J Bone Joint Surg Am. 2017;99(10):855-864. [22] KIM DM, JEON IH, YANG HS, et al. Poor Prognostic Factors in Patients With Rotator Cuff Retear. Orthop J Sports Med. 2021;9(4): 2325967121992154. [23] CORBAN J, SHAH S, RAMAPPA AJ. Current Evidence Based Recommendations on Rehabilitation following Arthroscopic Shoulder Surgery: Rotator Cuff, Instability, Superior Labral Pathology, and Adhesive Capsulitis. Curr Rev Musculoskelet Med. 2024;17(7):247-257. [24] LEE JS, SUH KT, SHIN WC, et al. Socioeconomic and Other Risk Factors for Retear after Arthroscopic Surgery for Nontraumatic Rotator Cuff Tear. Medicina (Kaunas). 2024;60(4):640. [25] SANGUANJIT P, APIVATGAROON A, BOONSUN P, et al. The differences of the acromiohumeral interval between supine and upright radiographs of the shoulder. Sci Rep. 2022;12(1):9404. [26] CAFFARD T, KRALEWSKI D, LUDWIG M, et al. High Acromial Slope and Low Acromiohumeral Distance Increase the Risk of Retear of the Supraspinatus Tendon After Repair. Clin Orthop Relat Res. 2023;481(6): 1158-1170. [27] MOOR BK, BOUAICHA S, ROTHENFLUH DA, et al. Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint?: A radiological study of the critical shoulder angle. Bone Joint J. 2013; 95-B(7): 935-941. [28] DIETRICH TJ, MOOR BK, PUSKAS GJ, et al. Is the lateral extension of the acromion related to the outcome of shoulder injections? European Radiology. 2015;25(1):267-273. [29] LIU T, ZHANG M, YANG Z, et al. Does the critical shoulder angle influence retear and functional outcome after arthroscopic rotator cuff repair? A systematic review and meta-analysis. Arch Orthop Trauma Surg. 2023;143(5):2653-2663. [30] OPSOMER GJ, VERSTUYFT L, MUERMANS S. Long-term follow-up of patients with a high critical shoulder angle and acromion index: is there an increased retear risk after arthroscopic supraspinatus tendon repair? JSES Int. 2020;4(4):882-887. [31] SCHEIDERER B, IMHOFF FB, JOHNSON JD, et al. Higher Critical Shoulder Angle and Acromion Index Are Associated With Increased Retear Risk After Isolated Supraspinatus Tendon Repair at Short-Term Follow Up. Arthroscopy. 2018;34(10):2748-2754. [32] GARCIA G., LIU JN, DEGEN RM, et al. Higher critical shoulder angle increases the risk of retear after rotator cuff repair. J Shoulder Elbow Surg. 2017;26(2):241-245. [33] COMO CJ, HUGHES JD, LESNIAK BP, et al. Critical shoulder angle does not influence retear rate after arthroscopic rotator cuff repair. Knee Surg Sports Traumatol Arthrosc. 2021;29(12):3951-3955. [34] 陈俊,楼珏翔,申屠国建,等.肩关节峰盂角对肩袖撕裂修补术后再撕裂的影响[J]. 中国运动医学杂志,2022,41(6):423-429. [35] KAISER D, BACHMANN E, GERBER C, et al. Influence of the site of acromioplasty on reduction of the critical shoulder angle (CSA) - an anatomical study. BMC Musculoskelet Disord. 2018;19(1):371. [36] HAECKER AM, CONTRERAS J, VALENZUELA A, et al. Critical shoulder angle and failure of conservative treatment in patients with atraumatic full thickness rotator cuff tears. BMC Musculoskelet Disord. 2022; 23(1):561. [37] LONGO UG, CARNEVALE A, PIERGENTILI I, et al. Retear rates after rotator cuff surgery: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021;22(1):749. [38] KIM JH, MIN YK, KIM DY, et al. Evaluation of Scapula and Humerus Bone Change after Repair of Small- to Medium-Sized Rotator Cuff Tears: Comparison between Healing and Retear Groups Using Three-Dimensional Computed Tomography. Clin Orthop Surg. 2022;14(4):564-575. [39] SHI X, XU Y, DAI B, et al. Effect of different geometrical structure of scapula on functional recovery after shoulder arthroscopy operation. J Orthop Surg Res. 2019;14(1):312. [40] FLIEG NG, GATTI CJ, DORO LC, et al. A stochastic analysis of glenoid inclination angle and superior migration of the humeral head. Clin Biomech (Bristol, Avon). 2008;23(5):554-561. [41] ITOI E, MOTZKIN NE, MORREY BF, et al. Scapular inclination and inferior stability of the shoulder. J Shoulder Elbow Surg. 1992;1(3):131-139. [42] BOUAICHA S, KUSTER RP, SCHMID B, et al. Biomechanical analysis of the humeral head coverage, glenoid inclination and acromio-glenoidal height as isolated components of the critical shoulder angle in a dynamic cadaveric shoulder model. Clin Biomech. 2020;72:115-121. [43] LI H, CHEN Y, CHEN J, et al. Large Critical Shoulder Angle Has Higher Risk of Tendon Retear After Arthroscopic Rotator Cuff Repair. Am J Sports Med. 2018;46(8):1892-1900. [44] 苑博,田明, 张绍龙,等. 解剖因素对中小型肩袖修补术后再撕裂率的预测价值[J] 中华骨科杂志,2023,43(18):1193-1200. [45] AGHA O, DIAZ A, DAVIES M, et al. Rotator cuff tear degeneration and the role of fibro-adipogenic progenitors. Ann N Y Acad Sci. 2021; 1490(1):13-28. [46] FEELEY BT, LIU M, MA CB, et al. Human Rotator Cuff Tears Have an Endogenous, Inducible Stem Cell Source Capable of Improving Muscle Quality and Function After Rotator Cuff Repair. The Am J Sports Med. 2020;48(11):2660-2668. [47] GIAMBINI H, HATTA T, REZAEI A, et al. Extensibility of the supraspinatus muscle can be predicted by combining shear wave elastography and magnetic resonance imaging-measured quantitative metrics of stiffness and volumetric fat infiltration: A cadaveric study. Clin Biomech (Bristol, Avon). 2018;57:144-149. [48] 丁明,张春礼. 肩袖撕裂后脂肪浸润对肩袖再撕裂的影响[J]. 中国微创外科杂志,2019,19(1):68-71. [49] NAKAMURA H, GOTOH M, MITSUI Y, et al. Factors Affecting Clinical Outcome in Patients With Structural Failure After Arthroscopic Rotator Cuff Repair. Arthroscopy. 2016;32(5):732-739. [50] GLADSTONE JN, BISHOP JY, LO IK, et al. Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med. 2007;35(5):719-728. [51] GUO AA, STITZ DJ, LAM P, et al. Tear Size and Stiffness Are Important Predictors of Retear: An Assessment of Factors Associated with Repair Integrity at 6 Months in 1,526 Rotator Cuff Repairs. JB JS Open Access. 2022;7(3):e22.00006. [52] GUO S, ZHU Y, SONG G, et al. Assessment of Tendon Retraction in Large to Massive Rotator Cuff Tears: A Modified Patte Classification Based on 2 Coronal Sections on Preoperative Magnetic Resonance Imaging With Higher Specificity on Predicting Reparability. Arthroscopy. 2020;36(11):2822-2830. [53] LEE KJ, KIM YT, CHOI M, et al. Characteristics and outcomes of L-shaped and reverse L-shaped rotator cuff tears. Bone Joint J. 2022;104-B(3): 394-400. [54] NOVI M, KUMAR A, PALADINI P, et al. Irreparable rotator cuff tears: challenges and solutions. Orthop Res Rev. 2018;10:93-103. [55] ESCAMILLA RF, YAMASHIRO K, PAULOS L, et al. Shoulder muscle activity and function in common shoulder rehabilitation exercises. Sports Med. 2009;39(8):663-685. [56] 关晨炜. 肩袖撕裂后继发关节僵硬的影响因素初步分析[D].承德:承德医学院,2022:39. [57] NIKOLAIDOU O, MIGKOU S, KARAMPALIS C. Rehabilitation after Rotator Cuff Repair. Open Orthop J. 2017;11:154-162. [58] HOTTA GH, COUTO AGDA, COOLS AM, et al. Effects of adding scapular stabilization exercises to a periscapular strengthening exercise program in patients with subacromial pain syndrome: A randomized controlled trial. Musculoskelet Sci Pract. 2020;49:102171. [59] MCNAMARA WJ, LAM PH, MURRELL GA. The Relationship Between Shoulder Stiffness and Rotator Cuff Healing: A Study of 1,533 Consecutive Arthroscopic Rotator Cuff Repairs. J Bone Joint Surg Am. 2016;98(22):1879-1889. [60] HOUCK DA, KRAEUTLER MJ, SCHUETTE HB, et al. Early Versus Delayed Motion After Rotator Cuff Repair: A Systematic Review of Overlapping Meta-analyses. Am J Sports Med. 2017;45(12):2911-2915. [61] YAMAGUCHI K, DITSIOS K, MIDDLETON WD, et al. The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg Am. 2006; 88(8):1699-1704. [62] YAMAMOTO A, TAKAGISHI K, OSAWA T, et al. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19(1):116-120. [63] MALL NA, LEE AS, CHAHAL J, et al. An evidenced-based examination of the epidemiology and outcomes of traumatic rotator cuff tears. Arthroscopy. 2013;29(2):366-376. [64] BJORNSSON HC, NORLIN R, JOHANSSON K, et al. The influence of age, delay of repair, and tendon involvement in acute rotator cuff tears: structural and clinical outcomes after repair of 42 shoulders. Acta Orthop. 2011;82(2):187-192. [65] HAVIV B, RUTENBERG TF, BRONAK S, et al. Arthroscopic rotator cuff surgery following shoulder trauma improves outcome despite additional pathologies and slow recovery. Knee Surg Sports Traumatol Arthrosc. 2018;26(12):3804-3809. [66] JEONG HJ, KIM HS, RHEE SM, et al. Risk factors for and prognosis of folded rotator cuff tears: a comparative study using propensity score matching. J Shoulder Elbow Surg. 2021;30(4):826-835. [67] MELIS B, DEFRANCO MJ, CHUINARD C, et al. Natural history of fatty infiltration and atrophy of the supraspinatus muscle in rotator cuff tears. Clin Orthop Relat Res. 2010;468(6):1498-1505. [68] REES JL. The pathogenesis and surgical treatment of tears of the rotator cuff. J Bone Joint Surg Br. 2008;90(7):827-832. [69] FINGER L, DUNN R, HUGHES J, et al. Clinical outcomes secondary to time to surgery for atraumatic rotator cuff tears. J Shoulder Elbow Surg. 2022;31(6S):S18-S24. [70] 张清,向明,李一平,等. 肩袖损伤保守治疗失败的危险因素分析[J]. 中华肩肘外科电子杂志,2022,10(2):129-134. |
[1] | 张艺博, 卢健棋, 毛美玲, 庞 延, 董 礼, 杨尚冰, 肖 湘. 类风湿关节炎与冠状动脉粥样硬化的因果关系:GWAS数据库血清代谢物和炎症因子数据[J]. 中国组织工程研究, 2025, 29(在线): 1-9. |
[2] | 冉亚琴, 陈 曦, 谢晏讷, 袁 军. 细胞焦亡在乳腺癌治疗中的机制及潜在应用策略[J]. 中国组织工程研究, 2025, 29(36): 7880-7888. |
[3] | 文华伟, 张青松, 汤 明, 李亚楠, 谈鸿飞, 方禹舜. 血小板衍生生长因子DD对人肌腱源性干细胞增殖和多向分化能力的影响[J]. 中国组织工程研究, 2025, 29(31): 6649-6655. |
[4] | 于庆贺, 蔡子鸣, 吴锦涛, 马鹏飞, 张 鑫, 周龙千, 王亚坤, 林晓钦, 林文平. 香草酸抑制终板软骨细胞炎症反应和细胞外基质降解[J]. 中国组织工程研究, 2025, 29(30): 6391-9397. |
[5] | 樊佳欣, 贾 祥, 徐田杰, 刘凯楠, 郭小玲, 张 辉, 王 茜. 二甲双胍抑制铁死亡改善骨关节炎模型大鼠的软骨损伤[J]. 中国组织工程研究, 2025, 29(30): 6398-6408. |
[6] | 周 颖, 田 勇, 钟芝梅, 古雍翔, 方 昊. 抑制TRAF6调节mTORC1/ULK1信号通路促进自噬改善脓毒症小鼠的心肌损伤[J]. 中国组织工程研究, 2025, 29(30): 6434-6440. |
[7] | 王万春, 易 军, 严张仁, 杨 悦, 董德刚, 李玉梅. 717解毒合剂重塑细胞外基质稳态促进蝮蛇伤大鼠局部损伤组织的修复[J]. 中国组织工程研究, 2025, 29(30): 6457-6465. |
[8] | 张 鑫, 郭宝娟, 徐慧鑫, 沈玉珍, 杨晓帆, 杨旭芳, 陈 培 . 丁苯酞对帕金森病细胞模型的保护作用及机制[J]. 中国组织工程研究, 2025, 29(30): 6466-6473. |
[9] | 张松江, 李龙洋, 周春光, 高剑峰. 茶多酚干预运动疲劳模型小鼠的中枢抗炎作用与机制[J]. 中国组织工程研究, 2025, 29(30): 6474-6481. |
[10] | 胡淑娟, 刘 当, 丁一庭, 刘 璇, 夏若寒, 汪献旺. 核桃油和花生油对动脉粥样硬化的改善作用[J]. 中国组织工程研究, 2025, 29(30): 6482-6488. |
[11] | 张 健, 蔡 峰, 李婷文, 任鹏博. 基于鱼群算法对运动者疲劳步态的动作识别[J]. 中国组织工程研究, 2025, 29(30): 6489-6498. |
[12] | 张子寒, 王加新, 杨文意, 朱 磊. 运动促进骨骼肌线粒体生物合成的调控机制[J]. 中国组织工程研究, 2025, 29(30): 6499-6508. |
[13] | 王建旭, 董恣豪, 黄子帅, 李思颖, 杨 光. 免疫微环境与骨衰老的相互作用及治疗策略[J]. 中国组织工程研究, 2025, 29(30): 6509-6519. |
[14] | 张博淳, 李 威, 李广政, 丁浩秦, 李 刚, 梁学振, . 神经影像学变化与骨坏死的关联:UK Biobank及FinnGen数据库的大样本分析[J]. 中国组织工程研究, 2025, 29(30): 6574-6582. |
[15] | 徐 志, 陈运动, 孙玉洁, 宫宵男, 李豫皖. 基于SEER数据库美国脊柱骨肉瘤患者数据:治疗结果及预后预测模型的建立与验证[J]. 中国组织工程研究, 2025, 29(30): 6583-6590. |
文题释义:
临界肩角:肩关节盂上缘与下缘连线和肩关节盂下缘到肩峰最外侧缘连线的夹角,反映了肩峰和肩关节腔的相对位置关系。#br#
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||