肩关节镜下不同缝合方式对肩袖撕裂患者肩关节功能和A-H间距的影响

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Abstract Objective To investigate the effects of double-row suture under arthroscope on shoulder joint function and acromial-humeral head (A-H) distance in patients with rotator cuff (RC) tear. Methods From March 2019 to January 2022, 50 patients with simple full-thickness moderate tear of supraspinatus tendon were selected as the studysubjects. According to the treatment methods, the patients were divided into the control group (n=21) and the observation group (n=29). The patients in the control group were treated with single-row suture fixation under arthroscope, whilethe patients in the observation group were treated with double-row suture fixation under arthroscope. The shoulder flexion and lateral rotation range of motion, pain visual analogue score (VAS), Constant-Murley function score (CMS), University of California shoulder joint scoring system (UCLA) and A-H distance were compared between the two groups before and 1 year after surgery. The complications such as muscle atrophy, joint stiffness and rotator cuff tear after operation were compared between the two groups. Results There were no statistical differences between the two groups in the preoperation (P>0.05). Compared with preoperation, the shoulder flexion and lateral rotation range of motion, VAS, CMS (pain, functional activity, muscle strength and shoulder joint range of motion), UCLA score (shoulder pain, function, joint range of motion and patient satisfaction score) and A-H distance in the two groups increased one year after operation (P<0.05), and the patient satisfaction and A-H distance in the observation group were significantly higher than those in the control group (P<0.05), the incidence of complications in the observation group (10.34%) was significantly lower than that in the control group (19.05%) (P<0.05). Conclusions Both double-row suture and single-row suture under arthroscopecan significantly improve the shoulder function of patients with RC tear and increase the A-H distance, but double-row suture is better in improving patient satisfaction, increasing the A-H distance and reducing complications.

Key words： shoulder arthroscope double row suture tear of shoulder sleeve shoulder joint function acromial-humeral head distance

Received: 17 April 2023

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	Articles by authors
	WU Jiyun
	DENG Yakai
	CHEN Weinan
	and LIU Weifeng

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WU Jiyun,DENG Yakai,CHEN Weinan等. Effect of double-row suture under arthroscope on shoulder joint function and A-H distance in patients with rotator cuff tear[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(10): 852-856.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I10/852

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