CAJ | 학술논문

目的探讨肩峰下间隙与肩峰撞击综合征(SIS)的相关性.方法回顾性分析40例经临床证实的SIS患者临床及影像资料.对肩峰形态及肩袖损伤进行分型,测量肩峰下间隙.结果 40例患者中,肩峰平坦形(Ⅰ型)9例、弧形(Ⅱ型)12例、钩状(Ⅲ型)19例,肩峰下间隙狭窄32例(＜1 cm),其中18例＜0.5 cm,冈上肌腱钙化7例,肩锁关节骨质增生10例.肩袖损伤Ⅰ级17例、Ⅱ级15例、Ⅲ级18例,肩峰下滑囊增厚6例,肩峰下-三角肌下囊积液5例,肩关节囊积液10例,冈上肌的萎缩3例,关节孟唇的撕裂2例,孟肱关节不稳定4例.X线检查与MRI检查间肩峰下间隙值差异无统计学意义(P =0.137 0).肩峰下间隙值与肩袖损伤MRI分级呈正相关(r=0.545,P=0.000 1).结论肩峰下间隙与SIS存在一定相关性,可根据肩峰下间隙狭窄程度对SIS进行诊断和分类.
목적 탐토견봉하간극여견봉당격종합정(SIS)적상관성.방법 회고성분석40례경림상증실적SIS환자림상급영상자료.대견봉형태급견수손상진행분형,측량견봉하간극.결과 40례환자중,견봉평탄형(Ⅰ형)9례、호형(Ⅱ형)12례、구상(Ⅲ형)19례,견봉하간극협착32례(＜1 cm),기중18례＜0.5 cm,강상기건개화7례,견쇄관절골질증생10례.견수손상Ⅰ급17례、Ⅱ급15례、Ⅲ급18례,견봉하활낭증후6례,견봉하-삼각기하낭적액5례,견관절낭적액10례,강상기적위축3례,관절맹진적시렬2례,맹굉관절불은정4례.X선검사여MRI검사간견봉하간극치차이무통계학의의(P =0.137 0).견봉하간극치여견수손상MRI분급정정상관(r=0.545,P=0.000 1).결론 견봉하간극여SIS존재일정상관성,가근거견봉하간극협착정도대SIS진행진단화분류.
Objective To investigate the correlation between subacromial space and acromial shoulder impingement syndrome (SIS).Methods The clinical and imaging data of 40 patients with SIS were collected and retrospectively reviewed.The shape of acromion and tears of rotator cuff of all patients were classified.A cromion-Humerus (A-H) distance was measured.Results Among 40 patients,there were 9 cases of type Ⅰ,12 cases of type Ⅱ,19 cases of type Ⅲ.32 patients had subacromial space narrowing.7 cases had calcification in the supraspinatus tendon and 10 patients had acromioclavicular joint ostcoarthritis.There were 17 cases of type Ⅰ,15 cases of type Ⅱ,18 cases of type Ⅲ of tears of rotator cuff.6 patients had subacromial bursa thickening,5 patients had subacromial-deltoid sac fluid and 10 patients had the joint capsule fluid.2 patients had jointlabrum avulsion,3 patients had the supraspinatus muscle atrophy and 4 patients had Bankart Lesion.There was no significant difference was found in A-H distance measured with X-ray and MRI(P =0.137 0).There was positive correlation between the A-H distance and class of rotator cuff(r =0.545,P =0.000 1).Conclusion There exists some correlation between subacromial space and SIS.The diagnosis and class of SIS can be assessed according to narrowing range of subacromial space.