Kagoshima University · Graduate School of Medical and Dental Sciences

Research keywords腱板修復・人工肩関節置換術・肩関節脱臼・人工股関節全置換術・人工関節周囲感染・脊柱側弯症・滑膜細胞ADAMTS・小児壊血病・脛骨結節裂離骨折

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• Taniguchi N, D'Lima DD, Suenaga N, Ishida Y, Lee D, Goya I, Chosa E . Translation of the humeral head scale is associated with success of rotator cuff repair for large-massive tears. .2027 · 記述言語： 日本語 出版者・発行元： BMC Musculoskeletal Disorders Background: Although a loss of rotator cuff integrity leads to the superior migration of the humeral head, the parameters that characterize the anterolateral migration of the humeral head have not been established. The purpose of this study was to investigate the correlation between the translation of the humeral head scale (T-scale) and clinical outcomes of rotator cuff repair, as well as the correlation between the T-scale and radiologic parameters. Methods: One hundred thirty-five consecutive patients with full-Thickness rotator cuff tears underwent primary rotator cuff repair. The T-scale, which indicates the distance from the center of the humeral head to the lateral coracoacromial arch, was measured on axial computed tomography scans, and the acromiohumeral interval (AHI) was measured radiographically. The correlation of the two parameters with the clinical scores of the Japanese Orthopaedic Association and University of California-Los Angeles scores and active forward elevation (FE) were evaluated at the preoperative and postoperative stages, respectively. Results: The postoperative T-scale and AHI correlated well with the postoperative FE and clinical scores in the patients with large-massive tears but not in those patients with small-medium tears and preoperative large-massive tears. A significant correlation was observed between the postoperative T-scale and AHI. The T-scale was subject to cuff repair integrity. Conclusions: We demonstrated that the postoperative T-scale was well correlated with the clinical results and postoperative AHI after rotator cuff repair for large-massive tears, indicating that poor outcomes are associated with combined superior and anterolateral migration of the humeral head following retears. DOI： 10.1186/s12891-017-1874-9 Scopus PubMed
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• 藤元 祐介, 谷口 昇2025 · 記述言語： 日本語 出版者・発行元： 金原出版(株)

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