Cargando…
Chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear
Synovitis of the glenohumeral joint (GHJ) and subacromial space (SAS) is one of the most common findings during arthroscopic rotator cuff repair (RCR). The purpose of this study is to determine clinical factors associated with the degree of synovitis in patients with a rotator cuff tear and whether...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518941/ https://www.ncbi.nlm.nih.gov/pubmed/33280157 http://dx.doi.org/10.1002/jor.24941 |
_version_ | 1784584344542642176 |
---|---|
author | Kim, Du‐Han Bae, Ki‐Cheor Choi, Jung‐Hoon Na, Sang‐Soo Hwang, Ilseon Cho, Chul‐Hyun |
author_facet | Kim, Du‐Han Bae, Ki‐Cheor Choi, Jung‐Hoon Na, Sang‐Soo Hwang, Ilseon Cho, Chul‐Hyun |
author_sort | Kim, Du‐Han |
collection | PubMed |
description | Synovitis of the glenohumeral joint (GHJ) and subacromial space (SAS) is one of the most common findings during arthroscopic rotator cuff repair (RCR). The purpose of this study is to determine clinical factors associated with the degree of synovitis in patients with a rotator cuff tear and whether macroscopic synovitis affects early clinical outcomes following arthroscopic RCR. Arthroscopic videos of 230 patients treated with arthroscopic RCR were randomly reviewed by two experienced shoulder surgeons. The synovitis scores of the GHJ using Davis's grading system and the SAS using Jo's grading system were rated with a consensus. Univariate and multivariate analyses were used to identify the associations between the synovitis scores and various parameters, including demographics, preoperative, and postoperative clinical outcomes. Univariate analyses revealed that age, side, body mass index, duration of symptoms, preoperative stiffness, diabetes, muscle atrophy, fatty infiltration, tear size, preoperative clinical scores, and preoperative range of motion were significantly associated with the GHJ synovitis score (all p < 0.05). Multivariate analyses revealed that the duration of symptoms, tear size, and diabetes was significantly associated with the GHJ synovitis score (p = 0.048, p = 0.025, p = 0.011, respectively). Longer duration of symptoms, larger tear size, and the presence of diabetes was independently associated with increased GHJ synovitis in patients with a rotator cuff tear. These results suggest that GHJ synovitis might be more involved in the pathogenesis for pain and tear progression of rotator cuff disease compared with SAS synovitis. |
format | Online Article Text |
id | pubmed-8518941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85189412021-10-21 Chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear Kim, Du‐Han Bae, Ki‐Cheor Choi, Jung‐Hoon Na, Sang‐Soo Hwang, Ilseon Cho, Chul‐Hyun J Orthop Res Research Articles Synovitis of the glenohumeral joint (GHJ) and subacromial space (SAS) is one of the most common findings during arthroscopic rotator cuff repair (RCR). The purpose of this study is to determine clinical factors associated with the degree of synovitis in patients with a rotator cuff tear and whether macroscopic synovitis affects early clinical outcomes following arthroscopic RCR. Arthroscopic videos of 230 patients treated with arthroscopic RCR were randomly reviewed by two experienced shoulder surgeons. The synovitis scores of the GHJ using Davis's grading system and the SAS using Jo's grading system were rated with a consensus. Univariate and multivariate analyses were used to identify the associations between the synovitis scores and various parameters, including demographics, preoperative, and postoperative clinical outcomes. Univariate analyses revealed that age, side, body mass index, duration of symptoms, preoperative stiffness, diabetes, muscle atrophy, fatty infiltration, tear size, preoperative clinical scores, and preoperative range of motion were significantly associated with the GHJ synovitis score (all p < 0.05). Multivariate analyses revealed that the duration of symptoms, tear size, and diabetes was significantly associated with the GHJ synovitis score (p = 0.048, p = 0.025, p = 0.011, respectively). Longer duration of symptoms, larger tear size, and the presence of diabetes was independently associated with increased GHJ synovitis in patients with a rotator cuff tear. These results suggest that GHJ synovitis might be more involved in the pathogenesis for pain and tear progression of rotator cuff disease compared with SAS synovitis. John Wiley and Sons Inc. 2020-12-16 2021-10 /pmc/articles/PMC8518941/ /pubmed/33280157 http://dx.doi.org/10.1002/jor.24941 Text en © 2020 The Authors. Journal of Orthopaedic Research ® published by Wiley Periodicals LLC on behalf of Orthopaedic Research Society https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Kim, Du‐Han Bae, Ki‐Cheor Choi, Jung‐Hoon Na, Sang‐Soo Hwang, Ilseon Cho, Chul‐Hyun Chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear |
title | Chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear |
title_full | Chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear |
title_fullStr | Chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear |
title_full_unstemmed | Chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear |
title_short | Chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear |
title_sort | chronicity is associated with the glenohumeral synovitis in patients with a rotator cuff tear |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518941/ https://www.ncbi.nlm.nih.gov/pubmed/33280157 http://dx.doi.org/10.1002/jor.24941 |
work_keys_str_mv | AT kimduhan chronicityisassociatedwiththeglenohumeralsynovitisinpatientswitharotatorcufftear AT baekicheor chronicityisassociatedwiththeglenohumeralsynovitisinpatientswitharotatorcufftear AT choijunghoon chronicityisassociatedwiththeglenohumeralsynovitisinpatientswitharotatorcufftear AT nasangsoo chronicityisassociatedwiththeglenohumeralsynovitisinpatientswitharotatorcufftear AT hwangilseon chronicityisassociatedwiththeglenohumeralsynovitisinpatientswitharotatorcufftear AT chochulhyun chronicityisassociatedwiththeglenohumeralsynovitisinpatientswitharotatorcufftear |