肱骨近端骨折合并肩袖损伤患者的特点分析  

Analysis of the incidence of proximal humeral fracture combined with rotator cuff injury and its related influencing factors

作　　者：戴海峰[1] 徐丛[1] 李冀[2] DAI Hai-feng;XU Cong;LI Ji(Department of Joint Surgery,Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei,China;Department of Traumatic Orthopaedic,Tangshan Second Hospital,Tangshan 063000,Hebei,China)

机构地区：[1]承德医学院附属医院关节外科,承德067000 [2]唐山市第二医院创伤骨科,唐山063000

出　　处：《医学研究生学报》2021年第5期505-508,共4页Journal of Medical Postgraduates

摘　　要：目的目前对于肱骨近端骨折合并肩袖损伤的特点分析研究较少。文中旨在分析肱骨近端骨折患者合并肩袖损伤的特征。方法回顾性分析2015年1月至2018年6月承德医学院附属医院关节外科行手术治疗的肱骨近端骨折患者98例。分析肱骨近端骨折合并肩袖损伤患者的一般特点,肩袖损伤与年龄、性别之间的关系;根据Neer骨折分型分析不同骨折类型肩袖损伤的发生率。结果98例肱骨近端骨折患者中合并肩袖损伤23例(23.5%),其中损伤部位冈上肌肌腱患者发生率最高(65.2%)。肩袖损伤与无肩袖损伤患者年龄的差异有统计学意义(P<0.001)。≥80岁患者合并肩袖损伤发生率最高(60%),其次为70~79岁,60~69岁(P=0.046)。Neer 3型骨折患者合并肩袖损伤的发生率最高(29.5%),其次是Neer 2型、Neer 4型(20.5%、13.3%),但不同骨折类型合并肩袖损伤的发生率比较差异无统计学意义(P=0.377)。结论肱骨近端骨折患者常合并肩袖损伤,随着年龄的增长,合并肩袖损伤的发生率逐渐升高,应予以重视。Objective Some patients with proximal humeral fractures have shoulder joint dysfunction after surgery,and the analysis may be related to the rotator cuff injury.There are few reports on the analysis of the characteristics of proximal humeral fractures combined with rotator cuff injury,so this article aims to study the incidence of rotator cuff injury in patients with proximal humeral fractures and related influencing factors.Methods A retrospective analysis of 98 patients with proximal humeral fractures,23 patients with solid rotator cuff injury,and 75 patients with rotator cuff injury who underwent surgical treatment in the Affiliated Hospital of Chengde Medical College from January 2015 to June 2018 was conducted.The incidence of proximal humeral fractures combined with rotator cuff injury in different age groups was compared,and the incidence of rotator cuff injury in different fracture types was calculated and analyzed according to the Neer fracture classification.Results Among 98 fracture patients,23 cases(23.5%)of rotator cuff injury were found during the operation,of which 15 cases(15.3%)were with full-thickness tear.There was no significant difference in age and gender between patients with rotator cuff injury and rotator cuff injury(P>0.05).There was a statistically significant difference in the incidence of rotator cuff injury in patients of different age groups(P=0.046).The incidence of rotator cuff injury in patients with rotator cuff injury≥80 years of age was the highest(6/10,60%),followed by 70-79 years old,and 60-69 years old.There was no significant difference in fracture types between patients with rotator cuff injury and patients without rotator cuff injury(P=0.377),but the incidence of rotator cuff injury was the highest in patients with Neer 3 partial fractures(13/44,29.5%).Conclusion Patients with proximal humeral fractures often have rotator cuff injuries.With age,the incidence of combined rotator cuff injuries gradually increases,and attention should be paid.

关 键 词：肱骨近端骨折 肩袖损伤 发病率 

分 类 号：R683[医药卫生—骨科学]