肩胛下肌损伤与肱二头肌长头肌腱病变MRI分型的相关性及临床特点  

Correlation and clinical characteristics of MRI classification of subscapularis injury and long head of the biceps tendon lesion

作　　者：任涛 张开伟 杨宇 谷战洋 REN Tao;ZHANG Kaiwei;YANG Yu;GU Zhanyang(Guizhou University of Traditional Chinese Medicine,Guiyang 550025;the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550003,China)

机构地区：[1]贵州中医药大学,贵州贵阳550025 [2]贵州中医药大学第一附属医院,贵州贵阳550003

出　　处：《临床医学研究与实践》2023年第9期93-96,共4页Clinical Research and Practice

摘　　要：目的探讨磁共振成像(MRI)下肩胛下肌(SSC)损伤与肱二头肌长头肌腱(LHBT)病变的相关性及临床特点。方法选择2020年9月至2021年12月在贵州中医药大学第一附属医院因肩痛就诊,同时行肩关节MRI检查提示存在SSC损伤合并LHBT病变的128例患者,根据Lafosse分型、Slatis and Aalto分型,在MRI下对SSC损伤合并LHBT病变进行分级评估,采用Spearman等级相关分析探讨SSC损伤分型和LHBT病变分型的相关性。结果SSC损伤分型结果为28例Ⅰ型、22例Ⅱ型、36例Ⅲ型、18例Ⅳ型、24例V型,LHBT病变分型结果为85例Ⅰ型、16例Ⅱ型、27例Ⅲ型。Spearman等级相关分析结果显示,SSC损伤分型和LHBT病变分型呈正相关(r=0.662,P=0.000)。结论MRI有助于识别SSC损伤及LHBT病变,SSC损伤分型和LHBT病变分型呈正相关,临床上针对肩痛患者应注重MRI检查,以评估患者肩袖损伤、肱二头肌腱病变情况,并根据不同的分型诊断选择相应的治疗方式。Objective To investigate the correlation and clinical characteristics of magnetic resonance imaging(MRI)classification of subscapularis(SSC)injury and long head of the biceps tendon(LHBT)lesion.Methods From September 2020 to December 2021,128 patients with shoulder pain whose MRI examination of shoulder joint showed that there was SSC injury combined with LHBT lesion were selected from the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine.According to Lafosse classification and Slatis and Aalto classification,SSC injury combined with LHBT lesions were graded and evaluated under MRI.Spearman rank correlation analysis was used to explore the correlation between SSC injury classification and LHBT lesion classification.Results The results of SSC injury classification were 28 cases of typeⅠ,22 cases of typeⅡ,36 cases of typeⅢ,18 cases of typeⅣand 24 cases of typeⅤ.The results of LHBT lesion classification were 85 cases of typeⅠ,16 cases of typeⅡand 27 cases of typeⅢ.The Spearman rank correlation analysis result showed that SSC injury classification was positively correlated with LHBT lesion classification(r=0.662,P=0.000).Conclusion MRI is helpful to identify SSC injury and LHBT lesions,and SSC injury classification is positively correlated with LHBT lesion classification.In clinical practice,doctors should pay attention to MRI examination to evaluate rotator cuff injury and biceps tendon lesions of patients with shoulder pain,and choose corresponding treatment methods according to different classification diagnosis.

关 键 词：肩胛下肌损伤 肱二头肌长头肌腱病变 磁共振成像 

分 类 号：R681.7[医药卫生—骨科学]