THE INVESTIGATION OF RADIOLOGICAL FINDINGS AND UPPER EXTREMITY FUNCTIONS IN DIFFERENT AGE PATIENTS WITH DEGENERATIVE ROTATOR CUFF TEARS

Yıl 2019, Cilt: 4 Sayı: 2, 9 - 19, 27.12.2019

Selda Basar

Öz

Clinical outcomes and upper extremity functions are deteriorated over time in degenerative rotator cuff tear (dRCT). Therefore, evaluation of the radiological and clinical parameters in cases with dRCT will guide to choose a proper treatment. This article is a case-control study which investigates the effects of age related changes on degree of anatomic abnormalities in individuals with dRCT and the influence of these parameters on upper extremity functions (UEF). 20 healthy participants and 43 symptomatic patients with dRCT participated in this study. The healthy group and patient group were divided into 2 categories based on their ages and degree of abnormalities. UEF was determined with Western Ontario Rotator Cuff Index (WORC) and 9 Hole Peg Test (9PEG). Number of tendons, tear size, humeral head migration>7mm (Mig>7mm), humeral cysts, presence of retraction (PR) and muscle atrophy (MA) were evaluated with MRI. Mean age of the patients with severe radiological parameters was 10 years older than those with mild abnormalities. Mean age of the patients with mild degree abnormalities was cumulated about 50 years whereas those with severe degree abnormalities were around 64 years. Mean age of the patients with Mig>7mm, involvement of more than 2 tendons, PR and MA were significantly older (p<0.01). Findings of UEF evaluated by relatively objective method (9PEG) were significantly different from radiological parameters (p<0.05), whereas results of UEF evaluated by subjective method (WORC) were not (p>0.05). In relatively elderly cases or for the ones with symptomatic dRCT more than 10 years, all radiological components of dRCT are expected to be already in severe degree. Therefore, radiological, objective and subjective assessment modalities should be utilized in examination of the cases with dRCT.

Anahtar Kelimeler

Aging, magnetic resonance imaging

Kaynakça

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