Scapular motion and shoulder function in patients suffering from rotator cuff tears with typeⅢscapular dyskinesis
10.3969/j.issn.1000-6710.2024.03.001
- VernacularTitle:伴Ⅲ型肩胛动力障碍肩袖撕裂患者的肩胛骨运动及肩部功能表现
- Author:
Lei LI
1
,
2
,
3
;
Feng GAO
;
Yifeng FU
;
Jingyi SUN
;
Chen HE
;
Yi QIAN
;
Sen GUO
;
Hao XU
;
Yue HAO
;
Jinglun YANG
;
Xiaohan ZHANG
;
Yawei GONG
;
Yingqi ZHAO
;
Zhuang LIU
;
Jingbin ZHOU
Author Information
1. 滨州医学院(山东烟台 264003)
2. 国家体育总局运动医学研究所(北京 100061)
3. 国家体育总局运动创伤与康复重点实验室(北京 100010)
- Keywords:
scapular dyskinesia;
rotator cuff tears;
scapular motion
- From:
Chinese Journal of Sports Medicine
2024;43(3):167-174
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the differences in scapular motion and shoulder function between patients suffering from rotator cuff tears(RCT)with and without type Ⅲ scapular dyskinesis(SD).Meth-ods Between September 2021 and March 2023,sixteen patients suffering from rotator cuff tears with SD(SD group)and 17 counterparts without SD(non-SD group)were recruited from the Sports Hospital of the General Administration of Sport of China.Their scapular motion was assessed by measuring three parameters in the X-rays,including scapular spine line(LSS),scapular upward rotation angle(SU-RA),and coracoid upward shift distance(CUSD).Moreover,their shoulder range of motion in flexion,abduction and external rotation were recorded,and further evaluated using the Pain Visual Analog Scale(VAS)and American Shoulder and Elbow Surgeons Score(ASES).Results No significant differenc-es were found between the two groups in the average score of SURA,CUSD and LSS at 0°～30° shoul-der abduction,or in that of CUSD and LSS at 60°～90°shoulder abduction.However,the average SU-RA score of the SD group at 60°～90°shoulder abduction was significantly greater than the other group(P<0.05).The shoulder ranges of motion during active flexion,abduction and external rotation were significantly smaller in the SD group than in the non-SD group(P<0.05).Moreover,the average VAS score in the SD group was significantly higher than the non-SD group(P<0.05),while the average ASES score was significantly lower than the latter group(P<0.05).Conclusions RCT patients type III SD exhibits greater scapular upward rotation during shoulder abduction compared to those without SD.Moreover,the former patients suffer from more severe pain and have worse shoulder range of motion and functional performance than the latter.
