Clinical characteristic of glenoid labral tears combined with rotator cuff tear
10.3760/cma.j.issn.1001-8050.2010.04.003
- VernacularTitle:合并肩袖损伤的肩关节盂唇损伤的临床特征
- Author:
Yubin WANG
;
Wenhui ZHU
;
Liangyu LU
;
Feng YUAN
;
Huifang WANG
;
Fang CUI
- Publication Type:Journal Article
- Keywords:
Shoulder joint;
Labrum injury;
Retrospective study
- From:
Chinese Journal of Trauma
2010;26(4):294-297
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics of glenoid labral tear combined with rotator cuff tear so as to provide references for arthroscopic surgery.Methods A total of 50 patients (28 males and 22 females)at mean age of 45 years old(ranged from 30 to 58 years)were enrolled in the study.Clinical data including the mechanism and time of injury,symptoms,results of physical examination,X-ray and MRI were collected.Location and degree of rotator cuff and glenoid labral tears found during arthroscopic surgery were also recorded.There were 37 patients with anterior labral tears,eight with superior labrum tears and five with posterior labral tears.The rotator cuff tear was slight in 36 patients,moderate in 10 and severe in three.One patient had extra-large tear.Anterior part of rotator cuff was found torn in 21 patients,middle part in 16 and posterior part in 13.MRI of glenoid labral tears manifested disappearance of triangular appearance and enlarged joint capsule.MRI manifestations of rotator cuff tear were high signal in torn part and continuity loss.Results All patients were followed up for average 36 months(6-72 months),which showed satisfactory results.UCLA score was(15±3)points preoperatively and(32±3)points postoperatively(P＜0.01).Conclusions More attention should be paid to glenoid labral tear to avoid misdiagnosis and delayed treatment,for it is usually combined with rotator cuff tear.Location of rotator cuff tear has some relation to the range of glenoid labral tear,ie,the larger range of glenoid labral tear may induce more posterior part of rotator cuff torn.
