Based on MRI results before and after surgery to evaluate the correlation of fatty degeneration index (GFDI) in the healing tendon group (Sugaya's index) and the re-tear group of the post-operative rotator cuff repairs. Descriptive prospective study of 114 patients (71 males and 43 females) with a mean age of 53.38 ± 9.27 (from 31 to 75), who had repaired shoulder arthroscopy in the department of trauma and orthopedic in 175 Hospital, Ho Chi Minh city from 05/2015 to 11/2017. 82 patients had postoperative MRI. Healing tendon patients (I, II, III grade) that made up the majority of patients taking MRI post-operative were 73 patients (89.02%). Re-tear tendon patients (grade IV, V) were only 9 patients (10.98%). GFDI index was mainly grade I and II preoperative (grade I 50% and grade II 25.6%) and postoperative (grade I 50% and grade II 29.3%). The difference had not statistical significance P > 0.05. There was a negative correlation between the GFDI and shoulder functions. GFDI index and average GFDI index between preoperative and postoperative in RCT (rotator cuff tear) had no significant difference. Shoulder functions based on VAS index, Constant, and UCLA decreased when GFDI increased.

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MRI Results After Arthroscopic Rotator-Cuff Repair: Correlation Between Fatty Degeneration and Recovery of Shoulder Functions

  • Phan Dinh Mung,
  • Nguyen Anh Sang,
  • Vo Van Nguyen

摘要

Based on MRI results before and after surgery to evaluate the correlation of fatty degeneration index (GFDI) in the healing tendon group (Sugaya's index) and the re-tear group of the post-operative rotator cuff repairs. Descriptive prospective study of 114 patients (71 males and 43 females) with a mean age of 53.38 ± 9.27 (from 31 to 75), who had repaired shoulder arthroscopy in the department of trauma and orthopedic in 175 Hospital, Ho Chi Minh city from 05/2015 to 11/2017. 82 patients had postoperative MRI. Healing tendon patients (I, II, III grade) that made up the majority of patients taking MRI post-operative were 73 patients (89.02%). Re-tear tendon patients (grade IV, V) were only 9 patients (10.98%). GFDI index was mainly grade I and II preoperative (grade I 50% and grade II 25.6%) and postoperative (grade I 50% and grade II 29.3%). The difference had not statistical significance P > 0.05. There was a negative correlation between the GFDI and shoulder functions. GFDI index and average GFDI index between preoperative and postoperative in RCT (rotator cuff tear) had no significant difference. Shoulder functions based on VAS index, Constant, and UCLA decreased when GFDI increased.