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首页> 外文期刊>Orthopedics >Outcome of Reverse Shoulder Arthroplasty for Patients With Parkinson's Disease: A Matched Cohort Study
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Outcome of Reverse Shoulder Arthroplasty for Patients With Parkinson's Disease: A Matched Cohort Study

机译：帕金森病患者逆转肩关节成形术的结果：竞争队列研究

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Parkinson's disease (PD) is a progressive neurologic disorder that affects the musculoskeletal system. Currently, the use of reverse shoulder arthroplasty (RSA) for patients with PD has not been adequately studied. The authors sought to determine if RSA provided similar functional outcomes for patients with PD compared with a matched cohort of patients without PD. Between 2004 and 2011, 10 patients with PD (4 men, 6 women) underwent RSA. Patients with PD were matched to patients without PD at a 1: 4 ratio based on age (average, 76 years; range, 63-85 years), sex (16 men, 24 women), preoperative diagnosis, and length of follow-up (average, 43 months; range, 24-128 months). Outcome measures included range of motion, visual analog scale (VAS) score, Simple Shoulder Test (SST) score, American Shoulder and Elbow Society (ASES) score, and complication rates. Patients with PD had improvements in SST scores, ASES total scores, and forward flexion; however, they did not show statistically significant improvements in VAS scores, ASES function scores, or other range of motion parameters. There was a significant difference in postoperative functional outcome scores, SST scores, and internal/external rotation between the 2 groups, but no difference in postoperative pain scores, ASES total scores, forward flexion, or abduction. Complications occurred in 4 of 10 patients with PD and 6 of 40 patients without PD. Compared with the matched cohort, patients with PD achieved similar reduction of pain but inferior clinical function following RSA. Improvement in range of motion was less predictable and complication rates were significantly higher in patients with PD.
机译：帕金森病（PD）是一种影响肌肉骨骼系统的进步性神经障碍。目前，对PD患者的逆向肩关节造身术（RSA）尚未得到充分的研究。作者试图确定RSA是否为PD的患者提供了类似的功能结果，与没有PD的匹配队的患者。 2004年至2011年间，10名PD（4名男子，6名女性）的患者接受了RSA。患有PD的患者与没有PD的患者在1：4的比率（平均，76岁; 63-85岁），性（16名男子，24名女性），术前诊断和随访时间（平均，43个月;范围，24-128个月）。结果措施包括运动范围，视觉模拟规模（VAS）得分，简单的肩部测试（SST）得分，美国肩部和肘部社会（ASES）得分，并复杂化率。 PD患者的SST分数有所改善，ases总分数和正向屈曲;但是，它们没有显示VAS分数，ases函数评分或其他运动参数范围的统计上显着的改进。术后功能结果分数，SST评分和2组之间的内部/外部旋转存在显着差异，但在术后疼痛评分没有差异，ases总分，正向屈曲或绑架。在10名PD患者中发生并发症，共有40名没有PD的患者。与匹配的队列相比，PD患者患者在RSA之后达到了类似的疼痛但下临床功能。 PD患者，运动范围的改善程度较低，并且在PD患者中，并发症率显着高。

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