Correlation study between cystic degeneration of the humeral head and rotator cuff injury

LI Ang; ZHANG Cheng; BIAN Jin-song; WANG Yu-jie; WANG Sheng-jun

doi:10.11659/jjssx.08E025069

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Correlation study between cystic degeneration of the humeral head and rotator cuff injury

Orthopedics Column | 更新时间：2026-04-20

- Correlation study between cystic degeneration of the humeral head and rotator cuff injury
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 4, Pages: 290-293(2026)
- 作者机构：
  
  1.承德医学院，河北承德 067050
  2.沧州市人民医院关节运医科，河北沧州 061000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.08E025069
  CLC： R684.7
- Received：23 August 2025，
  
  Published：25 April 2026
- 稿件说明：
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李昂,张程,边劲松等.肱骨头囊性变与肩袖损伤的相关性研究[J].局解手术学杂志,2026,35(04):290-293.

LI Ang,ZHANG Cheng,BIAN Jin-song,et al.Correlation study between cystic degeneration of the humeral head and rotator cuff injury[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):290-293.
李昂,张程,边劲松等.肱骨头囊性变与肩袖损伤的相关性研究[J].局解手术学杂志,2026,35(04):290-293. DOI： 10.11659/jjssx.08E025069.

LI Ang,ZHANG Cheng,BIAN Jin-song,et al.Correlation study between cystic degeneration of the humeral head and rotator cuff injury[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):290-293. DOI： 10.11659/jjssx.08E025069.

摘要

目的

探讨肱骨头囊性变与肩袖损伤的MRI相关性。

方法

回顾性分析沧州市人民医院2023年1月至2025年1月经手术证实的156例肩袖损伤患者的MRI，按有无囊性变将其分为囊性变组(

=83)和无囊性变组(

=73)。比较无囊性变组和囊性变组患者不同肌腱的损伤情况。比较肱骨大结节前方、后方、小结节及解剖颈裸区囊性变患者的肌腱损伤情况。

结果

156例患者中，83例（53.2%）患者只存在冈上肌腱撕裂，42例（26.9%）患者存在两肌腱 (冈上肌腱+冈下肌腱)撕裂，31例（19.9%）患者存在三肌腱（冈上肌腱+冈下肌腱+肩胛下肌腱）联合撕裂。大结节前方、后方以及解剖颈裸区囊性变患者的不同肌腱损伤发生率比较，差异均无统计学意义（

0.05）；而小结节囊性变患者的三肌腱联合损伤发生率高于冈上肌腱、冈上肌腱+冈下肌腱，差异具有统计学意义（

0.05）。

结论

小结节区域的囊性变患者三肌腱联合损伤的发生率显著高于单一肌腱损伤患者，提示小结节囊性变可能与更广泛的肩袖复合性损伤（涉及冈上肌腱、冈下肌腱及肩胛下肌腱）存在特定的关联，这对评估肩袖损伤的严重程度和制定个体化诊疗方案具有潜在参考价值。

Abstract

Objective

To investigate the MRI correlation between cystic degeneration of the humeral head and rotator cuff injury.

Methods

A retrospective analysis was conducted on the MRI o

f 156 patients with rotator cuff injury confirmed by surgery in Cangzhou People's Hospital from January 2023 to January 2025. Patients were divided into the cystic degeneration group （

=83） and the non-cystic degeneration group （

=73）based on the presence of cystic degeneration. The injury conditions of different tendons in the non-cystic degeneration group and the cystic degeneration group were compared. The tendon injury conditions of patients with anterior and posterior greater tuberosity of humerus， lesser tuberosity of humerus and anatomical neck cystic degeneration were compared.

Results

Among the 156 patients， 83 patients （53.2%） had isolated supraspinatus tendon tears， 42 patients （26.9%） had tears involving two tendons （supraspinatus + infraspinatus）， and 31 patients （19.9%） had tears involving all three tendons （supraspinatus + infraspinatus + subscapularis）. The differences in tendon injuries between patients with cystic degeneration located in the anterior greater tuberosity， posterior greater tuberosity， and anatomical neck showed no statistical significance （

0.05）. However， The incidence of injury involving all three tendons was higher than those of supraspinatus tendon injury and supraspinatus tendon + infraspinatus tendon injury in patients with lesser tuberosity cystic degeneration， and the differences were statistically significant （

0.05）.

Conclusion

The incidence of combined three-tendon injury is significantly higher than that of isolated single-tendon injury in patients with lesser tuberosity cystic degeneration， suggesting that cystic degeneration of lesser tuberosity may have a specific association with more extensive， complex rotator cuff injury （involving supraspinatus， infraspinatus and subscapularis）， which has potential reference value for assessing the severity of rotator cuff injuries and formulating individualized diagnosis and treatment plans.

关键词

Keywords

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