20.500.12556/ReVIS-8784 Pojavnost simptomatskih in asimptomatskih natrganin rotatorne manšete Prevalence of symptomatic and asymptomatic rotator cuff tears Natrganine rotatorne manšete (NRM) so eden izmed najpogostejših vzrokov bolečine v rami. Prevalenca NRM znaša v splošni populaciji 22 %, kar 2/3 pa naj bi bilo asimptomatskih (ASIM). Namen diplomske naloge je pojasniti razlike med SIM in ASIM NRM in izdelati priporočila za pravilno obravnavo pacientov s sumom na NRM. Metode: Diplomska naloga ima obliko pregleda literature. Uporabili smo podatkovne baze NCBI (PubMed), PEDro in Cochrane Library. Rezultati: V splošni populaciji pojavnost ASIM NRM večja od SIM NRM. Poleg tega so za paciente z ASIM NRM značilni prizadetost nedominantne roke, normalna mišična moč in gibljivost, negativen znak utesnitve in velikost natrganine < 1,5 cm. Zdravljenje ni indicirano, svetujemo pa redne kontrolne preglede ter edukacijo o simptomih in dejavnikih tveganja. Uporabnost: Razvrščanje pacientov v tri skupine je uporabno v kliničnem okolju pri izbiri zdravljenja pacientov z NRM. Omejitve: Primanjkuje kakovostnih študij in kliničnih smernic za obravnavo pacientov z NRM. Rotator cuff tears (RCT) are most common cause of shoulder pain. Prevalence of RCT in general population is 22% of which 2/3 is asymptomatic (ASYM). Risk factors associated with development of RCT are age, male gender and arm dominance, history of shoulder injury, smoking habit and type II diabetes. This thesis aim to explain the difference between ASYM and SYM RCT. Goal of the thesis is to provide a reference model to guide clinical reasoning process and decision making in treatment of patients with possible RCT. Methods: Graduation thesis is literature review with following inclusion criteria used: difference between ASYM and SYM RCT, systematic reviews, clinical studies, randomized controled studies, metaanalysis, cross sectional and prospective studies, published between 2010 and 2021 in English language and diagnosis confirmed with magnetic resonance imaging (MRI) and/or ultrasonography (US) and/or at least one positive provocative test. Results: After assessment of relevant studies, we found that there is greater incidence of ASYM RCT than SYM RCT in general population. Patients with ASYM RTC have RTC more often in non-dominant arm, with normal muscle strength and range of motion, with negative impingement sign and RCT <1,5cm. Treatment is not indicated. We advise further control visits and patient education about symptoms and risk factors regarding RCT. Usability: Classification into three groups is helpful in clinical practice, when choosing the right treatment regime fo patients with RTC Limitations: More quality research is needed to provide better clinical guidelines in RTC treatment. Lack of treatment guidelines in management of RCT. natrganina rotatorne manšete simptomatska asimptomatska operativno zdravljenje konservativno zdravljenje. rotator cuff tear symptomatic asymptomatic operative treatment conservative treatment systematic reviews of the literature. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2022-04-22 10:34:54 2022-04-22 10:34:54 2024-06-12 17:03:38 0000-00-00 00:00:00 2022 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 3152 105482499 1172$$pojavnost_simptomatskih_in_asimptomatskih_natrganin_rotatorne_mansete.pdf 1172$$pojavnost_simptomatskih_in_asimptomatskih_natrganin_rotatorne_mansete.pdf 1 678B36E178F1D85F069A40F3CBED775B 0ee99fdcadea5438108331f4d1811e1c2a9831032872bc36793dc1373ac1a27d 2c7de046-2899-11ef-9c9e-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=9477 Visokošolski zavod Fizioterapevtika 0 0 0