Lymphocyte-to-Monocyte Ratio is a Good Marker of Adhesive Capsulitis in Rotator Cuff Tears

Year 2023, , 226 - 231, 31.12.2023

Hümeyra Çelik , İlhan Çelik , Tacettin Ayanoğlu , Emre Arıkan , Seyit Ali Kayış

https://doi.org/10.30565/medalanya.1376796

Abstract

Aim: The aim of the study is to evaluate the prediction of adhesive capsulitis in the preoperative period of rotator cuff tear (RCT) by neutrophil-lymphocyte (NLR), platelet-lymphocyte (PLR), neutrophil-monocyte (NMR), lymphocyte-monocyte (LMR) ratios.

Methods: This study was designed as a retrospective case-control study. After ethical approval, preoperative hemogram and biochemistry data of 128 patients who were operated on for RCT were collected from the archive of hospitale. Among the patients who underwent arthroscopy due to RCT, those with signs of adhesive capsulitis in the intraoperative period were included in the RCT+Adhesive capsulitis group. Age, blood glucose, CRP, sedimentation, white blood cell, neutrophil, monocytes, lymphocytes, platelets, fasting blood glucose, hemoglobin and hematocrit values, and NLR, PLR, NMR, and LMR ratios were compared between healthy control and RCT+Adhesive capsulitis. Logistic regression analysis of the ratios was also performed.

Results: A total of 64 healthy RCT (group 1) and 64 patients with RCT+Adhesive capsulitis (group 2) were included in the study. Fasting blood glucose, lymphocyte, CRP values, and NMR and LMR were found to be higher in patients with adhesive capsulitis (p<0.05); and monocyte, NLR and PLR were found to be lower in group 2 compared to group 1 (p<0.05). According to ROC analysis, it was revealed that LMR was the best predictor of adhesive capsulitis in RCT.

Conclusion: It has been demonstrated that the inflammation rate LMR obtained from the hemogram, which is an easy, low-cost, and reproducible method, is a variable that predicts adhesive capsulitis in RCT.

Keywords

adhesive capsulitis, rotator cuff tear, lymphocyte monocyte rate

Lenfosit-Monosit Oranı Rotator Manşet Yırtıklarında Adeziv Kapsülitin İyi Bir Belirtecidir

Abstract

Amaç: Çalışmanın amacı, rotator manşet yırtığındaki (RMY) adeziv kapsüliti preoperatif olarak ölçülen nötrofil-lenfosit (NLO), trombosit-lenfosit (PLO), nötrofil-monosit (NMO), lenfosit-monosit (LMO) oranlarından öngörmektir.

Yöntemler: Bu çalışma retrospektif vaka kontrol çalışması olarak tasarlandı. Etik onay alındıktan sonra, RMY amacıyla ameliyat edilen 128 hastanın ameliyat öncesi hemogram ve biyokimya verileri hastane arşivinden toplandı. RMY nedeniyle artroskopi yapılan hastalardan intraoperatif dönemde adeziv kapsülit bulguları olanlar RMY+Adeziv kapsülit grubuna dahil edildi. Sağlıklı kontrol ve RMY+Adeziv kapsülit grupları arasında yaş, kan şekeri, CRP, sedimantasyon, beyaz kan hücresi, nötrofil, monositler, lenfositler, trombositler, açlık kan şekeri, hemoglobin ve hematokrit değerleri ile NLO, PLO, NMO ve LMO oranları karşılaştırıldı. Oranların lojistik regresyon analizi yapıldı.

Bulgular: Çalışmaya toplam 64 sağlıklı RMY (grup 1) ve 64 RMY+Adeziv kapsülit hastası (grup 2) dahil edildi. Açlık kan şekeri, lenfosit, CRP değerleri, NMO ve LMO adeziv kapsülitli hastalarda yüksek bulundu (p<0,05); monosit, NLO ve PLO ise grup 2'de grup 1'e göre daha düşük bulundu (p<0,05). ROC analizine göre RMY'de adeziv kapsülitin en iyi belirleyicisinin LMO olduğu ortaya çıktı.

Sonuç: Kolay, düşük maliyetli ve tekrarlanabilir bir yöntem olan hemogramdan elde edilen LMO’nun inflamatuar bir oran olarak RMY'de adeziv kapsüliti öngören bir değişken olduğu gösterilmiştir.

Keywords

adeziv kapsülit, rotator manşet yırtığı, lenfosit-monosit oranı

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