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中华肩肘外科电子杂志

中华肩肘外科电子杂志 ›› 2021, Vol. 09 ›› Issue (02) : 119 -130. doi: 10.3877/cma.j.issn.2095-5790.2021.02.004

所属专题： 文献；

论著

基于WOS数据库巨大肩袖撕裂全球研究现状与热点分析
赵立连1, 卢明峰2,†(), 魏锦强3, 何利雷2, 许挺2, 邢基斯2, 王昌兵2   
  1. 1. 528000　广州中医药大学附属佛山中医院运动医学科；528000　佛山市中医院运动医学科
    2. 528000　佛山市中医院运动医学科
    3. 510006　广州中医药大学第二附属医院关节骨科
  • 收稿日期:2021-02-03 出版日期:2021-05-05
  • 通信作者: 卢明峰
  • 基金资助:
    广东省医学科学技术研究(20161181228306)

Global research status and hotspots analysis of massive rotator cuff tears based on WOS database

Lilian Zhao1, Mingfeng Lu2,†(), Jinqiang Wei3, Lilei He2, Ting Xu2, Jisi Xing2, Changbing Wang2   

  1. 1. Department of Sports Medicine, Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Foshan 528000, China; Department of Sports Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, China
    2. Department of Sports Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, China
    3. Department of Joint Orthopedics, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
  • Received:2021-02-03 Published:2021-05-05
  • Corresponding author: Mingfeng Lu
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引用本文：

赵立连, 卢明峰, 魏锦强, 何利雷, 许挺, 邢基斯, 王昌兵. 基于WOS数据库巨大肩袖撕裂全球研究现状与热点分析[J]. 中华肩肘外科电子杂志, 2021, 09(02): 119-130.

Lilian Zhao, Mingfeng Lu, Jinqiang Wei, Lilei He, Ting Xu, Jisi Xing, Changbing Wang. Global research status and hotspots analysis of massive rotator cuff tears based on WOS database[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2021, 09(02): 119-130.

目的

基于核心合集（web of science, WOS）数据库，运用CiteSpace软件分析并探讨巨大肩袖撕裂全球研究现状与热点，为未来研究提供参考。

方法

通过检索WOS数据库，获得巨大肩袖撕裂为主题的相关研究文献，经过对数据筛选提炼，首先对纳入文献进行描述性统计分析，再运用CiteSpace 5.7.R1可视化软件对文献进行科学计量及可视化分析。

结果

共有1 161篇施引文献和12 044篇被引文献纳入分析，时间跨度从1994 ~ 2020年，巨大肩袖撕裂领域研究文献持续增加，近5年的发表文献量占比接近1/3。《肩肘外科杂志》《关节镜-关节镜及相关外科杂志》和《美国运动医学杂志》是刊载这一领域研究的主要杂志。欧美在巨大肩袖撕裂研究方面有着突出的贡献，但是国家、机构之间的合作交流并不密切。关键词分析获得11个聚类，排在前面的主要关键词有repair、integrity、tendon、muscle和follow up，这一领域手术治疗及临床疗效是一直关注的研究方向。引文分析共得到13个聚类，分别反映不同时间的研究现状。

结论

该领域近27年的研究经历手术治疗初步阶段，关节镜技术的成熟和运用的普及阶段，以及手术技术改进、基础和临床深入研究阶段。目前研究集中在巨大肩袖撕裂的手术治疗策略、手术的长期疗效以及影响手术疗效的因素，未来在解决巨大肩袖撕裂上将有更多手术技术和手术材料的突破。

关键词: 巨大肩袖撕裂, 研究现状, 研究热点, Citespace, Web of science
Background

In recent years, with the increasing researches on massive rotator cuff tears, more and more attentions have been paid to the surgical treatment and biomechanics from scholars, and there are various detailed directions on research overviews of massive rotator cuff tears. However, as research in this area continues to accumulate, it is necessary to organize the literatures systematically using bibliometric methods.

Objective

To investigate the global research status and hotspots of massive rotator cuff tears and provide reference for further research with the analysis of CiteSpace software based on the database of web of science (WOS) .

Methods

By searching the database of Web of Science, relevant research literatures on the topic of massive rotator cuff tears were obtained. After data screening and extraction, descriptive statistical analysis was conducted on the included literatures at first, and then scientific metrology and visual analysis were conducted on the literatures using CiteSpace 5.7.R1 visualization software.

Results

A total of 1 161 citing literatures and 12 044 cited literatures were included in the analysis. The period spans from 1994 to 2020, and the research literatures in the field of massive rotator cuff tears continued to increase, with nearly 1/3 of the published papers in the past five years. Journal of shoulder and elbow surgery, Arthroscopy - Arthroscopy and Related Surgery Journal and American Journal of Sports Medicine were the main journals that publish research in this field. The United States and Europe had outstanding contributions in the research of massive rotator cuff tears, but cooperations and exchanges between countries and institutions were not close enough. Eleven clusters were obtained by keyword analysis, and the main keywords were repair, integrity, tendon, muscle and follow-up. The surgical treatment and clinical efficacy in this field had always been the research direction of concern. A total of 13 clusters were obtained by citation analysis, indicating the research status at different times.

Conclusion

The researches in this field in recent 27 years can be summarized into three stages: the preliminary stage of surgical treatment, the maturity and popularization stage of arthroscopic technology, and the stage of surgical technique improvement, basic and clinical in-depth study. Currently, the research focuses on the surgical treatment strategy of massive rotator cuff tears, the long-term efficacy of surgery and the factors affecting the efficacy of surgery. In the future, there will be more breakthroughs in surgical techniques and surgical materials to treat massive rotator cuff tears.

Key words: Massive rotator cuff tears, Research status, Research hotspots, Citespace, Web of science
表1 相关参数选择及知识图谱解读
参数类型 参数选择/图谱标记 分析解读
时间切片 3年 将纳入文献按发表时间顺序排列，以3年为一个时间切片划分为多个部分
节点选取标准 排行前30名。分析的内容包括作者、机构、关键词等 为每一时间切片中，选取发表文献量或者频次排行前30名的节点进入分析
裁剪方式 Pathfinder法 以整体和每一时间切片为单位对图谱进行裁剪，使图谱关键信息突显
节点 节点在图谱中以年轮的形式呈现，大小代表频次或发表文献量，不同颜色的环代表该节点内容在不同年份有发表或有出现
连线 当两个内容（节点）共同出现在一篇文献中时，就有一条线产生，粗细代表两节点连接的强度（Cosine算法），颜色代表出现的时间
突现探测 在研究的时间跨度里，当一个内容在连续一段时间出现频次增加时，将以红色标记其持续增加的年份[10]
中介中心性 反映一个内容在网络中重要作用的指标，中介中心性>0.1时，节点外围以紫色圈标注
施引文献 / 施引文献为本研究纳入的文献，为反映该领域研究现状的主要文献
被引文献 / 被引文献为本研究纳入文献的参考文献，为该领域研究的知识基础
节点、连线颜色与年份关系 图谱中连线、节点的不同颜色代表不同年份
图1 巨大肩袖撕裂和肩袖撕裂年发表文献趋势图
表2 巨大肩袖撕裂领域施引期刊发表文献量
排序 期刊 记录（篇） 占比（%） 2020影响因子 JCR分区
1 Journal of Shoulder and Elbow Surgery 242 20.844 2.817 Q1
2 Arthroscopy — — the Journal of Arthroscopic and Related Surgery 155 13.351 4.325 Q1
3 American Journal of Sports Medicine 93 8.01 5.810 Q1
4 Journal of Bone and Joint Surgery （Am） 79 6.804 4.578 Q1
5 Clinical Orthopaedics and Related Research 36 3.101 4.329 Q1
6 Knee Surgery Sports Traumatology Arthroscopy 36 3.101 3.166 Q1
7 International Orthopaedics 34 2.929 2.854 Q1
8 Journal of Orthopaedic Research 27 2.326 2.728 Q2
9 Orthopaedic Journal of Sports Medicine 26 2.239 2.492 Q2
10 Orthopaedics Traumatology Surgery Research 24 2.067 1.809 Q3
图2 巨大肩袖撕裂领域被引期刊共被引图谱
表3 巨大肩袖撕裂领域国家和机构发表文献量
排名 国家/地区 发表文献量（篇） 占比（%） 机构 发表文献量（篇） 占比（%）
1 美国 479 41.258 UNIV ZURICH（瑞士） 39 3.359
2 法国 114 9.819 MAYO CLIN/美国 31 2.670
3 韩国 107 9.216 HOSP SPECIAL SURG（美国） 28 2.412
4 日本 99 8.527 RUSH UNIV（美国） 22 1.895
5 瑞士 95 8.183 UNIV CALIF IRVINE（美国） 22 1.895
6 德国 93 8.010 UNIV CALIF SAN FRANCISCO（美国） 21 1.809
7 英国 60 5.168 OSAKA MED COLL（日本） 18 1.550
8 意大利 52 4.479 SAN ANTONIO ORTHOPAED GRP（美国） 16 1.378
9 加拿大 40 3.445 UNIV PITTSBURGH（美国） 16 1.378
10 中国 33 2.842 UNIV TEXAS（美国） 16 1.378
图3 巨大肩袖撕裂领域国家（图A）和机构（图B）合作图谱
表4 施引作者发表文献量及被引作者频次
排名 施引作者 发表文献量（篇） 中介中心性 被引作者 频次 中介中心性
1 Gerber C 39 0.04 Gerber C 612 0.09
2 Burkhart SS 32 0.11 Burkhart SS 450 0.52
3 Lee TQ 25 0.00 Goutallier D 419 0.16
4 Walch G 23 0.09 Boileau P 316 0.15
5 Denard PJ 21 0.12 Galatz LM 278 0.30
6 Ladermann A 21 0.09 Cofield RH 275 0.00
7 Collin P 20 0.10 Constant CR 236 0.00
8 Boileau P 17 0.06 Warner JIP 220 0.06
9 Feeley BT 17 0.00 Walch G 211 0.00
10 Mcgarry MH 17 0.12 Fuchs B 189 0.03
图4 施引作者（图A）和被引作者（图B）共现分析
表5 巨大肩袖撕裂领域关键词分析
排名 关键词 频次 突现值 中介中心性
1 shoulder 357 7.43 0.28
2 rotator cuff tear 283 - 0.25
3 repair 281 7.48 0.13
4 rotator cuff 213 - 0.06
5 integrity 187 - 0.23
6 tendon 168 - 0.68
7 tear 164 - 0.12
8 muscle 158 4.88 0.20
9 follow up 146 - 0.50
10 massive tear 131 - 0.00
图5 关键词聚类时间线图
表6 该领域施引文献被引次数排在前10名的文献
年均被引排名 总被引排名 施引文献题目 第一作者 发表年份 总被引次数
1 1 The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears[13] Galatz LM 2004 1160
2 3 Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff - Results of a multicentre study of 80 shoulders[14] Sirveau XF 2004 690
3 5 Reverse total shoulder arthroplasty: a review of results according to etiology[15] Wall B 2007 523
4 2 The results of repair of massive tears of the rotator cuff[29] Gerber C 2000 745
5 6 Neer award 2005: the grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty[30] Boileau P 2006 511
6 4 Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the delta III reverse-ball-and-socket total shoulder prosthesis[31] Werner CML 2005 542
7 8 Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair：a prospective outcome study[32] Sugaya H 2007 471
8 59 Preliminary results of arthroscopic superior capsule reconstruction with dermal allograft[18] Denard PJ 2018 118
9 19 Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears[20] Mihata T 2013 262
10 7 Grammont reverse prosthesis: design, rationale, and biomechanics[33] Boileau P 2005 490
表7 巨大肩袖撕裂被引文献突现
被引文献 年份 突现 1994 ~2020年
Burkhart SS, Orthop Clin Nortch Am, 1993,24:111 1993 6.1518
Ellman H, Arthroscopy, 1993, 9:195 1993 3.8682
Rockwood CA, J Bone Jt Surg （Am）, 1995,77a:857 1995 11.6372
Zvijac JE, Arthroscopy, 1994, 10:518 1994 5.4821
Goutallier D, Clin Orthop Relat R, 1994,10:78 1994 6.8747
Miniaci A, J Bone Jt Surg （Am）, 1999, 81a:1120 1999 12.0999
Gartsman GM, J Bone Jt Surg （Am）, 1998,80a:832 1998 8.9225
Gerber C, J Bone Jt Surg （Am）, 2000,82a:505 2000 24.9015
Burkhart SS, Arthroscopy, 2001,17:905 2001 14.2404
Rittmeister M, J Shoulder Elbow Surg, 2001,10:17 2001 10.503
Galatz LM,J Bone Jt Surg （Am）, 2004, 86a:219 2004 34.094
Gerber C, J Bone Jt Surg （Am）, 2006,88a:113 2006 22.7851
Bond JL, Arthroscopy, 2008, 24:403 2008 12.4452
Gladstone JN, Am J Sports Med, 2007,35:719 2007 13.8337
Zumstein MA, J Bone Jt Surg （Am）, 2008,90a:2423 2008 25.7804
Bedi A, J Bone Jt Surg （Am）, 2010, 92a:1894 2010 18.8036
Gerber C, J Bone Jt Surg （Am）, 2013,95a:1920 2013 15.9282
Ek ETH, J Shoulder Elbow Surg, 2013,22:1199 2013 11.2305
Kim SI, Arthroscopy, 2012,28:761 2012 13.9124
Gupta Ak, Am J Sport Med, 2012,40:1141 2012 11.9898
图6 被引文献共被引图谱（图A）和聚类图谱（图B）
图7 被引文献聚类时间线图
表8 近6年热点手术的研究文献数量（篇）
手术方式 2015~2017年 2018~2020年 近6年
研究文献 综述文献 研究文献 综述文献
上关节囊重建 1 5 40 11 57
肌腱转位 15 4 28 4 51
补片桥接/补片增强 16 5 16 7 44
反肩关节置换 15 3 16 4 38
肩峰下球囊间隔术 3 1 15 2 21
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