대한견주관절학회:학술대회논문집 (The Academic Congress of Korean Shoulder and Elbow Society)
- 대한견주관절학회 2008년도 제16차 학술대회
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- Pages.53-53
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- 2008
Dynamic Stabilization of the Scapula for Serratus Anterior Dysfunction
- 정수태 (관동의대 명지병원 정형외과학교실) ;
- Jeong, Su-Tae ;
- Warner, Jon J.P. (Harvard Shoulder Service, Massachusetts General Hospital)
- 발행 : 2008.03.28
초록
Twenty-six patients (12 male and 14 female) with symptomatic scapular winging caused by serratus anterior dysfunction were managed with split pectoralis major tendon transfer (sternal head) with autogenous hamstring tendon augmentation from 1998 to 2006. Twenty-five patients had positive results for long thoracic nerve palsy on electromyography. The mean duration of symptoms until surgery was 48 months (range 12~120 months). Four patients had non-traumatic etiologies and twenty-two patients had traumatic etiologies. At the final follow-up assessment for functional improvement, a Constant-Murley score was used. 21 patients were completely evaluated, while 5 patients who had less than 12 months follow-up were excluded. Pain relief was achieved in 19 of the 21 patients, with twenty patients showing functional improvement. The pain scores improved from 6.0 preoperatively to 1.8 postoperatively. The mean active forward elevation improved from
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