Journal of Korean Orthopaedic Sports Medicine (대한정형외과스포츠의학회지)
- Volume 3 Issue 1
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- Pages.81-86
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- 2004
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- 1598-5695(pISSN)
Recurrent Shoulder Dislocation with Rotator Cuff Tears and Bankart Lesion
중장년층에서의 회전근 개 파열과 Bankart 병변을 동반한 재발성 견관절 탈구
- Lee Kwang Won (Department of Orthopaedic Surgery, Eulji University Hospital) ;
- Yang Dong Hyun (Department of Orthopaedic Surgery, Eulji University Hospital) ;
- Ahn Jae Hoon (Department of Orthopaedic Surgery, Eulji University Hospital) ;
- Kim Ha Yong (Department of Orthopaedic Surgery, Eulji University Hospital) ;
- Choy Won Sik (Department of Orthopaedic Surgery, Eulji University Hospital) ;
- Ha Kwon-Ick (Department of Orthopaedic Surgery, Eulji University Hospital)
- 이광원 (을지의과대학 정형외과학교실) ;
- 양동현 (을지의과대학 정형외과학교실) ;
- 안재훈 (을지의과대학 정형외과학교실) ;
- 김하용 (을지의과대학 정형외과학교실) ;
- 최원식 (을지의과대학 정형외과학교실) ;
- 하권익 (을지의과대학 정형외과학교실)
- Published : 2004.03.01
Abstract
Objectives: To assess the functional outcome of Bankart repair and rotator cuff repair using miniopen technique in patients with recurrent shoulder dislocation(8 cases) with rotator cuff tears and Bankart lesion of over 40 years. Materials and Methods: From May 1991 to January 2002, twenty two patients were available to participate in the study. Mean age was 52 years old(41-67), Follow-up evaluations averaged 50.5months(10-147). Results: The patients(22 cases) were divided into two groups. Group 1: with recurrent shoulder dislocation(8 cases) with rotator cuff tears and Bankart lesion in patients over 40 years old. Group 2: without Bankart lesion(14 cases). In Group 1, mean average of forward flexion and abduction improved from 122 degrees to 154 degrees at the final follow-up and from 115 degrees to 161 degrees respectively. In terms of University of Pennsylvania patient self-assessment of pain score and VAS, scores improved from 11.0 to 5.5 and from 5.4 to 2.5 respectively. In terms of UCLA score & Constant score, scores also improved from 20.2 to 29.6 and from 48.6 to 69.0 respectively. Functional outcome of Group 1: two patients with excellent, four patients with good, and two patients with fair. Functional outcome of Group 2: two patients with excellent, six patients with good, five patients with fair, and one patient with poor. But they had no statistical significance between the two groups. All cases were improved shoulder pain at the final follow up. And six patients were satisfied with the outcome of shoulder function. Conclusions: This study demonstrates the effectiveness of Bankart repair and rotator cuff repair using miniopen technique in patients with recurrent shoulder dislocation(8 cases) with tears of rotator cuff and Bankart lesion older than 40 years. We recommend Bankart repair and rotator cuff repair at the same time.
목적: 본 연구는 40세 이후에 발생한 회전근 개 파열을 동반한 재발성 견관절 탈구 환자 중 Bankart병변을 동반한 경우, Bankart복원술이나 소절개 술식(miniopen technique)을 이용한 회전근 개 봉합술을 동시에 시행한 후 후향적 임상적 결과를 분석하고자 하였다. 대상 및 방법: 본 정형외과학 교실에서 1991년 5월부터 2002년 1월까지 내원하여 수술 받은 40세 이상의 회전근 개 파열을 동반한 재발성 견관절 탈구 환자 25례의 환자 중 최종 추시가 가능하였던 22례를 대상으로 하였으며, 평균 연령은 52(범위, 41
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