Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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광범위 회전근개 파열 및 액와신경 손상을 동반한 견관절 전방탈구 - 4례 보고 -

Anterior Shoulder Dislocation with Massive Rotator Cuff tear and Axillary Nerve Injury - 4 Cases Report -

  • 김도영 (한림대학교 의과대학 춘청성심병원 정형외과학교실) ;
  • 박현철 (한림대학교 의과대학 춘청성심병원 정형외과학교실) ;
  • 박용욱 (한림대학교 의과대학 춘청성심병원 정형외과학교실) ;
  • 이상수 (한림대학교 의과대학 춘청성심병원 정형외과학교실) ;
  • 서동현 (한림대학교 의과대학 춘청성심병원 정형외과학교실) ;
  • 강승완 (한림대학교 의과대학 춘청성심병원 정형외과학교실)
  • Kim Do-Yung (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Park Hyun-Chul (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Park Yong-Wook (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee Sang-Soo (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Suh Dong-Hyun (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kang Seung-Wan (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine, Hallym University)
  • 발행 : 2004.12.01
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초록

The terrible triad of the shoulder, a combination of anterior shoulder dislocation, massive rotator cuff tear and neurologic injury, is rare. We experienced 4 patients with this condition who were treated with a rotator cuff repair. The mean age was 65 years. Follow-up averaged 27 months. All patients had a history of redislocation after initial traumatic shoulder dislocation and were evaluated with electromyography and magnetic resonance imaging. At the operation, massive rotator cuff tear and hypertrophy of the long head of the biceps were found in all patients. Clinically, 3 patients achieved recovery of their nerve injury by 3 months postoperatively and the final results were fair. In one patient, there was no recovery of deltoid function and this case was rated as a failure. For this injury pattern, the prognosis appears to be dependent on eventual nerve recovery when the rotator cuff has been repaired early.

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참고문헌

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