Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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다방향 견관절 불안정성에 대한 관절경적 치료 - 경 관절와 봉합술과 관절낭 축화술을 동시에 사용한 군과 관절낭 축화술을 사용한 군의 비교 -

Arthroscopic Treatment for Multidirectional Shoulder Instability - Comparison between Thermal Capsulorrhaphy and Transglenoid Suture with Thermal Capsulorrhaphy -

  • 이광진 (충남대학교 의과대학 정형외과학교실) ;
  • 김경천 (충남대학교 의과대학 정형외과학교실) ;
  • 신현대 (충남대학교 의과대학 정형외과학교실) ;
  • 김영모 (충남대학교 의과대학 정형외과학교실) ;
  • 우세민 (충남대학교 의과대학 정형외과학교실) ;
  • 송호섭 (충남대학교 의과대학 정형외과학교실) ;
  • 강태환 (충남대학교 의과대학 정형외과학교실) ;
  • 변기용 (둔산 변 정형외과병원)
  • Rhee, Kwang-Jin (Department of Orthopedic Surgery, Chungnam National University School of medicine) ;
  • Kim, Kyung-Cheon (Department of Orthopedic Surgery, Chungnam National University School of medicine) ;
  • Shin, Hyun-Dae (Department of Orthopedic Surgery, Chungnam National University School of medicine) ;
  • Kim, Young-Mo (Department of Orthopedic Surgery, Chungnam National University School of medicine) ;
  • Woo, Se-Min (Department of Orthopedic Surgery, Chungnam National University School of medicine) ;
  • Song, Ho-Sup (Department of Orthopedic Surgery, Chungnam National University School of medicine) ;
  • Kang, Tae-Hwan (Department of Orthopedic Surgery, Chungnam National University School of medicine) ;
  • Byun, Ki-Yong (Doonsan Byun's Orthopaedic Hospital)
  • 발행 : 2006.12.15
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초록

Purpose: To compare the clinical results of arthroscopic transglenoid suture with thermal capsulorrhaphy and thermal capsulorrhaphy on multidirectional shoulder instability. Materials and Methods: From January 1993 to September 2001, 23 patients who received the artrhoscopic treatment were the subjects and follow up period were at least 2 years. Each were subdivided as Group A(7 cases), which took transglenoid suture with thermal capulorrhaphy and Group B(16 cases), who took only thermal capsulorrhaphy. Clinical results were evaluated by Rowe score before and after surgery. Results: After operation according to Rowe score 4(57.1%) were excellent, 1(14.3%) were good and 2(28.6%) were fair in the Group A. for Group B 6(37.5%) were excellent, 2(12.5%) were good, 5(31.3%) were fair and 3(18.8%) were poor. Shoulder instability was recurred in 1(14.2%) case of Group A and 8(50%) cases of Group B during follow up period. Conclusion: Thermal capsulorrhaphy is thought to be a good adjuvent method, if it done with anterior capsular shift by transglenoid suture in multidirectional shoulder instability.

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참고문헌

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피인용 문헌

  1. Life-threatening Airway Edema after Arthroscopic Repair of Massive Rotator Cuff Tear - A Case Report - vol.10, pp.1, 2007, https://doi.org/10.5397/CiSE.2007.10.1.136
  2. Traumatic Anterior Instability: Failed Repairs and Complicated Problems vol.10, pp.1, 2007, https://doi.org/10.5397/CiSE.2007.10.1.001