Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Clinical Result of Arthroscopic Capsular Release and Repair for SLAP II Lesion with Stiffness

강직을 동반한 제 2형 SLAP 병변의 관절경적 관절막 유리술과 봉합술의 임상적 결과

  • Ahn, Gil-Yeong (Department of Orthopedic Surgery, Pohang St. Mary's Hospital) ;
  • Nam, Il-Hyun (Department of Orthopedic Surgery, Pohang St. Mary's Hospital) ;
  • Lee, Yeong-Hyun (Department of Orthopedic Surgery, Pohang St. Mary's Hospital) ;
  • Lee, Jung-Ick (Department of Orthopedic Surgery, Pohang St. Mary's Hospital) ;
  • Moon, Gi-Hyuk (Department of Orthopedic Surgery, Pohang St. Mary's Hospital)
  • 안길영 (포항성모병원 정형외과) ;
  • 남일현 (포항성모병원 정형외과) ;
  • 이영현 (포항성모병원 정형외과) ;
  • 이정익 (포항성모병원 정형외과) ;
  • 문기혁 (포항성모병원 정형외과)
  • Published : 2008.12.15
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Abstract

Purpose: We assessed the clinical results after the operative treatment of type 2 SLAP lesion with stiffness. Materials and Methods: 13 patients who had SLAP lesion with stiffness were treated with arthroscopic capsular release, SLAP repair and treatment of the associated lesion. The average follow-up period was above 12 months. Results: The postoperative mean VAS was scored 1.5 and the postoperative ROWE score was 92.3, which showed a significant improvement after the operation (P<0.001). The mean range of motion was a significantly improved after the operation (P<0.001). The ROWE score was excellent for all the cases. Conclusion: Arthroscopic capsular release and SLAP repair and treatment of the associated lesion in patients with type 2 SLAP lesion with stiffness are effective treatments for the increasing the range of motion and decreasing the pain.

목적: 강직을 동반한 제 2형 SLAP 병변에 대하여 수술적 가료를 시행한 후에 임상적 결과를 알아 보고자 한다. 대상 및 방법: 강직을 동반한 제 2형 SLAP 병변 13예를 대상으로 하였으며 수술은 관절경적 관절막 유리술과 봉합술 및 동반 병변에 대한 치료을 하였다. 추시 기간은 평균 12개월 이상(평균 14.9개월) 이었다. 결과: 술 후 평균 VAS 점수는 1.5, ROWE의 점수는 92.3점으로 술 전에 비해서 의미 있는 호전을 보였다(P<0.001). 술 후 평균 관절 운동 범위도 술 전에 비해서 의미 있는 호전을 보였으며(p<0.001) ROWE의 점수는 13예 모두에서 우수의 결과를 얻었다. 결론: 강직을 동반한 제 2형 SLAP 병변에서 관절경적 관절막 유리술과 봉합술 및 동반 병변에 대한 치료는 통증 감소 및 관절 운동 범위 증가에 효과적인 치료방법이라고 생각된다.

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References

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