Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Arthroscopic Treatment with Suture Anchor for the Isolated Subscapularis Tear

견갑하근 단독 손상 시 시행한 관절경하 봉합 나사를 이용한 봉합술

  • Moon, Young-Lae (Department of Orthopaedic Surgery, College of Medicine, Chosun University) ;
  • An, Ki-Yong (Department of Orthopaedic Surgery, College of Medicine, Chosun University)
  • 문영래 (조선대학교 의과대학 정형외과학교실) ;
  • 안기용 (조선대학교 의과대학 정형외과학교실)
  • Published : 2009.12.15
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Abstract

Purpose: We wanted to evaluate the results of arthroscopic management of an isolated rupture of the subscapularis tendon using suture anchors. Materials and Methods: Twenty nine patients with unilateral ruptures of the subscapularis tendon and who underwent arthroscopic repair between February 2001 and October 2007 were reviewed prospectively. All the cases were isolated tears of the subscapularis without the involvement of any other rotator cuff tendon. In 19 patients the tear was localized to the superior one third, in 7 cases the tear was localized to the upper two thirds and the entire tendon was involved in 3 cases. The mean follow up period was 12.2 months (range: 6-26 months). The results of the treatment were assessed by evaluating the constant shoulder score and the pain score before surgery and after surgery. Results: The constant shoulder score improved from $49.9\pm7.3$ to $73.8\pm3.0$ points compared to before surgery and the pain score improved from $4.3\pm3.2$ to $11.2\pm3.0$ points postoperatively. Conclusion: Arthroscopic repair of isolated ruptures of the subscapularis tendon using suture anchors is a good option for effectively managing these tears.

목적: 회전근 개의 하나인 견갑하근 단독 손상 시 봉합나사를 이용한 파열부 봉합술에 대해 문헌 고찰과 함께 그 결과를 알아보고자 한다. 대상 및 방법: 2001년 2월부터 2007년 10월까지 본원에서 견갑하근의 단독손상에 대해 봉합나사를 이용한 관절경적 처치를 시행한 29명의 환자를 대상으로 하였다. 전례에서 다른 회전근 개의 손상이 없는 견갑하근 단독 손상이었고, 견갑하근 손상의 범위는 상부 1/3인 경우가 19예, 상부 2/3인 경우가 7예, 완전 파열인 경우가 3예 였다. 평균 추시 기간은 12.2개월 (6~26개월) 이었다. 결과의 판정은 최초 내원 시점과 최종 추시의 constant shoulder score 결과를 비교하였다. 결과: 술후 constant shoulder score 는 술 전 평균 $49.9\pm7.3$ 에서 술 후 평균 $73.8\pm3.0$으로 constant shoulder score 중 pain points 는 술 전 평균 $4.3\pm3.2$ 에서 술 후 평균 $11.2\pm3.0$으로 향상되었다. 결론: 견갑하근의 단독손상 시 봉합나사를 이용한 견갑하근 봉합술은 좋은 치료방법 중 하나로 고려할 수 있다.

Keywords

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