• Clinics in Shoulder and Elbow
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• 제7권2호
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• pp.76-82
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• 2004

Purpose: In the traumatic anterior shoulder instability, the laxity of joint capsule and ligament is frequently demonstrated. Although a arthroscopic procedure to address anterior instability with joint capsular redundancy have generally provided good results, its recurrence rate is higher than open procedure. By reducing the capsular redundancy, thermal shrinkage is likely to improve the outcome of arthroscopic anterior stabilization. The objective of this study was to evaluate additional thermal capsular shrinkage as a treatment of joint capsular redundancy in anterior shoulder instability. Materials and Methods: From March 1999 to June 2000, 25 shoulders of 23 patients of recurrent anterior shoulder dislocation underwent arthroscopic Bankart repair with shrinkage procedure. The mean follow up was 29 months and average age at the time of operation was 26 years. Of these patients, 20 were male and 3 were female who had been experienced the average 8 times of dislocation before operation. Thermal shrinkage alone without Bankart repair was performed in two cases who did not have Bankart lesion. The clinical result was evaluated in according to Modified Rowe Score. Results: The Modified Rowe Score was improved from preoperative 35 points to postoperative 88 points. None of cases showed recurrence of dislocation. But, in two cases, temporary sensory hypesthesia of the axillary nerve was developed and in two cases of postoperative stiffness, arthroscopic capsular release and brisement were performed. Conclusion: Additional capsular shrinkage in arthroscopic technique to address recurrent anterior shoulder instability could treat effectively the capsular redundancy.

• Clinics in Shoulder and Elbow
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• 제11권2호
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• pp.118-122
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• 2008

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.