外傷性肩関節脱臼症例に見られた機能的問題点の検討

概要

論文の詳細を見る
The exercise cure considered to be required for anterior dislocation of shoulder joint was an improvement of the function of the shoulder joint for avoiding reduction in which the humeral head deviated from the glenoid cavity, when external force was added. In this presentation, the functional problems which were related with shoulder joint stability were examined from the x-ray examinations. 23 cases of 21 men and two women who underwent scopic Bankart repair were examined. Their averaged age was 26.4±9.6 years old. The functions of the rotator cuff and scapula were examined in the Scapula-45 x-ray exam. Next, using the x-ray with arm at side and maximum elevation, the mobility of the clavicle and thorax were examined. Finally, from the x-rays of maximum elevation, the angle of shoulder abduction and the height of the glenoid were examined. Dysfunction of the rotator cuff was 53.9% and dysfunction of the upper rotation of the scapula was 76.9%. Decreased mobility of the thorax was 52.2%. 60.9% of the cases demonstrated immobility of elevation of the clavicle. The angle of maximum elevation was decreased about 5 degrees compared to the opposite side. Although dysfunction of the rotator cuff was found in about half of the cases, there was a large number of dysfunction of the scapula, clavicle, and thorax. The exercise cure which raised these motor functions is required for a recurrence prevention.
日本肩関節学会の論文
2008-06-30