広範囲腱板断裂を伴った中高齢者反復性肩関節脱臼に対して鏡視下修復術を行った2例

概要

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The purpose of this report is to report on two middle aged and more patients who underwent simultaneous arthroscopic rotator cuff and Bankart repair for recurrent dislocations of the shoulder associated with the massive rotator cuff tear. [Case 1] A 58 years old Female. She had her 1st dislocation of the shoulder when she fell off her bicycle at 57 years old. After more than five times dislocations, she underwent an arthroscopic Bankart and capsular and rotator cuff repair. Postoperative the ROM at 1 year was Flx 170°, Abd 170°, ER 60°. [Case 2] A 74 years old Female. She had her 1st dislocation of the shoulder when she fell down in the bathroom at 74 years old. After more than 10 times dislocations, she underwent an arthroscopic Bankart and biceps tendon and rotator cuff repair including subscapularis repair. Postoperative the ROM at 1 year were Flx 160°, Abd 145°, ER 45°. Although more cases and longer-term assessments will be needed, it is possible that simultaneous arthroscopic anatomical repair including rotator cuff repair will lead to better clinical results without obvious complications.
日本肩関節学会の論文
2008-06-30