腱板疎部損傷に対する鏡視下修復術の手術成績

概要

論文の詳細を見る
The purpose of this study was to evaluate the clinical results of arthroscopic repair of each structure in the rotator interval lesions. 15 patients (12 male, 3 female) with rotator interval lesions were included in this study. In Group A, 9 patients were treated arthroscopically by rotator interval closure. Group B was consisted of 6 patients treated by arthroscopic repair of each structure in the rotator interval lesions: 2 repairs of superior glenohumeral ligament, 2 repairs of middle glenohumeral ligament and 2 of both. The clinical outcomes were assessed by means of JOA shoulder scoring system. The average JOA score was improved from 83.3 points to 97.5 points in Group A and from 74.0 points to 98.8 points in Group B. Postoperative results were not significantly different between 2 groups. 5 patients had limitation of external rotation at the side over 10 degrees, 3 in Group A and 2 in Group B. In 8 patients who participated in sports activity at the competitive level before being affected by rotator interval lesion, 7 could return to sports participation. In Group A, 2 had got to the same level as before injury and 2 had not. In Group B, 3 all could get a complete return. This study showed excellent clinical results of arthroscopic rotator interval repair equal to those of rotator interval closure for the patients with reparable structures in rotator interval lesions.
日本肩関節学会の論文
2009-07-27