腱板広範囲断裂に対する外旋機能再建術

概要

論文の詳細を見る
Definitive loss of active external rotation of the shoulder impact an individuals ability to perform ADLs. To restore external rotation, we performed a modified LEpiscopo procedure for external rotation deficit of the shoulder resulting from massive cuff tear. The patient was a 65-year-old male. He was unable to lift his hand to his mouth and had dropping, lag, hornblower sign after a traffic accident. MRIs revealed the posterosuperior rotator cuff tear with fatty infiltrated infraspinatus muscle. Active elevation and internal rotation were maintained. After the operation, the gain in external rotation was +25°. The dropping, lag, and Hornblowers signs resolved completely. In 1934, LEpiscopo described a procedure to restore external rotation to the shoulder in pediatric patients with obstetric palsy. The technique involved transfer posteriorly and laterally of the latissimus dorsi and teres major muscles to become external rotators. The modified LEpiscopo procedure effectively restored active external rotation and function in a patient with massive rotator cuff tear.
日本肩関節学会の論文
2009-07-27