腱板完全断裂に対する保存療法の効果—第２報—

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The aim of this study was to investigate the clinical outcome of conservative treatment for full-thickness rotator cuff tears (FTRCTs), and to analyze factors that influence the clinical outcome. We selected 19 patients who were diagnosed as having FTRCTs by MRI or MR arthrography and were treated conservatively, and were followed-up for more than two years. There were 7 males and 12 females with an average age of 66.4 years old. All patients were evaluated with the use of the JOA score, and we investigated the transition of each score. The mean JOA score improved from 58.3 at the initial examination to 85.4 at the last examination. The mean range of external rotation improved from 46.32° at the time of initial examination to 59.21° at the last examination. The mean range of active flexion improved from 86.05° at the time of initial examination to 152.11° at the last examination. The function score and ROM score revealed good improvement in all patients. The pain score also revealed good improvement in the excellent group, but in the poor group, the pain score revealed few improvements between the initial and the last follow-up examination. Our clinical results of conservative treatments for the patients with FTRCTs were almost satisfactory. For the improvement of the function and ROM, conservative treatments were effective. However, the conservative treatment was insufficient for the patients who reported few improvements of pain in the early stage of treatments.

腱板完全断裂に対する保存療法の効果—第２報—

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