肩腱板断裂に対する手術成績の検討

概要

論文の詳細を見る
The present study was an attempt to evaluate the clinical outcomes of patients with a full-thickness rotator cuff tear treated by mini-open or arthroscopic rotator cuff repair (ARCR). 24 shoulders in 23 patients were included in this study. There were 15 male and 9 female patients with an average age of 64.1 years old (range, 41 to 80). The length of the greatest diameter of the tear was divided into 4 categories of tear: small (1 centimeter or less), medium(1 to 3 centimeter), large(3 to 5 centimeter), and massive (greater than 5 centimeter). By these criteria, there were 1 small, 10 medium, and 13 large tendon tears. The acromio-humeral distance was measured for the index of the upward migration of the humeral head. The clinical outcomes were assessed on the basis of the Japanese Orthopaedic Association (JOA) shoulder score. The JOA scores increased from an average of 62.2 points preoperatively to an average of 88.7 points postoperatively by mini-open repair, and an average of 54.4 points preoperatively to an average of 91.0 points postoperatively by ARCR. There was a tendency that the postoperative JOA scores of a large tear were lower than those of a medium tear. There was a statistical correlation between the postoperative JOA scores and the acromio-humeral distances in the ARCR group.
日本肩関節学会の論文