腱板断裂非手術例の追跡調査

概要

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We reviewed the clinical outcome of conservative treatment for the rotator cuff tear. We evaluated 50 shoulders (31 male, 19 female) of the rotator cuff tear who were treated with conservative treatment from May 2006 to March 2010. The range of the age was 34-86 years old (average : 68.2). We divided them into 4 groups by the reason we didnt perfomed the operation. Group A, 5 shoulders, in which we suggested the operation, but they declined. Group B, 15 shoulders, because they felt the effect of conservative treatment. Group C, 10 shoulders, because of complications or high age. Group D, 20 shoulders, because of the massive tear with advanced fatty degeneration. We reviewed pain, dysfunction, and satisfaction of conservative treatment. In group A, all cases had pain and dysfunction, and no patient was satisfied. In group B, pain remained in 60%, dysfunction remained in 27%, and 87% were satisfied. In group C, pain remained in 80%, dysfunction remained in 50%, and 60% were satisfied. In group D, pain remained in 75%, dysfunction remained in 50%, and 66% were satisfied. The pain and dysfunction remained at a high rate. If the patient wishes, surgical treatment is desirable in cases of repairable tear.The satisfactory rates were high at group C and D. So we thought conservative treatment was one of the choices for cases with high age patients, complications or irreparable tears.