Follow-up Study of Non-operative Tears of the Rotator Cuff.

概要

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From December 1986 to December 1989, forty-three shoulders in forty-one patients were evaluated at the Kumamoto National Hospital for shoulder pain with daiagnosis of tear of the rotator cuff which was confirmed by arthrography.We sent out questionnaires to these patients. And we could follow up 33 shoulders in 31 patients. Twenty shoulders were conservatively treated (mean age, 64.3 years old: follow up period, 25.4 months), whereas 13 shoulders were operated (mean age, 57.9 years old: follow up period, 23.3 months).We evaluated conservative group and operated group by J. O. A. score.The score of operated group was better than conservative group. In conservative gpoup, the score at the follow-up was better than that of the first evaluation. Especially in the pain score, the differences between conservative treatment and operative treatment were large.In muscle strength and ROM score, there were not so large differences.Conservatively treated patients who manifested bad score were seven. Three cases were more than 70 years old. Two cases were laborer whose age were about 50 years old.Conservatively treated patients who manifested good score had some charactaristics, that is non traumatic, with minimal ROM limitation and with short duration from onset to the first examination.
西日本整形・災害外科学会の論文