アスリートに対する鏡視下バンカート法の手術成績とスポーツ復帰プログラム

概要

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Arthroscopic Bankart repair was performed on athletes who had shoulder instability, in order to for them to return to the athletic field. For this purpose, athletic rehabilitation was developed. This program consists of 4 stages. The first stage (0-8 weeks) is the most protective period for the shoulder, the second period (9-16 w) is a mild protective period, the third stage(17-24 w) is a slight protective period, the forth stage (after 24 w) is the return to sports.<BR>The subjects in this study were 74 athletes (76 shoulders) who had shoulder instability and had arthroscopic Bankart repair. There were 67 males and 7 females, the average age was 22 years old. There sport events were baseball(20), basketball(9), rugby(6), karate(7), judo(6), volleyball(6), skiing(5), soccer(3), surfing(2) and others(10).<BR>13 shoulders (17%) were re-dislocated. The average JOA score was 73.1 points pre-operatively and 93.8 points post-operatively. The average JSS instability score was 48.2 points and 90.9 points, JSS sports score was 44.8 points and 87.9 points, pre-and post-operatively respectively. Re-dislocation rate was 62.5% in those who returned to sports activity within 4 months after the operation and was 9% in those who did so at greater than 6 months after operation. The athletes who could wait to return to sports activity longer than 6 months after the surgery, could decrease their impairment to some degree according to this program.