若年スポーツ選手の肩関節初回脱臼例に対する保存療法と 手術療法による機能回復の差異

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Background: This study was designed to clarify the differences in functional recovery between conservative and operative therapy in young athletes with first shoulder joint dislocation involving Bankart lesion. Furthermore, we wish to make a helpful contribution to the decision of future treatment for patients with first shoulder joint dislocation involving Bankart lesion with the current research. Methods: This study enrolled 24 young athletes (17 men and 7 women, age: 18.5 ± 5.2 years) with first shoulder joint dislocation involving Bankart lesion. The treatment performed was 13 conservative and 11 operative therapy (arthroscopic Bankart repair technique). Results: The JSS-IS, JSS-SS and DASH scores were significantly better in the operative therapy patients compared to the conservative therapy patients (p<0.05, respectively). The gratification for treatment was significantly higher in the operative therapy group compared to the conservative therapy group (p<0.05). The muscle strength (inner/lateral rotation, flexion/extension and adduction/abduction in shoulder joint) was significantly higher in the operative therapy group in comparison to the conservative therapy group (p<0.05). The re-dislocation was observed in only two patients in the conservative therapy group (15.4%). Conclusion: These results suggest that arthroscopic Bankart repair technique was an effective treatment to be able to obtain good results compared to the conservative therapy. Therefore, patients with first shoulder joint dislocation involving Bankart lesion might be positively treated with operative treatment because re-dislocation was observed in only conservative therapy.

若年スポーツ選手の肩関節初回脱臼例に対する保存療法と<BR>手術療法による機能回復の差異

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