肩関節の terrible triad 12 例の検討

概要

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Background: The combination of shoulder dislocation, rotator cuff or greater tuberosity fracture and axillary nerve damage is serious injury of the shoulder. We aimed this study to analyze our twelve cases of such a terrible association. Methods: Clinical findings, MRI, and EMG records of patients were reviewed retrospectively to identify patients with a combination of all three injuries. Patient demographics, EMG results, operative findings, postoperative recovery and follow up were recorded. Results: From 2004 to 2010, twelve patients (11 males and 1 female) of the terrible triad of the shoulder were treated at our hospital. Five had dominant and seven non-dominant sides injured. Ten patients underwent some surgeries and two patients had conservative management after initial manual reduction. Conclusion: Early diagnosis and timely surgical intervention along with a good rehabilitation program can improve the functional outcome of such a serious injury to the shoulder.
日本肩関節学会の論文