外傷性肩関節前方脱臼後に合併した肩関節拘縮の検討

概要

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Background: The purpose of this study was to evaluate clinical outcomes of treatment for shoulder contracture following traumatic anterior shoulder dislocation. Methods: Seven shoulders of 7 patients (4 males and 3 females, 2 recurrent dislocations and 5 first-time dislocation, average age: 39.6 years) were evaluated. The average follow-up period was 13.9 months. Results: The average ROM at the initial visit was as follows: flexion 105°, extension 36°, abduction 87°, external rotation12°, internal rotation L3. 6 patients gained shoulder motion recovery with conservative treatment, and 1 patient underwent pancapsular release. There were no recurrences of dislocation in any cases, including the operative case. The average JOA score improved significantly from 63 at the first visit to 95 at the final visit. Discussion: The patient ages were relatively high. No recurrences were observed in any cases.
日本肩関節学会の論文