The Treatment of Rheumatoid Shoulder by Double Osteotomy.

概要

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The gleno-humeral joint is frequently involved in rheumatoid arthritis. Occasionally destruction of the joint may lead to severe pain. When conservative therapies were not effective for such rheumatoid shoulders, we performed the Benjamin double osteotomy. Eight patients (8 shoulders) were treated, 6 females and 2 males, with ages varying from 34 to 70 years, and an average of 49 years. There were no complications with this procedure. Patients were followed up for between 19 to 109 months (average 64 months) . All of them had no or slight pain, and pain relief had been recognized immediately after surgery. However, there was no remarkable improvement in the range of motion. The good results were long-term. We consider that double osteotomy is a useful procedure for advanced rheumatoid shoulder with continous severe pain.
日本関節病学会の論文