Reverse West-Point Viewによる肩関節脱臼の評価

抄録

We adopted The Reverse West-Point View (hereinafter called RWP View) under which patients lay supine. We evaluated bony Bankart lesions and capsular detachments on recurrent shoulder dislocation and subluxation by means of a RWP View and others by comparing them with our operative findings. We used a double contrast arthrogram.
20 patients (20 shoulders) were taken up for evaluation.15 patients,15 shoulders suffered from recurrent shoulder dislocation and 5 patients,5 shoulders from recurrent subluxation. We classified the cases of bony Bankart lesions and capsular detachmen t into 3 grades by means of a pre-operative arthrogram and these were compared with our operative findings for closer examination.
In 87.5 % of the cases, the degree of damage proved to be the same as the operative findings.