抄録
Paraplegic patients tend to develop shoulder problems in the transfer. Four rotator cuff tears in three paraplegic patients, all polio victims, were analyzed. The JOA score was used for assessment. Anterior acromioplasty and tenorrhaphy were performed in two supraspinatus tears and one massive cuff tear with functional improvements. The same procedures for another massive cuff tear resulted in a retear which necessitated performing a glenoidplasty untilizing a fascia lata graft. The final results were poor. Surgery is indicated for rotator cuff tears in the paraplegic, in order to preserve both the transfer and the ADL. Early recognition, meticulous repair and rehabilitation are essential to obtain good results. The antero-posterior roentgenogram of bilateral shoulders on weight bearing (" push-up view") is helpful in the assessment of postoperative functions of the rotator cuff.
