抄録
An opening between the supraspinatus and subscapularis tendons ( rotator interval tear ) and a rotator cuff tear may complicate recurrent anterior dislocation or subluxation of the shoulder.
We have treated 11 shoulders of 10 patients with recurrent anterior dislocation or subluxation of the shoulder in the last two years.8 patients ( 9 shoulders ) were male and 2-female.9 patients, ages ranged from 16 to 33 years old and the last was 63 years old.
For diagnostic procedures, we performed arthrography on all shoulders, arthroscophy on 10shoulders and MRI on 8 shoulders.
Five shoulders were complicated with rotator interval tear and a rotator cuff tear was observed in one shoulder.
We used Putti-Platt's procedure or Rowe's capsulorrhaphy in the treatment of recurrent anterior dislocation or subluxation and also repaired rotator interval tears at the same time. The rotator cuff tear was repaired by McLaughlin procedure.
Inferior shoulder instability is present in cases with rotator interval tear. We think, it is important that the rotator interval tear or rotator cuff tear also be repaired in cases of recurrent anterior dislocation of the shoulder.