腱板広範囲断裂に対して骨片付き小円筋移行術(Paavolainen 法)を行った3例

抄録

We wish to report on three cases, a sixty-seven-years-old man had the right shoulder dislocation in January 2001, which was manually. reduced by a local doctor. He visitsd us in A pril 2001 complaining of pain and weakness of the right shoulder. The active shoulder elevation was 30 degrees. At surgery in June 2001, the cuff was repaired with the Paavolainen procedure. Nine months postoperatively, the active elevation was 125 degrees without pain and he returned to work. A sixty-three-year-old man visited us in May 2001 complaining of right shoulder pain and weakness after a fall in Feburary 1999. The active elevcation was 90 degrees. At surgery in Jury 2000, the cuff was repaired with Paavolainen's procedure. The active shoulder elevation became 120 degrees and he returned to work ten months postoperatively. A fifty-nine-year-old man fell down in September 1999 and his right shoulder was operated on. He visited us because of persistent pain and weakness in his right shouder. The active elevation was 20 degrees. At surgery in May 2000, the cuff was repaired with Paavolainen's procedure. The pain disappeared, but the active elevation was 40 degrees eighteen months postoperatively. Paavolainen's procedure can be an option in patients whose teres minor remains intact.