自衛官の反復性肩関節前方脱臼,亜脱臼に対するBankart & Bristow変法の治療成績について

抄録

We sought to evaluate our current method of surgical treatment of the recurrent anterior dislocation and subluxation in JSDF personnel. Twenty-three shoulders in twenty-one personnel were evaluated. All were males with an average age of twenty four point seven years old (range nineteen to thirty-three) at the time of surgery. The average time of follow-up was four years and one month (range two to six years and four months). The evaluations of clinical results were by: 1. Rowe' s shoulder score,2. Range of motion,3. Re-dislocation ratio,4. Satisfaction rating,5. Return to pre-morbid activities,6. Complications.
Twenty-two of twenty-three shoulders had good to excellent results when rated by the Rowe's scoring method. Redislocation ratio was 0 %, re-subluxation ratio was 4%. The average range of motion was diminished to seven degrees when compared to the normal unaffected side. Almost all of the twenty-one patients were satisfied with the treatment. Four failed to return to their pre-injury activities because two feared a re-dislocation and two were not in their pre-injury circumstances. The physical demands of the JSDF pesonnel are strenuous and demanding. JSDF personnel with dislocated shoulder require careful and precise repair to stabilize the shoulder to return as soon as possible to the force and as many as their pre-injury activities. The symptoms of recurrent dislocation or subluxation were enough to keep some individuals from returning to their full pre-injury functions. Confidence and stability are the keys to successful repair and return. If these findings are not there, JSDF personnel must be directed into less strenuous activities.