肩関節
Online ISSN : 1881-6363
Print ISSN : 0910-4461
ISSN-L : 0910-4461
修復不能な腱板広範囲断裂に対する関節鏡視下大結節形成術の効果
水野 直子米田 稔Piyachart SUTTINARK林田 賢治
著者情報
ジャーナル フリー

2005 年 29 巻 2 号 p. 359-363

詳細
抄録

To present a retrospective study on the outcome of treatment of the massive, irreparable tears of the rotator cuff by arthroscopic cuff debridement limited subacromial decompression in which the coracoacromial ligament was left intact in order to preserve the integrity of the coracoacromial arch and creating a smooth, congruent acromiohumeral articulation by removal of exostoses of the greater tuberosity which we call GTplasty. Twelve shoulders with pain that had massive, irreparable tears of the rotator cuff and greater tuberosity impingement were managed by these arthroscopic treatments. The average age of the patients was 69.3 years old. The average duration of follow-up was 29 months. The JOA score was improved from an average score of 60.5 points preoperatively to 84.6 points postoperatively (P=0.003). The evaluation of pain by visual analog scale reduced from an average score of 7.2 points preoperatively to 1.1 points postoperatively (P<0.001). Whereas, the patients had some persistent weakness, but satisfactory relief of pain and improved, range of motion were achieved. The arthroscopic cuffdebridement, limited subacromial decompressionand GTplasty could provide good pain relief and improved upper extremity function as the treatment of a patient with massive, irreparable tears of the rotator cuff.

著者関連情報
© 日本肩関節学会
前の記事 次の記事
feedback
Top