지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.3
- 수록면
- 18 - 24 (7page)
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초록· 키워드
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Background: To evaluate the efficacy of the subclavian portal approach for the arthroscopic repair of isolated subscapularis tendon tear.
Methods: We used the subclavian portal to carry out arthroscopic repair of the isolated subscapularis tendon tear. The surgery was carried out in 18 cases (average age of 53) from May 2006 to December 2009 with a mean follow-up period of 35 months. Of these cases, 13 patients had the tear in their dominant arms, 16 were male, and 12 were from traumatic ruptures with on average 7.6 months of symptom period to operation. Additional surgery, acromioplasty and subacromial debridement, were carried out on 4 cases each during the subscapularis repair. The integrity of cuff status was assessed by ultrasonographic examination at 6 months and at 1 year after operation.
Results: The initial average range of motion in forward flexion, external rotation, and internal rotation were 160°, 50° and L4, respectively. At the 1 year follow-up period, these improved to 160°, 52° and T12, respectively. The initial average functional scores were assessed by KSS, ASES, UCLA, and Constant scoring systems, which were 67, 60, 26, and 65, respectively. These scores improved progressively with time. At 3 months after operation, the scores were 74, 67, 27, and 74; at 6 months, 83, 77, 31, and 75; at 1 year, 88, 86, 32, and 79; and at the final follow-up of 35 months, 84, 92, 34, and 84.
Conclusions: In the repair of isolated subscapularis tendon tear, the subclavian portal approach provided a good angle for anchor insertion and sufficient space to manage the upper portion of the tendon tear. In turn, these provisions resulted in satisfactory clinical results.
Methods: We used the subclavian portal to carry out arthroscopic repair of the isolated subscapularis tendon tear. The surgery was carried out in 18 cases (average age of 53) from May 2006 to December 2009 with a mean follow-up period of 35 months. Of these cases, 13 patients had the tear in their dominant arms, 16 were male, and 12 were from traumatic ruptures with on average 7.6 months of symptom period to operation. Additional surgery, acromioplasty and subacromial debridement, were carried out on 4 cases each during the subscapularis repair. The integrity of cuff status was assessed by ultrasonographic examination at 6 months and at 1 year after operation.
Results: The initial average range of motion in forward flexion, external rotation, and internal rotation were 160°, 50° and L4, respectively. At the 1 year follow-up period, these improved to 160°, 52° and T12, respectively. The initial average functional scores were assessed by KSS, ASES, UCLA, and Constant scoring systems, which were 67, 60, 26, and 65, respectively. These scores improved progressively with time. At 3 months after operation, the scores were 74, 67, 27, and 74; at 6 months, 83, 77, 31, and 75; at 1 year, 88, 86, 32, and 79; and at the final follow-up of 35 months, 84, 92, 34, and 84.
Conclusions: In the repair of isolated subscapularis tendon tear, the subclavian portal approach provided a good angle for anchor insertion and sufficient space to manage the upper portion of the tendon tear. In turn, these provisions resulted in satisfactory clinical results.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Burkhart SS / 2002 / Arthroscopic subscapularis tendon repair : Technique and preliminary results / Arthroscopy 18 (5) : 454 ~ 463
2. [학술지(정기간행물)] - Kim SH / 2005 / Intra-articular repair of an isolated partial articular-surface tear of the subscapularis tendon / Am J Sports Med 33 (12) : 1825 ~ 1830
3. [학술지(정기간행물)] - Pfirrmann CW / 1999 / Subscapularis tendon tears : detection and grading at MR arthrography / Radiology 213 (3) : 709 ~ 714
4. [학술지(정기간행물)] - Burkhart SS / 2006 / Arthroscopic subscapularis repair : surgical tips and pearls A to Z / Arthroscopy 22 (9) : 1014 ~ 1027
5. [학술지(정기간행물)] - Nord KD / 2003 / The new subclavian portal and modified Neviaser portal for arthroscopic rotator cuff repair / Arthroscopy 19 (9) : 1030 ~ 1034
2. [학술지(정기간행물)] - Kim SH / 2005 / Intra-articular repair of an isolated partial articular-surface tear of the subscapularis tendon / Am J Sports Med 33 (12) : 1825 ~ 1830
3. [학술지(정기간행물)] - Pfirrmann CW / 1999 / Subscapularis tendon tears : detection and grading at MR arthrography / Radiology 213 (3) : 709 ~ 714
4. [학술지(정기간행물)] - Burkhart SS / 2006 / Arthroscopic subscapularis repair : surgical tips and pearls A to Z / Arthroscopy 22 (9) : 1014 ~ 1027
5. [학술지(정기간행물)] - Nord KD / 2003 / The new subclavian portal and modified Neviaser portal for arthroscopic rotator cuff repair / Arthroscopy 19 (9) : 1030 ~ 1034
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UCI(KEPA) : I410-ECN-0101-2015-510-002468173