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
- 2019.9
- 수록면
- 135 - 138 (4page)
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초록· 키워드
오류제보하기
Background: The aims of this study were (1) to examine the footprint of the subscapularis tendon using the traditional posterior portal and 30° arthroscope by simple internal rotation of the arm during surgery, and (2) to classify the pattern of a subscapularis partial-thickness tear.
Methods: This study analyzed a total of 231 patients with a partial-thickness subscapularis tear from 550 consecutive patients undergoing an arthroscopic operation who had a visualization of the subscapularis tendon footprint by internal rotation of the arm. First, the patients were classified into four categories according to the tear pattern: (1) stable lamination, (2) unstable lamination, (3) avulsion, and (4) laminated avulsion. Randomized arthroscopic videos were reviewed blindly by two independent orthopedic surgeons. The pattern of the tear of the subscapularis at the neutral position and after internal rotating the arm were assessed and compared with the treatment decision (level IV case series).
Results: Stable lamination, unstable lamination, avulsion, and laminated avulsion were observed in 9.1% (n=21), 20.8% (n=48), 41.1% (n=95), and 29.0% (n=67) of cases, respectively. In 145 out of 231 cases (62.8%), the decision was changed after inspecting the footprint after internal rotation of the arm, and the treatment method was changed in 116 (50.2%) cases.
Conclusions: In a subscapularis tendon partial-thickness tear, inspecting the footprint of the subscapularis tendon is essential to diagnosing and deciding on the appropriate treatment. In addition, simply internal rotating the arm during surgery when using the traditional posterior portal and 30° arthroscope can be a valuable method.
Methods: This study analyzed a total of 231 patients with a partial-thickness subscapularis tear from 550 consecutive patients undergoing an arthroscopic operation who had a visualization of the subscapularis tendon footprint by internal rotation of the arm. First, the patients were classified into four categories according to the tear pattern: (1) stable lamination, (2) unstable lamination, (3) avulsion, and (4) laminated avulsion. Randomized arthroscopic videos were reviewed blindly by two independent orthopedic surgeons. The pattern of the tear of the subscapularis at the neutral position and after internal rotating the arm were assessed and compared with the treatment decision (level IV case series).
Results: Stable lamination, unstable lamination, avulsion, and laminated avulsion were observed in 9.1% (n=21), 20.8% (n=48), 41.1% (n=95), and 29.0% (n=67) of cases, respectively. In 145 out of 231 cases (62.8%), the decision was changed after inspecting the footprint after internal rotation of the arm, and the treatment method was changed in 116 (50.2%) cases.
Conclusions: In a subscapularis tendon partial-thickness tear, inspecting the footprint of the subscapularis tendon is essential to diagnosing and deciding on the appropriate treatment. In addition, simply internal rotating the arm during surgery when using the traditional posterior portal and 30° arthroscope can be a valuable method.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (21)
참고문헌 신청
Glenn A. Tung / 2001 / Subscapularis Tendon Tear: Primary and Associated Signs on MRI / Journal of Computer Assisted Tomography 25(3):417~424
Allen Deutsch / 2016 / Traumatic tears of the subscapularis tendon. Clinical diagnosis, magnetic resonance imaging findings, and operative treatment / The American Journal of Sports Medicine 25(1):13~22
Matthias P. Flury / 2006 / Rupture of the subscapularis tendon (isolated or in combination with supraspinatus tear): When is a repair indicated? / Journal of Shoulder and Elbow Surgery 15(6):659~664
Ryuzo Arai / 2008 / Subscapularis Tendon Tear: An Anatomic and Clinical Investigation / Arthroscopy: The Journal of Arthroscopic & Related Surgery 24(9):997~1004
Stephen S. Burkhart / 2002 / Arthroscopic subscapularis tendon repair: technique and preliminary results / Arthroscopy: The Journal of Arthroscopic & Related Surgery 18(5):454~463
Allen Deutsch / 2016 / Traumatic tears of the subscapularis tendon. Clinical diagnosis, magnetic resonance imaging findings, and operative treatment / The American Journal of Sports Medicine 25(1):13~22
Matthias P. Flury / 2006 / Rupture of the subscapularis tendon (isolated or in combination with supraspinatus tear): When is a repair indicated? / Journal of Shoulder and Elbow Surgery 15(6):659~664
Ryuzo Arai / 2008 / Subscapularis Tendon Tear: An Anatomic and Clinical Investigation / Arthroscopy: The Journal of Arthroscopic & Related Surgery 24(9):997~1004
Stephen S. Burkhart / 2002 / Arthroscopic subscapularis tendon repair: technique and preliminary results / Arthroscopy: The Journal of Arthroscopic & Related Surgery 18(5):454~463
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UCI(KEPA) : I410-ECN-0101-2019-514-000979362