コンタクトスポーツ選手における外傷性肩関節前方 (亜) 脱臼に対する手術的治療

書誌事項

タイトル別名
  • Therapeutic Results of a Recurrent Anterior Dislocation of the Shoulder in Athletes of Contact Sports
  • ~Bristow変法+関節包縫縮合併術~
  • —A Combination of Modified Bristow Procedure and Capsular Shift—

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抄録

[Purpose] Variable surgical procedures were performed on patients with a recurrent anterior dislocation of the shoulder. We performed a combination of modified Bristow procedure and capsular shift on twenty-three athletes engaged in contact sports. This report is a review of these patients.<br>[Materials and Methods] The subjects ranged in age from sixteen to twenty-five years old. We evaluated the therapeutic results more than two years post-operatively. These results were evaluated based on the Rowe's criteria.<br>[Results] All the patients could return to their contact sports that they had been engaged in before injury, but five patients were unable to return to their preinjury levels of athletic participation. Concerning the joint stability, only one patient had recurrent instability while playing contact sports, and no patients had a recurrence of dislocation. Fifteen degrees or greater limitation of external rotation with the arm at side was observed in eleven patients and the average limitation was 15.8 degrees. Complications related to hardware problems were observed in two patients, and one patient had a nonunion transferred coracoid process.<br>[Conclusion] The returning to contact sports was satisfactory after a combination of modified Bristow procedure and capsular shift. However, some athletes engaged in contact sports need a sufficient range of motion after their operations. Therefore, more careful selection of candidates for this procedure should be considered.

収録刊行物

  • 肩関節

    肩関節 26 (2), 341-345, 2002

    日本肩関節学会

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