一次修復不能な腱板広範囲断裂に対し大胸筋を用いて修復した3例

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  • Three Cases of Irreparable Massive Rotator Cuff Tear Treated with Pectoralis Major Transfer

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Three cases of pectoralis major transfer for the treatment of irreparable massive rotator cuff tear were reported.<BR>A 68-year-old male was referred to our hospital because of severe pain and difficulty of shoulder flexion. Intraoperatively, partial tear of subscapularis (SC), supraspinatus (SSP), and infraspinatus (ISP)were found. Partial SSP and ISP were repaired and pectoralis major (PM) was transferred to the defective anterior part of SSP and SC. Ten months after surgery, he no longer complained of any pain, and range of motion (ROM) had improved.<BR>A 75-year-old male was referred to our hospital because of chronic shoulder pain for seven years. Intraoperatively, partial SC, SSP, and ISP tear were found, and partial SSP and ISP were repaired and PM was transferred. Thirteen months after surgery, he had re-tear on MRI, but did not complain of any pain, ROM had also improved.<BR>A 71-year-old female was referred to our hospital because of severe pain for six months and loss of shoulder flexion. Intraoperatively, partial SC, SSP, ISP, partial teres minor (TM) tear were found, and partial SSP, ISP and TM were repaired and PM was transferred. Nine months after surgery, she no longer complained of any pain, and ROM had improved.

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