50歳以上の中高年における鏡視下バンカート修復術<BR>－術後1年以上経過例の臨床的特徴と臨床成績－

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  • Arthroscopic Bankart Repair in the Middle Aged Patients over 50 years old<BR>- Clinical Features and Results of Minimum One-year Follow-up -

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The purpose of this study was to evaluate a minimum of one-year clinical results and clinical features of arthroscopic Bankart repair in middle aged patients over 50 years old. We retrospectively evaluated 22 shoulders (22 middle aged patients, 9 male and 13 female) of arthroscopically treated Bankart lesions with a minimum of one-year follow up. The average age at the time of surgery was 63.1 years old(range, 50-82). Clinical features such as previous histories of shoulder dislocations, morphological evaluation of Bankart lesion, accompanied rotator cuff tears and additional surgeries were evaluated. Clinical results were evaluated using a Rowe score. Range of motions of external rotation at 90° of abduction at supine position was measured and compared to those of healthy shoulders.Previous shoulder dislocations below the age of 30 years old were in 23%; Bankart lesions were in 91% and capsular rupture were in 9%; accompanied rotator cuff tears were in 55%; additional rotator cuff repair surgeries were performed in 6 patients. Recurrence of shoulder dislocation in these cases was not observed. The averaged Rowe score was 45.5 points in stability, 15.9 points in motion, 22.0 points in function and 83.4 points in total. Averaged acquired range of motion of external rotation was 89.3° for surgically treated shoulders and 99.5° for healthy shoulders; the ratio between these was 90%. Arthroscopic Bankart repair surgeries in middle aged patients over 50 years old have shown good clinical outcomes at a minimum of one-year follow up.

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  • 肩関節

    肩関節 35 (3), 759-763, 2011

    日本肩関節学会

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