変形性肩関節症に対する関節形成術の経験

DOI
  • 衛藤 正雄
    Department of Orthopaedic Surgery Nagasaki U niversity School of Medicine
  • 伊藤 信之
    Department of Orthopaedic Surgery Nagasaki U niversity School of Medicine
  • 高木 信吾
    Department of Orthopaedic Surgery Nagasaki U niversity School of Medicine
  • 朝長 匡
    Department of Orthopaedic Surgery Nagasaki U niversity School of Medicine
  • 秋山 寛治
    Department of Orthopaedic Surgery Nagasaki U niversity School of Medicine

書誌事項

タイトル別名
  • Experimences of Arthroplasty for Glenohumeral Osteoarthritis

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抄録

Degenerative lesions in the glenohumeral joint are relatively uncommon when compared to those in weight-bearing joint, such as the hip and knee. However, the incidence of osteoarthritis in the glenohumeral joint increases with age, and the disease may be an occasional source of significant pain and disability.<BR>Four patients with glenohumeral os t eoarthritis were treated by arthroplasty. The patients were a 46-year-old man, a 31-year-old man, a 52-year-old man and a 56-year-old woman. All the patients suffered from severe shoulder pain with restriction of movement and loss of upper limb function.<BR>Surgically, the approach is made through the deltopectoral groove. The marginal osteophytes of the humeral head and glenoid are removed. The irregular articular surface is shaved smoothly by surgical airtome. The coraco-acromial ligament and the coraco-humeral ligament are excised. And the shoulder joint is manipulated. A plaster cast is applied to hold the arm at zero position after operation. Five days after the operation, passive shoulder movements are started.<BR>The follow-u p ranged from four months to three years, with a mean of one year and nine months. The results were computed according to the shoulder evaluation sheet of the J.O. A.. The results showed relief of pain and an increase in range of motion in all patients. Roentgenograms after operation showed an increase of glenohumeral movements and normalization of the glenohumeral joint space.<BR>We believe that this procedure should be considered prior to undertaking prosthetic replacement and total arthroplasty.

収録刊行物

  • Katakansetsu

    Katakansetsu 13 (1), 74-79, 1989

    Japan Shoulder Society

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