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Clin Shoulder Elbow > Volume 12(2); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(2):215-220.
DOI: https://doi.org/10.5397/CiSE.2009.12.2.215    Published online December 31, 2009.
Arthroscopic Evaluation on Intra-Articular Pathology in Recurrent Shoulder Dislocation Aged Over 40 Years
Woo Kie Min, Ju Eun Kim, Hwan Seong Cho, Poong Taek Kim, In Ho Jeon
Department of Orthopedic Surgery, Kyung Pook National University Hospital, Daegu, Korea. jeonchoi@chol.com
40세 이상 재발성 견관절 탈구 환자에서 관절내 병변에 대한 관절경적 연구
민우기·김주은·조환성·김풍택·전인호
경북대학교 의과대학 정형외과학교실
Abstract
PURPOSE
This study is to analyze the prevalence of various intra-articular lesions in patients with traumatic recurrent anterior dislocation of shoulder over 40 years and suggest clinical implications for treatment. MATERIALS AND METHODS: We retrospectively studied 16 cases that underwent surgical treatment for recurrent anterior dislocation of shoulder from January 2001 to May 2009. There were 9 males and 7 females, and the mean age was 52.7years. We carried out arthroscopic exam for all patients based on standard protocol, which included labrum, capular lesion, cuff, bony lesions.
RESULTS
All 16 cases showed Hill-Sachs lesion, 3 patients (19%) had bony Bankart lesion, 6 patients (38%) had labral tear. Capsular tear were found 15 patients (94%). Twelve (75%) had ruptured supraspinatus and 5 (31%) had subscapularis tear. Only one (6%) had SLAP lesion.
CONCLUSION
There was relatively higher incidence of capsular and rotator cuff tears in patients over age 40 years. Preoperative planning to address these lesions is highly recommended.
Key Words: Capsule; Rotator cuff; Recurrent dislocation; Elderly


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