지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.3
- 수록면
- 36 - 42 (7page)
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초록· 키워드
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Background: Repair of superior labral anterior to posterior (SLAP) lesion in patients older than 40 years is controversial. The purpose of this study was to evaluate clinical outcomes of arthroscopic repair of SLAP lesions between younger and older patient groups.
Methods: We reviewed 50 patients with isolated type II SLAP lesions who underwent arthroscopic repair. Patients were divided into 2 groups: group 1 included 20 patients aged <40 years, and group 2 included 30 patients aged ≥40 years. Functional outcome at the final follow-up was assessed using a visual analog scale for pain and satisfaction, American Shoulder and Elbow Surgeons form, Constant score, University of California at Los Angeles score, and periodic change in range of motion (ROM). Anatomical outcome was evaluated using computed tomography (CT) arthrography at least 1 year after surgery.
Results: No significant differences in functional scores or postoperative ROM were observed between the 2 groups. In group 2, later recovery of ROM (forward flexion, p=0.025; internal rotation, p=0.034) and lower satisfaction score (p=0.06) were observed for atraumatic patients (n=16) compared to patients with traumatic injury (n=14). Fifteen patients in group 1 (15/17, 88%) and 21 patients in group 2 (21/26, 81%) demonstrated a healed labrum on postoperative CT arthrography, and this difference was not significant.
Conclusions: The results of this study suggest that arthroscopic repair of type II SLAP lesions can yield good functional and anatomical outcomes regardless of age, if patient selection is adequate. However, the delay in ROM recovery and lower satisfaction, particularly in older patients without traumatic injury, should be considered.
Methods: We reviewed 50 patients with isolated type II SLAP lesions who underwent arthroscopic repair. Patients were divided into 2 groups: group 1 included 20 patients aged <40 years, and group 2 included 30 patients aged ≥40 years. Functional outcome at the final follow-up was assessed using a visual analog scale for pain and satisfaction, American Shoulder and Elbow Surgeons form, Constant score, University of California at Los Angeles score, and periodic change in range of motion (ROM). Anatomical outcome was evaluated using computed tomography (CT) arthrography at least 1 year after surgery.
Results: No significant differences in functional scores or postoperative ROM were observed between the 2 groups. In group 2, later recovery of ROM (forward flexion, p=0.025; internal rotation, p=0.034) and lower satisfaction score (p=0.06) were observed for atraumatic patients (n=16) compared to patients with traumatic injury (n=14). Fifteen patients in group 1 (15/17, 88%) and 21 patients in group 2 (21/26, 81%) demonstrated a healed labrum on postoperative CT arthrography, and this difference was not significant.
Conclusions: The results of this study suggest that arthroscopic repair of type II SLAP lesions can yield good functional and anatomical outcomes regardless of age, if patient selection is adequate. However, the delay in ROM recovery and lower satisfaction, particularly in older patients without traumatic injury, should be considered.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Andrews JR / 1985 / Glenoid labrum tears related to the long head of the biceps / Am J Sports Med 13 (5) : 337 ~ 341
2. [학술지(정기간행물)] - Snyder SJ / 1990 / SLAP lesions of the shoulder / Arthroscopy 6 (4) : 274 ~ 279
3. [학술지(정기간행물)] - Nam EK / 2003 / The diagnosis and treatment of superior labrum, anterior and posterior (SLAP) lesions / Am J Sports Med 31 (5) : 798 ~ 810
4. [학술지(정기간행물)] - Kim TK / 2003 / Clinical features of the different types of SLAP lesions : an analysis of one hundred and thirty-nine cases / J Bone Joint Surg Am 85 (1) : 66 ~ 71
5. [학술지(정기간행물)] - Park JH / 2008 / Outcome of the isolated SLAP lesions and analysis of the results according to the injury mechanisms / Knee Surg Sports Traumatol Arthrosc 16 (5) : 511 ~ 515
2. [학술지(정기간행물)] - Snyder SJ / 1990 / SLAP lesions of the shoulder / Arthroscopy 6 (4) : 274 ~ 279
3. [학술지(정기간행물)] - Nam EK / 2003 / The diagnosis and treatment of superior labrum, anterior and posterior (SLAP) lesions / Am J Sports Med 31 (5) : 798 ~ 810
4. [학술지(정기간행물)] - Kim TK / 2003 / Clinical features of the different types of SLAP lesions : an analysis of one hundred and thirty-nine cases / J Bone Joint Surg Am 85 (1) : 66 ~ 71
5. [학술지(정기간행물)] - Park JH / 2008 / Outcome of the isolated SLAP lesions and analysis of the results according to the injury mechanisms / Knee Surg Sports Traumatol Arthrosc 16 (5) : 511 ~ 515
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UCI(KEPA) : I410-ECN-0101-2016-514-001299741