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
- 2017.12
- 수록면
- 195 - 200 (6page)
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초록· 키워드
오류제보하기
Background: This study investigated and evaluated the clinical outcomes of intra-articular lesions of traumatic anterior shoulder dislocation (TASD) associated with greater tuberosity (GT) fracture of the humerus.
Methods: Subjects included 20 patients who were surgically or non-surgically treated for GT fracture of the humeurs with TASD, and followed-up for at least 2 years. The mean follow-up period was 54.1 months (range, 24–105 months). Of the 20 patients, 12 were treated surgically. Intra-articular lesions were identified randomly on magnetic resonance imaging scans (repeated thrice) by experienced radiologists and orthopedic surgeons. The accompanying intra-articular lesions were left untreated. Clinical outcomes were evaluated by Simple Shoulder Test (SST) and Western Ontario Shoulder Instability index (WOSI) at the last follow-up.
Results: Intra-articular lesions were identified in 19 patients: 7 Bankart lesions, 15 humeral avulsion of the glenohumeral ligament lesions, 3 glenoid avulsion of the glenohumeral ligament lesion, and 6 inferior capsular tears. Two or more intra-articular lesions were identified in 6 patients. The mean SST score was 10.9 and the mean WOSI score was 449.3 at the last follow-up.
Conclusions: For GT fracture of the humerus with TASD, a high frequency of diverse intra-articular lesions was identified. There were no incidence of recurrent shoulder dislocations, and good clinical outcomes were obtained without treatment of the intra-articular lesions. We thereby comprehend that although intra-articular lesions may occur in TASD associated with GT fracture of the humeurs, merely treating the GT fracture of the humerus is sufficient.
Methods: Subjects included 20 patients who were surgically or non-surgically treated for GT fracture of the humeurs with TASD, and followed-up for at least 2 years. The mean follow-up period was 54.1 months (range, 24–105 months). Of the 20 patients, 12 were treated surgically. Intra-articular lesions were identified randomly on magnetic resonance imaging scans (repeated thrice) by experienced radiologists and orthopedic surgeons. The accompanying intra-articular lesions were left untreated. Clinical outcomes were evaluated by Simple Shoulder Test (SST) and Western Ontario Shoulder Instability index (WOSI) at the last follow-up.
Results: Intra-articular lesions were identified in 19 patients: 7 Bankart lesions, 15 humeral avulsion of the glenohumeral ligament lesions, 3 glenoid avulsion of the glenohumeral ligament lesion, and 6 inferior capsular tears. Two or more intra-articular lesions were identified in 6 patients. The mean SST score was 10.9 and the mean WOSI score was 449.3 at the last follow-up.
Conclusions: For GT fracture of the humerus with TASD, a high frequency of diverse intra-articular lesions was identified. There were no incidence of recurrent shoulder dislocations, and good clinical outcomes were obtained without treatment of the intra-articular lesions. We thereby comprehend that although intra-articular lesions may occur in TASD associated with GT fracture of the humeurs, merely treating the GT fracture of the humerus is sufficient.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (21)
참고문헌 신청
[학술지(정기간행물)] - Lind T / 1989 / The epidemiology of fractures of the proximal humerus / Arch Orthop Trauma Surg 108 (5) : 285 ~ 287
[학술지(정기간행물)] - Platzer P / 2005 / The influence of displacement on shoulder function in patients with minimally displaced fractures of the greater tuberosity / Injury 36 (10) : 1185 ~ 1189
[학술지(정기간행물)] - 김두섭 / 2011 / 40세 이하에서 견관절 전방 탈구가 동반된 상완골 대결절 골절에서 관절내 병변 및 임상 결과 / 대한 견주관절 학회지 14 (1) : 20 ~ 26
[학술지(정기간행물)] - Neer CS / 1970 / Displaced proximal humeral fractures. I. Classification and evaluation / J Bone Joint Surg Am 52 (6) : 1077 ~ 1089
[학술지(정기간행물)] - Mclaughlin HL / 1963 / Dislocation of the shoulder with tuberosity fracture / Surg Clin North Am 43 (6) : 1615 ~ 1620
[학술지(정기간행물)] - Platzer P / 2005 / The influence of displacement on shoulder function in patients with minimally displaced fractures of the greater tuberosity / Injury 36 (10) : 1185 ~ 1189
[학술지(정기간행물)] - 김두섭 / 2011 / 40세 이하에서 견관절 전방 탈구가 동반된 상완골 대결절 골절에서 관절내 병변 및 임상 결과 / 대한 견주관절 학회지 14 (1) : 20 ~ 26
[학술지(정기간행물)] - Neer CS / 1970 / Displaced proximal humeral fractures. I. Classification and evaluation / J Bone Joint Surg Am 52 (6) : 1077 ~ 1089
[학술지(정기간행물)] - Mclaughlin HL / 1963 / Dislocation of the shoulder with tuberosity fracture / Surg Clin North Am 43 (6) : 1615 ~ 1620
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