Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 신상진 | * |
dc.contributor.author | 박인 | * |
dc.date.accessioned | 2019-07-22T16:30:16Z | - |
dc.date.available | 2019-07-22T16:30:16Z | - |
dc.date.issued | 2019 | * |
dc.identifier.issn | 0749-8063 | * |
dc.identifier.other | OAK-25035 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/250095 | - |
dc.description.abstract | Purpose: To evaluate clinical outcomes and tendon integrity in patients with chronic retracted subscapularis tears using an arthroscopic single-row oblique mattress suture repair technique. Methods: Patients with full-thickness subscapularis tears retracted to the glenoid level and with at least 2 years of follow-up were included. Tendon retraction level was measured on preoperative axial magnetic resonance images and confirmed during arthroscopic surgery. The subscapularis tendon was repaired arthroscopically using the single-row oblique mattress suture technique on the medial margin of the lesser tuberosity. Two double-loaded suture anchors were used to obtain firm fixation between the tendon and the footprint. Clinical outcomes were assessed for all patients preoperatively and postoperatively using active range of motion, a visual analog scale score for pain, and American Shoulder and Elbow Surgeons and Constant scores. To evaluate structural integrity of the repaired tendon, all patients underwent magnetic resonance imaging at 6 months and ultrasonography at 1 year after surgery. Results: The shoulder function of the 33 patients analyzed was improved significantly after a mean follow-up period of 26.3 ± 3.5 months compared with preoperative values (American Shoulder and Elbow Surgeons score of 52.0 ± 7.9 preoperatively vs 79.6 ± 7.0 at last follow-up, P < .001, and Constant score of 43.0 ± 13.4 preoperatively vs 76.7 ± 9.2 at last follow-up, P < .001). Postoperative active range of motion improved significantly in forward flexion, external rotation, and internal rotation (P < .001). The mean visual analog scale pain score decreased by 3.42 (5.2 ± 1.6 preoperatively vs 1.9 ± 1.4 at last follow-up, P < .001). In 4 patients (12.1%), subscapularis retears were confirmed on postoperative magnetic resonance imaging. Conclusions: Despite significant retraction, arthroscopic repair using a single-row oblique mattress suture technique in patients who had chronic subscapularis tears with retraction to the glenoid level yielded satisfactory clinical outcomes and reliable tendon healing. Level of Evidence: Level IV, therapeutic case series. © 2019 Arthroscopy Association of North America | * |
dc.language | English | * |
dc.publisher | W.B. Saunders | * |
dc.title | Clinical Outcomes and Tendon Integrity in Patients With Chronic Retracted Subscapularis Tear After Arthroscopic Single-Row Oblique Mattress Suture Repair Technique | * |
dc.type | Article | * |
dc.relation.issue | 7 | * |
dc.relation.volume | 35 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1973 | * |
dc.relation.lastpage | 1981 | * |
dc.relation.journaltitle | Arthroscopy - Journal of Arthroscopic and Related Surgery | * |
dc.identifier.doi | 10.1016/j.arthro.2019.01.057 | * |
dc.identifier.wosid | WOS:000473264200008 | * |
dc.identifier.scopusid | 2-s2.0-85066338478 | * |
dc.author.google | Jo Y.-G. | * |
dc.author.google | Park I. | * |
dc.author.google | Kang J.-S. | * |
dc.author.google | Shin S.-J. | * |
dc.contributor.scopusid | 신상진(24074946200) | * |
dc.date.modifydate | 20240422113915 | * |