Full metadata record
DC Field | Value | Language |
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dc.contributor.author | 신상진 | * |
dc.date.accessioned | 2024-02-06T16:31:08Z | - |
dc.date.available | 2024-02-06T16:31:08Z | - |
dc.date.issued | 2024 | * |
dc.identifier.issn | 0749-8063 | * |
dc.identifier.other | OAK-34568 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/267012 | - |
dc.description.abstract | Purpose: To introduce a classification of posterior labral tear and describe clinical characteristics, magnetic resonance imaging (MRI)/magnetic resonance arthrography (MRA) findings, arthroscopic findings, and outcomes after arthroscopic repair for patients with posterior labral tears without glenohumeral instability. Methods: Sixty patients with posterior labral tear who underwent arthroscopic repair were analyzed retrospectively. Patients with shoulder instability were excluded. Tear patterns were classified into 3 types; occult (type 1), incomplete (type 2), and complete (type 3) based on MRI/MRA studies. A visual analog scale score for pain, American Shoulder and Elbow Surgeons score, Single Assessment Numeric Evaluation score for satisfaction, and return to sports were evaluated at a minimum follow-up of 2 years. Computed tomography arthrography was performed at a year follow-up for assess labral healing. The diagnosis was confirmed in arthroscopy, and arthroscopic labral repair without capsular plication was performed. Results: The mean patient age was 30.4 ± 6.9 years, and all patients were male. Forty-four patients (73.3%) were participating in sports. MRI/MRA studies identified 10 patients with type 1, 18 with type 2, and 32 with type 3 tears. Type 1 tear patients showed a significantly longer symptom duration than those with type 3 (32.5 ± 17.2 vs 18.2 ± 17.1 months; P =.015). In arthroscopic findings, 70% of type 1 tear was confirmed as incomplete or complete tears. The American Shoulder and Elbow Surgeons score improved from 79.6 ± 10.3 to 98.1 ± 3.7, and pain was relieved from 2.4 ± 0.7 to 0.2 ± 0.5 at the last follow-up visit with high labral healing rate (95%). Thirty-nine (88.6%) patients returned to sports at preinjury levels. Conclusions: In active young men with shoulder pain during daily activities or sports despite programmed conservative treatment, posterior labral tears should be considered even when MRI/MRA findings are ambiguous. Arthroscopic posterior labral repair without capsular plication provided satisfactory clinical outcomes and a high labral healing rate. Level of Evidence: Level Ⅳ, case series. © 2023 Arthroscopy Association of North America | * |
dc.language | English | * |
dc.publisher | W.B. Saunders | * |
dc.title | Occult, Incomplete, and Complete Posterior Labral Tears Without Glenohumeral Instability on Imaging Underestimate Labral Detachment | * |
dc.type | Article | * |
dc.relation.issue | 1 | * |
dc.relation.volume | 40 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 58 | * |
dc.relation.lastpage | 67 | * |
dc.relation.journaltitle | Arthroscopy - Journal of Arthroscopic and Related Surgery | * |
dc.identifier.doi | 10.1016/j.arthro.2023.06.015 | * |
dc.identifier.wosid | WOS:001141055800001 | * |
dc.identifier.scopusid | 2-s2.0-85164619084 | * |
dc.author.google | Kim | * |
dc.author.google | Jae-Hyung | * |
dc.author.google | Ahn | * |
dc.author.google | Jonghyun | * |
dc.author.google | Shin | * |
dc.author.google | Sang-Jin | * |
dc.contributor.scopusid | 신상진(24074946200) | * |
dc.date.modifydate | 20240502145036 | * |