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The Effects of the Arm Fixation Position (neutral rotation with arm at the side) after a Reinforced Caspari Procedure.
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- HIRAO Makoto
- Department of Orthopaedic Surgery, Osaka Kosei-nenkin Hospital
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- YONEDA Minoru
- Department of Orthopaedic Surgery, Osaka Kosei-nenkin Hospital
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- FUKUSHIMA Sunao
- Department of Orthopaedic Surgery, Osaka Kosei-nenkin Hospital
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- OBATA Masanori
- Department of Orthopaedic Surgery, Osaka Kosei-nenkin Hospital
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- MIYAZAKI Yoshio
- Department of Orthopaedic Surgery, Osaka Kosei-nenkin Hospital
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- HAYASHIDA Kenji
- Department of Orthopaedic Surgery, Hoshigaoka Kosei-nenkin Hospital
Bibliographic Information
- Other Title
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- 補強Caspair法術後の固定肢位の検討
- - 内外旋中間位固定の意義について-
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Description
[Purpose]An arthroscopic Bankart repair for anterior shoulder instability had a relatively high rate of recurrence but the limitations of external rotation were small comapared to an open Bankart repa ir. We performed transglenoid multiple suture (Caspari) technique reinforced with subscapularis to get better stability. However, the limitation of external rotation remained in the internal rotation arm fixation position. So, we changed the arm position to neutral rotation position with arm at the side. The purpose of this study was to evaluate the effects of the neutral rotation position with arm at the side.<BR>[Materials and Methods] We retrospectively studied 31 patients after reinforced Caspari procedure more than one year postoperatively. The average age at the operation was 24 years old. ROM exercises were started after 3 weeks immobilization.17 shoulders were fixed in the internal rotation position with arm at the side, and 14 shoulders were in the neutral position.<BR>[Results] As to the postoperative external rotation, affected/unaffected side ratio (%) at 3 months postoperatively,48±24% in the internal group (IR),66±20% in the neutral group (NR) (Mann-Whitney U, P<0.05). At 6 months,64±23% in the (IR),84±23% in the ( NR), at 12 months 78±21% in the (IR),86±9 % in the (NR) (N. S).2 patients in the IR Group complained of pain 12 months after the operation, but in the NR group, patients did not complain of pain.<BR>[Conclusion] In the immobilization at neutral rotation position after a reinforced Caspair procedure, patients got a larger external rotation angle, ant complainer less of pain in the earlier period. How ever, over a long period, we could not obtain a significant difference between internal and neutral ro ttation.
Journal
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- Katakansetsu
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Katakansetsu 25 (2), 349-351, 2001
Japan Shoulder Society
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Keywords
Details 詳細情報について
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- CRID
- 1390001205468626176
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- NII Article ID
- 130004643924
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- ISSN
- 09104461
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed