The Role of the Bursoscopy in Subacromial Impingement Syndrome
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- SUENAGA Naoki
- Dept. of Orthopedic surgery, Hokkaido Univ. Sch. of Med.
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- MINAMI Akio
- Dept. of Orthopedic surgery, Hokkaido Univ. Sch. of Med.
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- KATO Hiroyuki
- Dept. of Orthopedic surgery, Hokkaido Univ. Sch. of Med.
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- KONDO Makoto
- Dept. of Orthopedic surgery, Hokkaido Univ. Sch. of Med.
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- FUKUDA Kimitaka
- Dept. of Orthopedic surgery, Sapporo Shakai-Hoken General Hospital
Bibliographic Information
- Other Title
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- 肩峰下インピンジメント症候群における肩峰下滑液包鏡の役割
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Description
In 1993, we reported that the site of a subacromial impingement was guessed by the pathological changes of the undersuface of the acromion. On the other hand, the undersurface of the acromion could be observed by using a bursoscopy.<BR>Our purpose in this paper is to clarify the role of bursoscopy in order to determine the site of a subacromial impingement. Bursoscopical and pathological examinations of the acromions and coracoacromial ligaments were performed on twenty-five patients with subacromial impingement syndrome. The impingement sites were estimated from the pathological findings of the hypertrophic changes of the fibrous cartilage layer. The existence of pathological findings along the coracoacromial ligament fibers were impinged at the coracoacromial ligament (eight shoulders). Hypertrophic changes of fibrous-cartilage, not along the coracoacromial ligament suggested an impingement at the acromion (four shoulders). Both chages above mentioned in the acromion suggested an impingement at both sites (thirteen shoulders).<BR>The bursoscopical findings at acromial undersurface were classified into four types: normal, buttered surface of the coracoacromial ligament, eburnation and impossible to observe. In the cases of impingement of the coracoacromial ligament obtained from the pathological findings, six casses were normal and the acromial undersurface could not be observed in two bursoscopically. In cases of impingement at the acromion, the bursoscopic findings showed buttered the surfade of coracoacromial ligament in ten shoulders, eburnation in six and impossible to observe in one. The findings of acromion undersurface bursoscopically suggests the site of the impingement in subacromial impingement syndrome.
Journal
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- Katakansetsu
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Katakansetsu 20 (1), 193-196, 1996
Japan Shoulder Society
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Details 詳細情報について
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- CRID
- 1390282680446562688
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- NII Article ID
- 10016311436
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- NII Book ID
- AN10040891
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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
