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Clin Shoulder Elbow > Volume 12(1); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(1):7-13.
DOI: https://doi.org/10.5397/CiSE.2009.12.1.007    Published online June 30, 2009.
Tuberoplasty for Irreparable Massive Rotator Cuff Tears
Jin Woong Yi, Nam Su Cho, Seung Hyun Cho, Hyung Jun Cho, Yong Girl Rhee
1Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. Shoulderrhee@hanmail.net
2Department of Orthopaedic Surgery, Kyung Hee University East-West Neo Medical Center, Seoul, Korea.
3Department of Orthopaedic Surgery, College of Medicine, Konyang University, Daejeon, Korea.
4Department of Orthopaedic Surgery, Hanil General Hospital, Korea.
봉합할 수 없는 광범위 회전근 개 파열에 대한 결절 성형술
이진웅·조남수*·조승현·조형준·이용걸
경희대학교 의과대학 정형외과학교실, 경희대학교 동서신의학병원 정형외과학교실* 건양대학교 의과대학 정형외과학교실, 한일병원 정형외과
Abstract
PURPOSE
To evaluate the clinical and radiological results of arthroscopic tuberoplasty for irreparable massive rotator cuff tears. MATERIALS AND METHODS: Eleven patients underwent arthroscopic tuberoplasty for irreparable massive rotator cuff tears between December 2004 and April 2007. The mean follow-up period was 17.3 months, and the average age at the time of surgery was 61.7-year-old. Five cases underwent arthroscopic tuberoplasty and 6 cases had arthroscopic subacromial decompression and tuberoplasty, simultaneously.
RESULTS
The average Constant score improved from 61.8 to 86.9 and the average UCLA score changed from 14.8 to 31.8 with 6 excellent, 3 good and 2 poor results (p=0.003). The active forward flexion improved from 111.8degrees to 154.1degrees (p=0.011). The acromiohumeral interval increased from 3.94 mm preoperatively to 4.22 mm postoperatively (p=0.12). In the poor UCLA score group, the acromiohumeral interval changed from 1.67 mm preoperatively to 0.94 mm postoperatively.
CONCLUSION
Arthroscopic tuberoplasty may be a second option to relieve the pain of irreparable massive rotator cuff tears and improve the range of motion. However, good results could not be expected if the acromiohumeral interval is< 2 mm preoperatively and decreased postoperatively.
Key Words: Shoulder; Rotator cuff tear; Arthroscopic repair; Tuberoplasty


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