Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
권호 표지

Isolated SLAP Lesions of the Shoulder - Surgical Treatment and Outcome -

견관절의 단독 SLAP 병변: 수술적 치료와 결과

Rhee, Yong-Girl;Lee, Dong-Hun;Lim, Chan-Teak;Yi, Jin-Woong
이용걸;이동훈;임찬택;이진웅

  • Published : 20030000
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Abstract

Purpose : To analyze the general characteristics of isolated SLAP (superior labrum anterior to posterior) lesions of shoulder and to evaluate efficacy of arthroscopic treatment. Materials and Methods : We retrospectively reviewed 43 athletic patients with 46 isolated SLAP lesions. The mean follow-up period was 21 months, and mean patient age was 25 years. Twenty seven patients presented with injury to the dominant shoulder, and 3 had bilateral involvement. Results : Pain and clicking were the most common symptoms. The mechanism of injury was assumed to be chafing in 27 cases, compression in 9 cases. Type 2 lesion was commonest (30 cases). The single most sensitive test was the compression-rotation test, which was positive in 92% of patients. The average UCLA score at the last follow-up was 31.6 points; 18 cases ranked as excellent and 21 as good. Postoperative performance data was obtained for in 27 athletes, 19 were able to return to their sports. Conclusion : Arthroscopic surgery for an isolated SLAP lesion resulted in 85% of patients being rated good or above, and 70% of athletic patients were able to resume sporting activity.

목 적 : 견관절의 단독 SLAP (superior labrum anterior to posterior) 병변에 대해 질환의 특징과 수술적 치료의 결과를 조사하고자 하였다 대상 및 방법 : 견관절경술에 의해 확진된 단독 SLAP병변 43명 46예를 대상으로 하여 후향적으로 분석하였으며 추시기간은 평균 21개월이었다. 환자의 평균연령은 25세였고, 우세수의 이환이 27명, 양측성의 병변은 3명이었다. 결 과 : 동통과 탄발음이 가장 흔한 증상이었으며, 추정 손상기전은 마찰형 27예, 압박형 9예이었다. 형태학적으로는 2형이 30예로 가장 많았다. 수술 전이학적 검사는 환자의 92%에서 양성이었던 압박-회전검사가 가장 검출률이 높았다. 최종 UCLA점수는 평균 31.6점, 최우수 18예, 양호 21예이었으며, 능력평가를 할 수 있었던 운동선수 27명 중 19명은 현역으로 복귀하였다. 결론 : 단독 SLAP 병변에 대한 관절경적 수술로 환자의 85%에서 양호이상의 결과를 얻었으며, 운동선수의 70%에서 현역복귀가 가능하였다.

Keywords

References

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