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Clin Shoulder Elbow > Volume 7(2); 2004 > Article
Journal of the Korean Shoulder and Elbow Society 2004;7(2):70-75.
DOI: https://doi.org/10.5397/CiSE.2004.7.2.070    Published online December 30, 2004.
Arthroscopic Repair of Traumatic Anterior Shoulder Instability with Small Glenoid Bone Defect
Bon-Seop Koo, M.D., Hwa-Jae Jeong, M.D.
Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
관절와에 작은 골결손을 가진 외상성 전방 불안정 견관절의 관절경적 봉합 치료
구본섭, 정화재
성균관대학교 의과대학 강북삼성병원 정형외과학교실
Abstract
Purpose
To evaluate the results of arthroscopic repair of traumatic anterior shoulder instability with glenoid bone defect. Materials and Methods: Nineteen patients who had underwent arthroscopic repair for the shoulder with traumatic anterior instability and glenoid bone defect were retrospectively reviewed. Mean age was 24.6 years(range, 20 to 39) and mean follow-up was 23 months(range, 19 to 55). No glenoid bone defect was greater than 7mm in length and 20% of the glenoid. The results were evaluated according to stability, range of motion and function. Results: All patients obtained excellent-good results according to Rowe scoring system. Two patients(10.5%) had instability. The mean loss of external rotation was 15 degrees (range, 0 to 25). Functionally, 17 patients could participate in preinjured work or sports to the same level with or without mild discomfort. The remained 2 patients who had 25 degree loss of external rotation could not play sports. Conclusion: Though arthroscopic repair is a good treatment for traumatic anterior shoulder instability with small glenoid bone defect, it is possible to cause loss of external rotation
Key Words: Shoulder, Traumatic anterior instability, Glenoid bone defect, Arthroscopic repair


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