지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 68 - 76 (9page)
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초록· 키워드
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Background: In general, the outcomes of arthroscopic repair for superior labrum anterior to posterior lesions (SLAP) are favorable, however, persistent pain and limitation of motion are not rare complications. One of the possible cause is a “knot-ache”. This study evaluated the results of reoperation of symptomatic recurrent SLAP lesions and asked whether the knot is associated with postoperative complications.
Methods: Between 2005 and 2015, a total of 11 patients who had undergone arthroscopic SLAP repair were reoperated for recurrent symptomatic SLAP lesion. By retrospective chart review, operative findings, the visual analogue scale for pain (pVAS), the range of motion (ROM), and functional scores were analyzed.
Results: The mean age of the study participants was 38.3 years, and the mean follow-up period was 42.5 months. In the primary operation, there were nine cases of repairs with conventional knot-tying anchors and three cases with knotless anchors. Impingement of the knots during abduction and external rotation of the shoulder was observed in the all cases with knot-tying anchors. The mean pVAS, ROM, and functional scores significantly improved with reoperation. At the final follow-up, the mean satisfaction VAS was 8.3.
Conclusions: The knots of suture anchor maybe a possible etiology of the pain, which we termed a “knot-ache”. Considering that reoperation is performed due to pain after primary repair, the use of knotless suture anchor may have benefits of eliminating one of possible cause, “knot-ache”. Therefore, authors suggest the use of knotless anchors during reoperation for recurrent or recalcitrant pain after primary SLAP repair.
Methods: Between 2005 and 2015, a total of 11 patients who had undergone arthroscopic SLAP repair were reoperated for recurrent symptomatic SLAP lesion. By retrospective chart review, operative findings, the visual analogue scale for pain (pVAS), the range of motion (ROM), and functional scores were analyzed.
Results: The mean age of the study participants was 38.3 years, and the mean follow-up period was 42.5 months. In the primary operation, there were nine cases of repairs with conventional knot-tying anchors and three cases with knotless anchors. Impingement of the knots during abduction and external rotation of the shoulder was observed in the all cases with knot-tying anchors. The mean pVAS, ROM, and functional scores significantly improved with reoperation. At the final follow-up, the mean satisfaction VAS was 8.3.
Conclusions: The knots of suture anchor maybe a possible etiology of the pain, which we termed a “knot-ache”. Considering that reoperation is performed due to pain after primary repair, the use of knotless suture anchor may have benefits of eliminating one of possible cause, “knot-ache”. Therefore, authors suggest the use of knotless anchors during reoperation for recurrent or recalcitrant pain after primary SLAP repair.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (20)
참고문헌 신청
[학술지(정기간행물)] - Andrews JR / 1985 / Glenoid labrum tears related to the long head of the biceps / Am J Sports Med 13 (5) : 337 ~ 341
[학술지(정기간행물)] - Snyder SJ / 1990 / SLAP lesions of the shoulder / Arthroscopy 6 (4) : 274 ~ 279
[학술지(정기간행물)] - Maffet MW / 1995 / Superior labrumbiceps tendon complex lesions of the shoulder / Am J Sports Med 23 (1) : 93 ~ 98
[학술지(정기간행물)] - Morgan CD / 1998 / Type II SLAP lesions: three subtypes and their relationships to superior instability and rotator cuff tears / Arthroscopy 14 (6) : 553 ~ 565
[학술지(정기간행물)] - Keener JD / 2009 / Superior labral tears of the shoulder:pathogenesis, evaluation, and treatment / J Am Acad Orthop Surg 17 (10) : 627 ~ 637
[학술지(정기간행물)] - Snyder SJ / 1990 / SLAP lesions of the shoulder / Arthroscopy 6 (4) : 274 ~ 279
[학술지(정기간행물)] - Maffet MW / 1995 / Superior labrumbiceps tendon complex lesions of the shoulder / Am J Sports Med 23 (1) : 93 ~ 98
[학술지(정기간행물)] - Morgan CD / 1998 / Type II SLAP lesions: three subtypes and their relationships to superior instability and rotator cuff tears / Arthroscopy 14 (6) : 553 ~ 565
[학술지(정기간행물)] - Keener JD / 2009 / Superior labral tears of the shoulder:pathogenesis, evaluation, and treatment / J Am Acad Orthop Surg 17 (10) : 627 ~ 637
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UCI(KEPA) : I410-ECN-0101-2018-514-000888791