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Journal of the Korean Shoulder and Elbow Society 1999;2(2):110-114.
Published online December 30, 1999.
The Results of Rotator Cuff Disease Treated by Arthroscopic Subacromial Decompression
Jae-Hwa Kim, Seung-Kwan Han, Duck-Yun Cho
Department of Orthopedic Surgery, National Medical Center
회전근개 질환에서 시행한 관절경적 견봉하 감압술의 결과
김재화, 한승관, 조덕연
국립의료원 정형외과
Abstract
We reviewed the results of arthroscopic surgery in patients with rotator cuff disease. Arthroscopic subacromial decompression(ASD) was performed on 22 patients with rotator cuff disease who had not responded to nonoperative measures. In the patients who had a complete tear of the rotator cuff(four of ten Neer's stage Ⅲ patients), mini-open repair also was performed. Results were determined by questioning patients about their satisfaction with the outcome of surgery and by functional assessment of the shoulder with the parameters of pain, function, and range of motion according to the UCLA shoulder rating scale. The average follow-up was 21 months. The results were sixteen(72%) excellent, three(14%) good, two(9%) fair, and one(5%) poor. The following variables were analyzed to assess their influence on final outcome; duration of preoperative symptoms, Neer's stage(extent of damage to the cuff), type of acromion. Satisfactory results were achieved in thirteen of fourteen patients(93%) who had duration of preoperative symptoms below one year, and in four of six(67%) above 2 years. And satisfactory results were achieved in eleven of twelve patients(92%) who had Neer's stageⅡand in eight of ten(80%) stage Ⅲ and achieved in six of seven patients(86%) who had Bigliani's acromion typeⅠ, in nine of eleven(82%) typeⅡ, and in four of four(1005) type Ⅲ. There are multiple factors that may influence the recovery after ASD or the eventual outcome. However, although there is still a controversy about the pathogenesis of rotator cuff disease, We found that arthroscopic subacromial decompression and mini-open repair in patients with rotator cuff disease were well enough documented to be considered a standard treatment.
Key Words: Rotator cuff disease, Arthroscopic subacromial decompression, Mini-open repair,


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