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Clin Shoulder Elbow > Volume 13(1); 2010 > Article
Journal of the Korean Shoulder and Elbow Society 2010;13(1):79-85.
DOI: https://doi.org/10.5397/CiSE.2010.13.1.079    Published online June 30, 2010.
Prospective Comparative Study of Arthroscopic Repair Versus Debridement for the Full-Thickness Tear of Upper Subscapularis
Sang Hun Ko, Jae Ryong Cha, Chae Chil Lee, Han Chang Park, Seung Myeong Shin
Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea. jrcha@uuh.ulsan.kr
상부 견갑하 건 완전파열의 관절경 하 봉합술과 변연절제술의 전향적 비교
고상훈·차재룡·이채칠·박한창·신승명
울산대학교 의과대학 울산대학교병원 정형외과학교실
Abstract
PURPOSE
To evaluate the results from arthroscopic repair versus debridement for full-thickness tears of the upper subscapularis tendon. MATERIALS AND METHODS: Ninety-nine patient outcomes were evaluated and compared prospectively. Sixty-nine patients with full-thickness tears of the upper subscapularis tendon underwent arthroscopic repair (group I) and thirty patients underwent simple debridement (group II) between May 2003 and October 2007. In all patients, the tear was localized to the superior one third of the upper subscapularis tendon. The results of the treatment were assessed by evaluating the UCLA, ASES, and VAS for pain and internal rotation strength scores before and after the operation.
RESULTS
In groups I and II, UCLA, ASES, VAS, and internal rotation muscle power (perfect score = 5) scores were improved after surgery. In comparing group I and group II, the UCLA and VAS scores were not significantly different (p>0.05), while the ASES and internal rotation strength scores were significantly different (p<0.05).
CONCLUSION
The arthroscopic repair of full-thickness tears of the upper subscapularis tendon was a better surgical method than simple debridement.
Key Words: Shoulder; Subscapularis; Full-thickness tear of upper corner; Arthroscopic reapir; Debridement


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