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Clin Shoulder Elbow > Volume 7(2); 2004 > Article
Journal of the Korean Shoulder and Elbow Society 2004;7(2):98-102.
DOI: https://doi.org/10.5397/CiSE.2004.7.2.098    Published online December 30, 2004.
Anterior Shoulder Dislocation with Massive Rotator Cuff tear and Axillary Nerve Injury - 4 Cases Report -
Do-Yung Kim, M.D., Hyun-Chul Park, M.D., Yong-Wook Park, M.D., Sang-Soo Lee, M.D., Dong-Hyun Suh, M.D., Seung-Wan Kang, M.D.
Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine, Hallym University, Chunchon, Korea
광범위 회전근개 파열 및 액와신경 손상을 동반한 견관절 전방탈구 - 4례 보고 -
김도영, 박현철, 박용욱, 이상수, 서동현, 강승완
한림대학교 의과대학 춘천성심병원 정형외과학교실
Abstract
The terrible triad of the shoulder, a combination of anterior shoulder dislocation, massive rotator cuff tear and neurologic injury, is rare. We experienced 4 patients with this condition who were treated with a rotator cuff repair. The mean age was 65 years. Follow-up averaged 27 months. All patients had a history of redislocation after initial traumatic shoulder dislocation and were evaluated with electromyography and magnetic resonance imaging. At the operation, massive rotator cuff tear and hypertrophy of the long head of the biceps were found in all patients. Clinically, 3 patients achieved recovery of their nerve injury by 3 months postoperatively and the final results were fair. In one patient, there was no recovery of deltoid function and this case was rated as a failure. For this injury pattern, the prognosis appears to be dependent on eventual nerve recovery when the rotator cuff has been repaired early.
Key Words: Terrible triad of the shoulder, Rotator cuff repair


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