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회전근개 파열의 수술적 치료: 그리고 앞으로 나아갈 길

Other Titles
 Surgical treatment for rotator cuff tears: the way it ought to be 
Authors
 장선호  ;  천용민 
Citation
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION(대한의사협회지), Vol.65(11) : 682-685, 2022-11 
Journal Title
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION(대한의사협회지)
ISSN
 1975-8456 
Issue Date
2022-11
Keywords
Shoulder pain ; Rotator cuff tear ; Arthroscopy
Abstract
Background: Among many diseases associated with shoulder pain, rotator cuff tear with and without arthritis accounts for most of the surgical cases. We aimed to briefly review the arthroscopic surgical treatment and prognosis for rotator cuff tears.
Current Concepts: Traditionally, rotator cuff tears have been treated using open surgery; however, with the development of arthroscopic surgery, the arthroscopic suture method has been preferred. Nevertheless, in cases of partial rotator cuff tears exceeding more than 50% of the total thickness and not responding to conservative treatment for longer than 6 months, surgical treatment is considered. In cases of complete rotator cuff tears, in addition to the preoperative factors, the amount of tension applied to the suture site at the time of surgery and force coupling recovery of the rotator cuff are important factors for successful arthroscopic suturing.
Furthermore, various methods such as patch augmentation using human dermis or bone marrow stimulation have been utilized to increase the success rate of sutures in extensive rotator cuff tears. Even after cuff repair, appropriate rehabilitation and pain control are important for optimal outcomes. Superior capsule reconstruction has gained substantial attention since it was first reported; however, further studies on its feasibility, indications, and outcomes are warranted.
Discussion and Conclusion: We reviewed the arthroscopic surgical treatment and prognosis for rotator cuff tears. The study reveals that the prognosis can be improved if the treatment is tailored to the individual patient's environment or situation.
Files in This Item:
T202300517.pdf Download
DOI
10.5124/jkma.2022.65.11.682
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Chang, Hsienhao(장선호)
Chun, Yong Min(천용민) ORCID logo https://orcid.org/0000-0002-8147-6136
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/193095
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