일반인에서 스포츠 손상으로 인한 제2형 단독 Superior Labral Anterior and Posterior 병변의 관절경적 봉합술의 임상적 결과 및 삶의 질 평가

• Published in: 대한스포츠의학회지 Vol. 32; no. 1; pp. 7 - 13
• Main Authors: 노성현, Sung Hyun No, 김정우, Jeong Woo Kim, 강홍제, Hong Je Kang, 김종윤, Jong Yun Kim, 김광미, Kwang Mee Kim
• Format: Journal Article
• Language: Korean
• Published: 대한스포츠의학회 01.06.2014
• Subjects: Arthroscopy; Athletic injury; Quality of life; 기타의약학
• ISSN: 1226-3729; 2288-6028
• DOI: 10.5763/kjsm.2014.32.1.7

The purpose of this study was to morphologically classify the superior labral anterior and posterior (SLAP) lesion in people with athletic injuries and further research into the clinical result of arthroscopic repair of type II SLAP lesions. January 2005 to June 2012 occurred after sports activity in patients with shoulder pain diagnosed with isolated SLAP lesion by magnetic resonance imaging and arthroscopy were classified according to the tear type. Of these patients, 40 cases of type II SLAP patients were evaluated using American Shoulder and Elbow Surgeons (ASES) questionnaire and range of motion. Also satisfaction of surgery was evaluated by following up through phone calls using translated short form-36 (SF-36). At average of 35 months postoperatively, external rotation decreased slightly from 60.4 degrees to 56.2 degrees, forward elevation and internal rotation were both recovered to a range of pre-surgery but no significant changes were noticed statistically (p＞0.05). Visual analogue scale, ASES scores, physical component summary, and mental component summary of SF-36 improved from 5, 1 to 1.2 (p=0.01), from 65.4 to 91.5 (p=0.017), 42.6 to 52.5 (p=0.047), and from 48.5 52.6 to (p=0.036), respectively. In comparison of a group of patients over forty years and less than forty, both groups showed good results, but group of patients less than forty years showed more improvement in pain relief, functional test, and postoperational satisfaction (p=0.004). Arthroscopic repair showed good results in patients with type II SLAP lesion due to athletic injuries especially when they were less than 40 years and it can be regarded as a good treatment with high satisfaction.