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Rotator cuff tears in anterior dislocation of the shoulder

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Summary

We diagnosed 16 rotator cuff tears in 109 shoulders in 104 patients with a traumatic anterior dislocation. Twelve of these were followed up for an average of 32 months. A surgical repair of the cuff was carried out in eleven and the results were satisfactory in eight (73%) regardless of a Bankart lesion. The repair of a torn cuff seems to be sufficient to stabilise the shoulder in elderly patients, even when a Bankart lesion is present and is not repaired.

Résumé

Parmi 104 malades ayant présenté 109 luxations de l'épaule, nous avons observé 16 cas de déchirure de la coiffe des rotateurs. Douze patients ont été suivis pour ce travail et la durée moyenne de la surveillance a été de 32 mois. Onze de ces malades ont été traités par réparation de la coiffe des rotateurs. Les résultats d'ensemble du traitement opératoire ont été satisfaisants dans 73% des cas, malgré une lésion de Bankart. A partir de ces observations nous pouvons conclure que la coiffe des rotateurs constitue un des éléments stabilisateurs les plus importants de l'épaule, notamment chez les sujets âgés.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Iwaki Kyoritsu General Hospital, Iwaki, Japan

    E. Itoi & S. Tabata

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  1. E. Itoi
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  2. S. Tabata
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Itoi, E., Tabata, S. Rotator cuff tears in anterior dislocation of the shoulder. International Orthopaedics 16, 240–244 (1992). https://doi.org/10.1007/BF00182703

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