腱板断裂を伴いlarge Hill-Sachs病変を合併した高齢者反復性肩関節脱臼に対する鏡視下手術の2例

Arthroscopic Surgery for Recurrent Anterior Shoulder Dislocation in Elderly Patients with a Large Hill-Sachs Lesion and Rotator Cuff Tear. Report of 2 Cases

　高齢者の反復性肩関節前方脱臼は，稀ではあるが，疼痛や機能障害を来すことがあり治療に難渋する．今回，腱板断裂を伴いlarge Hill-Sachs病変を合併した高齢者の反復性肩関節脱臼を2例経験した．これらを鏡視下で同時に，Bankart修復，remplissage法，鏡視下腱板修復術(ARCR)を施行し，良好な結果を得たので報告する．

　Although recurrent anterior dislocation of the shoulder is rare in the elderly, it sometimes causes sharp pain and a functional disorder, and medical treatment is difficult.　We treated two elderly patients who required arthroscopic surgery for recurrent anterior shoulder dislocation accompanied by a large Hill-Sachs lesion and rotator cuff tear by simultaneously performing the Bankart procedure, remplissage method, and arthroscopic rotator cuff repair (ARCR) under arthroscopic guidance.　Good results were obtained in both cases.