Masatsugu Suehiro

Treatment of Rotator Interval Lesion

We surgically treated 6 patients with rotator interval lesions. Our diagnosis required (1) existence of shoulder pain, (and night pain), (2) existence of motion pain or limitation of range of motion, (3) tenderness of the rotator interval, (4) rotator cuff (supra spinatus tendon and subscapular tendon) are not torn, (5) arthrographic findings suggest a rotator interval lesion. Surgical procedure; coraco-acromial ligament is resected and coraco-humeral ligament is retracted, rotator interval is sutured side to side. Patients were evaluated acording to their JOA score. Mean preoperative JOA score was 65.5 and postoperative JOA score was 96.3.

Cauda Equina Syndrome Due to Lumbar Disc Herniation

We report on a case of a 45-year old woman with cauda equina syndrome due to lumbar disc herniation at L5/S1.This patient did not have lower back pain nor gait disturbance.Muscle strength of her lower extremities and the tension sign was intact.We consider that this extraordinary status resulted from the location and size of herniation.