• Title/Summary/Keyword: 견관절 탈구

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Arthroscopic Stabilization of Acromioclavicular Joint Dislocation using TightRope® (TightRope®를 이용한 내시경하 급성견봉쇄골관절 탈구의 고정술 메리놀병원 정형외과)

  • Choi, Sun-Jin;Park, Jong-Hoon;Lee, Hyeong-Seok
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.172-176
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    • 2008

  • Purpose: The proper surgical methods for treating acromioclavicular joint dislocation is still controversial. New methods should provide better early motion with sufficient strength. Materials and Methods: We performed arthroscopic stabilization using TightRope$^{(R)}$ (Arthrex, Inc, Naples, FL) in 10 cases of acromioclavicular joint dislocation between April, 2007, and December, 2007, and followup for a minimum of 10 months. We performed radiologic evaluation by comparing the clavicle anteroposterior radiograph with the contralateral one. Clinical evaluation was made for pain, function, and range of joint motion by Imatani's methods. Results: In clinical evaluation, 6 cases were excellent, 3 cases were good, and 1 case was poor. In radiologic evaluation, 9 cases were excellent and 1 case was poor. Redislocation occurred in 1 case. Conclusion: During short-term followup, 9 of 10 patients who underwent arthroscopic stabilization using TightRope$^{(R)}$ had excellent results in Imatini tests and radiologic evaluation, except 1 patient with redislocation.

  • https://doi.org/10.5397/CiSE.2008.11.2.172 인용 PDF

Medial Anterior-inferior Capsular Shift in Multidirectional Shoulder Instability (내측 전하방 관절낭 이동술을 이용한 다방향 견관절 불안정성의 치료)

  • Chung, Soo-Tai;Park, Jai-Hyung;Kim, Hyoung-Soo;Yoo, Jeong-Hyun;Kim, Joo-Hak;Ji, Jeong-Min;Jo, Hwan-Hee
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.33-41
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    • 2007

  • Purpose: The purpose of this study was to prove the effectiveness of the open medial (glenoid-based) anterior-inferior capsular shift in patients with multidirectional shoulder instability. Materials and Methods: We reviewed 19 patients treated by medial anterior-inferior capsular shift for multidirectional shoulder instability from March, 1998 to December, 2003. 15 patients of them have experienced recurrent dislocation. 8 patients(42%) showed bilateral laxity and 11 patients(58%) generalized ligamentous laxity, and 2 patients(10.5%) voluntary subluxation. An average follow-up was 24 months (range : $9{\sim}32$ months). Results: Pain improved in 18 patients of all. There was an average loss of 10 degree of external rotation, but no limitation of activity of daily living. There was no redislocation and subluxation, but two patients had some apprehension in sports activity. With Rowe score, the result was excellent or good in all patients. There were hematoma and local skin problem in 1 patient, but all had healed up. Conclusion: Medial anterior-inferior capsular shift in multidirectional shoulder instability provided satisfactory results in pain relief, patient's satisfactions and stability of glenohumeral joint. Though some of them have anterior gleniod deformities and large Hill-Sachs lesions, we could get good stabilities.

  • https://doi.org/10.5397/CiSE.2007.10.1.033 인용 PDF