• Title/Summary/Keyword: 견봉-쇄골 관절

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Subacromial Impingement Syndrome following Hook Plate Fixation for Distal Clavicle Fracture -A Case Report- (원위 쇄골 골절에 대한 금속판 고정술 이후 발생된 견봉하 충돌 증후군 - 증례보고 -)

  • Moon, Kyu-Pill;Kang, Min-Soo;Choi, Sung-Jong
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.19-21
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    • 2011
  • Clavicle Hook pate was commonly used in the injury around distal clavicle such as fractures, acromio-clavicular joint injury. We experienced a case of impingement syndrome following operation of distal clavicle fracture using Clavicle Hook plate. So we report this case with a reiview of current literatures.

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Complicated AC Joint Cyst with Aseptic Fistula Secondary to Simple Excision - A Case Report and Review of Literature - (단순절제술 이후 견봉쇄골 낭종에 합병된 무균성 누공 - 증례보고 및 문헌고찰 -)

  • Shon, Min Soo;Baek, Duck In;Lee, Kyung Hag
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.2
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    • pp.120-126
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    • 2014
  • Acromioclavicular (AC) joint cyst is an uncommon presentation around the shoulder joint that is usually associated with chronic rotator cuff pathology and degenerative AC joint arthritis. Understanding the underlying pathophysiology of the shoulder joint is essential for appropriate interpretation of the AC joint cyst, assistance in determining the therapeutic strategy, and prevention of complications after treatment. We present a case of AC joint cyst with an aseptic fistula which was complicated by simple excision for recurred AC joint cyst after multiple aspirations. This case revealed a massive rotator cuff tear involving supraspinatus, infraspinatus, and subscapularis tendon on ultrasonography. We also reviewed the clinical approach and treatment options to be considered for its pathogenesis in the literature.

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Acromioclavicular Separation with the Fracture of the Coracoid Process - 2 Cases report - (견봉쇄골 탈구와 동반된 오구돌기 골절 - 2예 보고 -)

  • Yoo, Jae-Ho;Hahn, Sung-Ho;Yang, Bo-Kyu;Ahn, Young-Jun;Zoo, Min-Hong;Yi, Seung-Rim
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.124-130
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    • 2007
  • The acromioclavicular separation (AC separation) is a common injury, which is often accompanied by the rupture of the coracoclavicular ligament (CC ligament) in severe occasions. In rare forms of AC separation, the fracture of the coracoid process would occur rather than the rupture of the CC ligament. Only 31 cases of such injury have been reported in the English literature. We present 2 additional cases with literature review. The fracture of the coracoid process is not readily seen on anteroposterior shoulder radiograms. Severe AC separation without widening of CC distance on anteroposterior shoulder radiogram heralds the fracture of the coracoid process.

Arthroscopic Distal Clavicle Resection for Chronic Stage 2 Acromioclavicular Dislocation - Preliminary Report of 6 Cases Study - (관절경하 원위 쇄골 절제술을 이용한 만성 제 2형 견봉쇄골 손상의 치료 - 6례에 대한 예비 연구 -)

  • Yoo Yeun-Sik;Yoon Young-Gon;Nam Il-Hyun;Moon Gi-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.171-176
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    • 2002
  • Purpose : To evaluate effectiveness of arthroscopic distal clavicle resection for chronic stage 2 acromioclavicular dislocation. Material: 6 patients who had failed to respond to physical therapy were evaluate more than 6 months prospectively, which were treated with arthroscopic distal clavicular resection from february 1998 to January 2001. Result : The median preoperative Constant score changed from 32 of 100 to 37 of 100 at 3 to 6 weeks, to 49 of 100 at 3 months and to 69 of 100 at 6months. Improvement was achived at mean follow up more than 6 months after surgery. Overal $83\%$ of patient were satisfied with this procedure. but the remained case was unsatisfied because symptom was not improved more than 6 months Conclusion : Arthroscopic distal clavicle resection is useful method to treatment for chronic stage 2 acromioclavicular dislocation.

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The Surgical Treatment of Type V Acute Acromioclavicular Joint Dislocation Using Suture Anchor and Kirschner Wire (봉합 나사못과 Kirschner 강선을 이용한 제 5형 급성 견봉 쇄골 관절 탈구의 수술적 치료)

  • Jung, Gu-Hee;Cho, Chyul-Hyun;Jang, Su-Jin;Jang, Jae-Ho;Kim, Jae-Do
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.217-222
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    • 2010
  • Purpose: We wanted to evaluate the clinical outcomes after operative treatment using two suture anchors and Kirschner wire for treating acute Rockwood type V acromioclavicular joint dislocation Materials and Methods: Between May 2006 and May 2009, 10 patients underwent surgical treatment for acute Rockwood type V acromioclavicular joint dislocation using two suture anchors and Kirschner wire and they were followed for a mean of 12.0 (range: 7-31) months. We analyzed the functional results by the Korean shoulder score, the Constant-Murley score and the reduction state of the acromioclavicular joint at the last follow-up. Results: All the cases achieved a satisfactory outcome. The mean Korean shoulder score was 89.9 (range: 81-100) points and the mean Constant-Murley score was 87.8 (range: 82-93) points. According to the radiologic findings, 8 patients achieved anatomical reduction of the acromioclavicular joint: there was a slight loss of reduction in one patient and a partial loss of reduction in one patient. None of the patients had deep infection or re-dislocation. Conclusion: The operative treatment using two suture anchors and Kirschner wire may be used for acute Rockwood type V acromioclavicular joint dislocation, and it has an advantage in that it can prevent chondral injury of the joint.

Acromio-Clavicular joint Cyst Associated with Rotator Cuff Re-tear Followed by Ultrasonography (초음파검사로 추시한 회전근 개 재파열에 동반된 견봉 쇄골 관절의 낭종)

  • Oh, Chung Hee;Kim, Joon Yub;Kim, Sae Hoon;Kim, Je Kyun;Oh, Joo Han
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.65-68
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    • 2010
  • Acromio-clavicular (AC) joint cyst have been reported in small series of the orthopedics literature in association with extensive rotator cuff tear, pseudotumor, infection of the shoulder or chondrocalcinosis. Authors experienced one case of AC joint cyst with rotator cuff re-tear after arthroscopic rotator cuff repair, clinicians may need pay attention to AC joint bulging or mass lesion after arthroscopic rotator cuff repair as an important sign to check follow-up imaging study for the cuff integrity. Especially, ultrasonography is recommended for this follow up study, because it is simple to be operated, economic, easily accessible.

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Surgical Treatment Using Anchor Suture of Coracoid Process Fracture with Acromioclavicular Joint Dislocation - A Case Report - (견봉-쇄골관절 탈구를 동반한 오구 돌기 골절의 봉합나사를 이용한 수술적 치료 - 증례 보고 -)

  • Jeong, Woon-Seob;Lee, Sang-Soo;Yoo, Yon-Sik;Kim, Do-Young;Park, Keun-Min
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.240-244
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    • 2009
  • Purpose: This study examined the outcomes of closed reduction and fixation of the coracoid process fracture using a suture anchor in a patient with combined acromioclavicular dislocation for which the coraco-clavicular ligament was intact. Materials and Methods: A 26 year-old male patient with a coracoid process fracture that was associated with a type III acromioclavicular joint dislocation was operated on with anchor suture fixation. This is the first trial of this operative procedure. Results: At the postoperative follow-up at 3 months, complete union of the coracoid process fracture was seen. The shoulder had a full range of motion and the shoulder function was normal. Conclusion: Closed reduction and fixation using one suture anchor for treating coracoid process fracture is a safe, effective procedure.