• Title/Summary/Keyword: 내측 견관절 탈구

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A Modified Stabilization of Medial Shoulder Luxation by Biceps Tendon Transposition in a Dog (개에서 상완이두건 변형 전위에 의한 내측 견관절 탈구의 안정화 증례)

  • Lee, Ho-Hyun;Yun, Sung-Ho;Jang, Kwang-Ho;Kwon, Young-Sam
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.98-100
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    • 2015
  • A 10-year-old intact female Chihuahua weighing 2 kg was presented for complaint of forelimb lameness with non-weight bearing posture. Greater tubercle was palpated medial to its normal location on palpation and crepitation was intermittent with manipulation. On radiographic examination, left medial scapulohumeral joint luxation was found. Bilateral medial patellar luxations also were found and evaluated as grade III. Surgically, the medial scapulohumeral joint luxation was reduced with transposition of the tendon of the biceps brachii muscle. The patient's gait became normal and non-weight bearing posture was resolved at 6 weeks postoperatively.

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.

Arthroscopic Medial Plication using Pull-out Suture for the Treatment of Acute or Recurrent Patellar Dislocation - Technical Note - (급성 또는 재발성 슬개골 탈구의 치료에 있어서 견인 봉합술을 이용한 관절경적 내측 관절막 중첩술 - 수술 술기 -)

  • Ahn, Jin-Hwan;Kim, Jae-Hoon;Ha, Hae-Chan
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.214-218
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    • 2006
  • Purpose: We describe a new technique of arthroscopic medial plication using pull-out suture with consideration of anatomical location of medial patellofemoral ligament for the treatment of acute or recurrent patellar dislocation. Operative technique: Under arthroscopic examination, sutures are passed through the medial capsule, at which medial patellofemoral ligament is located, from outside to inside of knee joint. Three guide wires are inserted from anterior surface of the patella to upper half of its medial border. Intraarticular portions of sutures are pulled out toward anterior surface of the patella through bony tunnels. Under appropriate tension, the sutures are tied after performing lateral retinacular release. Conclusion: As suturing medial patellofemoral ligament, this technique can maximize the effect of medial plication and can correct subluxation and tilt of the patella. It seems to be a minimally invasive, easy and effective method for the treatment of acute or recurrent patellar dislocation.

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Instability of Biceps Tendon

  • 최창혁
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2004.03a
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    • pp.55-58
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    • 2004
  • 이두박건 활차의 역할은 견관절 운동 시 이두박건 장두에 가해지는 전상방 전단응력을 막아주며, 관절내에서 이두박건의 운동을 인도해줌으로써, 이두박건 장두의 관절내 유효거리를 유지해 주게 된다. 견관절의 외전 및 외회전 운동시 이두박건 장두의 내측으로 가해지는 응력은 이두박건 활차 및 견갑하건의 손상과 함께 이두박건 장두의 내측 탈구를 유발할 수 있으며, 회전건개 파열과 동반될 경우 증상을 더욱 악화시킬 수 있으므로 진단 및 치료에 주의를 요한다.

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Instability of Long Head of Biceps Tendon

  • 최창혁
    • Clinics in Shoulder and Elbow
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    • v.7 no.2
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    • pp.90-93
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    • 2004
  • 이두 근 활차의 역할은 견관절 운동 시 이두 근 장두에 가해지는 전상방 전단응력을 막아주며, 관절 내에서 이두 근의 운동을 인도해줌으로써, 이두 근 장두의 관절 내 유효거리를 유지해 주게 된다. 견관절의 외전 및 외회전 운동시 이두 근 장두의 내측으로 가해지는 응력은 이두 근 활차 및 견갑하건의 손상과 함께 이두 근 장두의 내측 탈구를 유발할 수 있으며. 회전근 개 파열과 동반될 경우 증상을 더욱 악화시킬 수 있으므로 진단 및 치료에 주의를 요한다.

Surgical Stabilization of Traumatic Medial Luxation of Scapulohumeral Joint and Scapular Fracture in a Dog (개에서 발생한 외상성 견관절 내측 탈구와 견갑골 골절의 외과적 교정 1 례)

  • Jang, Ha-Young;Lee, Bo-Ra;NamKung, May Hyo-Sun;Yoon, Hun-Young;Han, Hyun-Jung;Kim, Joon-Young;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.26 no.3
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    • pp.276-278
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    • 2009
  • A 1 year 4 months old, male Poodle was presented with a history of non weight bearing lameness and pain of the right forelimb by trauma. Orthopedic examination and radiographs were revealed medial shoulder luxation and scapular fracture. Biceps tendon was translocated to the lesser tubercle and secured to the humerus. Despite of it could be a potential cause of degenerative change of the joint, a favorable result was achieved for more than 3 years follow-up.

Management of Biceps and Labral Disorders (이두 근 및 관절순 손상의 치료)

  • Choi, Chang-Hyuk
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.110-116
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    • 2006
  • Lesion of the superior glenoid labrum and the insertion of the biceps tendon are a common cause for shoulder pain in patients performing overhead sports. Medial shearing stress during overhead throwing may cause biceps instability and associated rotator cuff problem aggravates the symptoms. Careful attention to the history and physical examination and may arouse suspicion of injury to the biceps tendon and the superior labral complex. Progress in shoulder arthroscopy has led to the identification of the lesion and normal variation. Treatment should be directed according to the type of lesion and related symptoms.

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Rehabilitative Effect of Intramuscular Electrostimulation after Reconstruction of Medial Patellar Luxation in Small Sized Dog (소형견의 내측 슬개골 탈구 정복술 후 근육 내 전기자극의 재활효과)

  • Lee, Shinho;Lee, Joo-Myoung;Park, Hyunjung;Won, Sangcheol;Cheong, Jongtae
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.16-21
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    • 2015
  • Medial patellar luxation (MPL) of dog is one of the most common joint diseases. This study performed to know rehabilitative effect after reconstruction as application with intramuscular electrostimulation (IMES) on the cranial part of sartorius muscle. In this study, the 12 dogs with operated medial luxation divided into electrostimulation group (n = 8) and no electrostimulation group (n = 4) measured affected sided range of motion, muscle mass, lameness score and weight bearing for hospitalization 2 weeks. IMES group showed significant results after operation on 5th day (p < 0.01). Except lameness score, IMES group showed significant results on 10th day (p < 0.05). As results, in small sized dog after reconstruction of MPL, IMES on the cranial part of sartorius muscle considered a great help in the initial rehabilitation.

Concomitant Subscapularis tear (견갑하근의 동반 파열)

  • An, K.Y.;Moon, Young-Lae;Kang, J.H.
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.201-204
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    • 2009
  • 견갑하근 파열의 손상과 치료방식이 발전하면서 견갑하근의 중요성이 더욱 대두되었고 이에 견갑하근의 파열양상, 봉합방법 그리고 후상방 회전근 개 파열과의 관련성 등이 여러 저자들에 의해서 연구 되고 있다. 즉, 이전까지 관심의 대상에서 제외 되었던 견갑하근의 부분파열이 점차적으로 회전근 개 파열의 중요한 역할을 하며 상완 이두건초염과 오구상완 인대의 내측활차의 손상이 이러한 부분파열의 원인을 제공할 수 있음을 알 수 있다. 그러나 견갑하근 파열에 대한 정확한 원인 인자는 아직 불투명하다. 이에 본 교실에서는 견갑하근 파열의 치료와 견갑하근 파열과 동반 손상된 상완 이두건 손상및 탈구 등을 치료하고 이에 대해 문헌 고찰과 함께 손상 종류에 따른 치료방법을 살펴보고 이에 대해 알아보고자 한다.

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