• Title/Summary/Keyword: Elbow dislocation

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Displaced Scapula Fracture (Ideberg Type IIb) Combined with a Large Rotator Cuff Tear in Anterior Shoulder Dislocation: A Case Report

  • Noh, Young-Min;Kim, Chul-Hong;Lee, Seung-Hyun;Im, Chul-Soon
    • Clinics in Shoulder and Elbow
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    • v.20 no.3
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    • pp.162-166
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    • 2017
  • Traumatic anterior shoulder dislocation combined with scapular fracture in elderly patients is relatively rare. In this case, a patient visited Emergency Room of Dong-A University Hospital for shoulder pain after falling off a ladder. Radiographs demonstrated anterior shoulder dislocation with displaced Ideberg type IIb scapula (glenoid fossa) fracture combined with a large rotator cuff tear on magnetic resonance imaging. We performed arthroscopic rotator cuff repair, but a large fragment in the inferior glenoid was left untreated. At the 1 year follow-up visit, the pain visual analogue scale of the patient was 2, the American Shoulder and Elbow Society score was 88 and the patient had gained nearly full range of motion without any apprehension.

Ultrasonography in Sternoclavicular Joint Posterior Dislocation in an Adolescent - A Case Report

  • Noh, Young Min;Jeon, Seung Hyub;Yoon, Hyung Moon
    • Clinics in Shoulder and Elbow
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    • v.17 no.4
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    • pp.205-208
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    • 2014
  • Sternoclavicular joint posterior dislocations are considered a very uncommon, and type of injury where if esophagus or airway injury occurs behind the clavicle, it poses a high risk to the patient. In addition, if epiphyseal fracture occurs as a result of the sternoclavicular joint posterior dislocation, surgical treatment is often required. However, in the absence of a complete ossification of the clavicle, it is difficult to differentiate between a simple dislocation and epiphyseal fracture-dislocation solely based on simple radiographs or computed tomography scans. In this case report, the authors present a case in which a sternoclavicular joint posterior dislocation was diagnosed in a 14-year-old male athlete. The case report discusses how the posterior dislocation without epiphyseal fracture was diagnosed using an ultrasound and subsequently treated with successful outcomes using manual reduction. The case report presents our findings along with discussion that includes a literature review of relevant research.

Inferior Capsular Shift for Multidirectional Shoulder Instability in Contact Sports Athletes (접촉성 운동 선수에서 견관절 다방향 불안정성에 대한 하방 관절막 이동술)

  • Choi Chong-Hyuk;Yun Kyung-Hwan;DJ Ogilvie-Hanis
    • Clinics in Shoulder and Elbow
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    • v.3 no.1
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    • pp.10-19
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    • 2000
  • The aims of this retrospective study were to evaluate the results of inferior capsular shift operation which were approached anteriorly or posteriorly according to a main instability direction in contact sports population who had multidirectional shoulder instability. Fifty-three shoulders in 47 athletes who engaged in contact sports underwent an anterior or posterior inferior capsular shift procedure for the correction of multidirectional instability of the shoulder joint. The surgical approach was selected according to the predominant direction of the instability. Follow up was average of 42 months(24∼73 months). After anterior inferior capsular shift, anterior dislocation was recurred in three shoulders, posterior dislocation in one, and inferior dislocation in two shoulders. After posterior inferior capsular shift, one dislocation occurred anteriorly, one inferiorly and one posteriorly. The excessive tightening of capsule or improper diagnosis could be causative factors for the development of dislocation in the opposite direction to the preoperative major instability. Of six patients who could not return to their sports, five had bilateral repairs. Successful repair based on the criteria of the American shoulder and elbow association was achieved in 92% of anterior repairs, and 81 % of posterior repairs.

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Acromioclavicular Joint Dislocation Associated with Clavicular Fracture and Brachial Plexus Injury (쇄골 골절을 동반한 동측 견봉쇄골 관절 탈구 치험(1례 보고))

  • Lee Kwang-Won;Kim, Kyou-Hyeun;Park Jong-Hyeun;Hwang In-Sik;Choy Won-Sik
    • Clinics in Shoulder and Elbow
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    • v.1 no.1
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    • pp.128-131
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    • 1998
  • Fracture of the clavicle and dislocation of the acromioclavicular joint occur commonly as separate injuries. However, complete acromioclavicular dislocation with an ipsilateral clavicle fracture is quite rare. We experienced a case of acromioclavicular joint dislocation associated with fracture of clavicle and brachial plexus injury treated by open reduction and internal fixation.

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