• Title/Summary/Keyword: Traumatic anterior instability

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Thoracolumbar Spine Injury (흉요추부 손상)

  • Ahn, Myun-Whan
    • Journal of Yeungnam Medical Science
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    • v.19 no.2
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    • pp.73-91
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    • 2002
  • Method of management of the spine injury should be determined, based on the status of neurological injury as well as on the presence of traumatic instability. At the thoracic and lumbar spine, patterns of neurological injury are different from the cervical spine due to their neuro-anatomical characteristics. Especially, at the thoracolumbar junction, neurological injury patterns with their respective prognosis vary from the complete cord injury or conus medullaris syndrome to the cauda equina syndrome according to the injury level. The concept of Holdsworth's instability based on the posterior ligament complex theory has evolved into the current 3-column theory of Denis. Flexion-rotation injury and fracture-dislocation are well known to be unstable that surgical fixation is frequently needed for these injuries. However, there have been some controversies for the stability of burst fractures and their treatment, such as indirect or direct decompression and anterior or posterior approach. In this article, current concepts and management of traumatic instabilities at the thoracic and lumbar spine have been reviewed and summarized.

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Revision using modified transglenoid reconstruction in recurred glenohumeral instability combined with anchor-induced arthropathy

  • Rhee, Kwang-Jin;Kim, Kyung-Cheon;Shin, Hyun-Dae;Byun, Ki-Yong
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.166-166
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    • 2008
  • A 25-year-old man presented with a history of pain and crepitus in the right shoulder; he had been previously treated with arthroscopic anterior stabilization using four metallic suture anchors for recurrent traumatic anterior instability 1 year earlier. In this report, we present a patient with recurrent glenohumeral instability combined with anchor-induced arthropathy who was managed with modified arthroscopic transglenoid reconstruction following arthroscopic suture anchor retrieval.

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Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

  • Park, Jihong;Cosby, Nicole L.
    • Clinics in Shoulder and Elbow
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    • v.19 no.2
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    • pp.110-116
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    • 2016
  • Background: Arthroscopic surgical repair is a better intervention than non-operative (conservative) treatment for patients with shoulder dislocations. This systematic review determined the numbers-needed-to-treat (NNT) and relative risk reduction (RRR) associated with arthroscopic surgical repair versus non-operative treatment in reducing recurrence rates among patients with first-time traumatic anterior shoulder dislocations. Methods: We searched Google Scholar, MEDLINE, SPORTDiscus, and CINAHL from inception in 2015. All articles had to compare arthroscopic surgical repair and non-operative treatment and be written in English. We used the total number of subjects and the number of recurrent dislocations within each treatment to calculate the NNT and RRR for each study and the pooled data. Results: Six articles were selected and all clearly demonstrated that the arthroscopic surgical repair was more effective than non-operative treatment in reducing the recurrence episodes. The pooled NNT was 1.76 (95% confidence interval [CI]=NNT to benefit 1.50-2.13) and the pooled RRR was 86.0% (95% CI=77.0%-92.0%) among individuals who underwent arthroscopic repair. The average follow-up time was 56 months. Conclusions: A Strength of Recommendation Taxonomy level of evidence of 1 with a grade A recommendation supports the use of arthroscopic surgical repair over non-operative treatment in prevention of first-time traumatic anterior shoulder dislocations. We suggest that sports medicine practitioners consider the patients' age, occupation, and physical activity level when making a clinical decision.

Traumatic anterior instability: Complicated problems and failed repairs

  • Kim, Yeong-Gyu
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2007.03a
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    • pp.46-55
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    • 2007
  • 전방 불안정성의 수술적 치료의 목적은 안정성을 회복하고 동통 없는 기능 회복에 있으나 이러한 목적과는 달리 여러 합병증이 발생하여 결과가 불량하게 되는 경우가 종종 발생한다. 따라서 치료의 실패를 줄이기 위해 최대한 노력하여야 하며, 일단 실패가 발생하게 되면 정확한 원인과 해부학적 병적 상태를 정확히 파악하여야 보다 좋은 치료 결과를 얻을 수 있다.

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