• Clinics in Shoulder and Elbow
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• v.18 no.1
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• pp.21-27
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• 2015

Background: To report the radiological and clinical outcomes of internal fixation using distal clavicle hook plates for distal clavicle fractures. Methods: From April 2008 to December 2012, 32 patients with distal clavicle fractures underwent surgery using an AO hook plate. The reduction was qualified and evaluated according to the radiological findings. The evaluation of the clinical outcomes was performed with the University of California at Los Angeles (UCLA) score, the Korean Shoulder score, and the visual analogue scale (VAS) pain score. Results: By radiological evaluation, we found that 31 of 32 patients showed anatomical reduction and solid bone union. Although we obtained satisfactory UCLA scores, Korean Shoulder Scale scores, and VAS pain scores, 12 cases of complications were present. We found 4 cases of osteolysis of the acromion, 1 case of nonunion, 3 cases of periprosthetic fractures, 3 cases of subacromial pain, and 1 case of skin irritation. We performed re-operations in 2 patients. Conclusions: To avoid complications associated with clavicle hook plates, choosing the appropriate hook size and bending of the hook according to the slope of the acromion undersurface is critical. Also, we believe that early removal of clavicle plates may help reduce complications.

• Clinics in Shoulder and Elbow
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• v.2 no.2
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• pp.106-109
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• 1999

Purpose : The purpose of this study is to evaluate morphology of acromion in relation to age and symmetry in asymptomatic adults. Materials and Methods: Seventy five asymptomatic adults were divided into two groups by age(A group of age twenties and B group of age over forty) and both acromial outlet views were obtained. One hundred fifty radiographs were typed and assessed radiologically by methods of Getz and Liotard. Results: The relative percentages of acromial types I, Ⅱ, and Ⅲ were 3%, 90% and 7% in the A group and 6%, 82% and 12% in the B group respectively, Subacromial peak and spinoacromial angle were 4.3mm, 82 degrees in the A group and 4.6mm, 78 degrees in the B group. Conclusion: Incidence of type is not related to age in normal adult and type II is the most common type. Spinoacromial angle is decreased in older age group and type Ⅲ.

• Proceedings of the ESK Conference
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• 1996.04a
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• pp.201-211
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• 1996

This study was carried out on 132 obese women who satisfied both of the conditions for obesity : over 1.6 in Roher index and over 90cm in bust girth. The purpose of the study was to classify body shape of obese women and find out their respective characteristics. 1. The characteristics on shape of body measurements are the front of waist height was higer than the back of waist height due to the obesity in abdominal region and the front of the abodominal depthe was high indicating the protruding of the abdominal region. 2. Characteristics of different obese body types 1) In the study of total body type, 5 factors were found as a result of factor analsis and body types were classified 4 types (type 1: short upper torso and obese arms and legs, type 2: Long and thick torso, type 3: the most obese torso, arms and legs, type 4: less obese torso according to the cluster analysis. 2) The torso body types were coassified 2 groups (type 1: less obese than average body type, type 2: large in all girth, depth and breadth according) to the different body parts such as back lengh, bust girth, hip girth and acromion to acromion breadth. 3) The lower body types were classified 2 groups (type 1: short legs, less the depth and breadth, type 2: large in all lower body measurenents) according to back of waist height, waist girth and hip girth.

• Journal of the Ergonomics Society of Korea
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• v.16 no.1
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• pp.29-45
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• 1997

This study aims at designing sleeves which are suitable for arm shapes and arm movements. With the samples of of ordinary 24 women aged from 20 to 22, the arm shapes and movements were measured 3-dimensionally using a motion analyzer and a sonic digitizer, and then clasified into three characteristic types (A, B, and C). Our analysis leads to the following conclusion. The factors classifying arm shapes are the length from acromion to posterior armpit point, arm hole length, the cap height, difference in height between anterior and posterior armpit points, armhole circumference, upper arm circumferemce, armhole depth, and underarm circumference. The characteristics of arm type A is that the armhole depth and the length from acromion to posterior armpit point are the largest, while the circumference inbe- tween upper arm and elbow is the smallest among the three arm types. Thus, the large circumference difference between upper and lower arms is the most notable in arm type A. The factors classifying arm shapes for arm type B are the smallest except for the circumference inbetween upper arm and elbow which is larger than that for arm type A. The circumference difference betweemn upper and lower arms is small for arm type B. Arm type C has the smallest armhole depth, while other factors are similar to those for arm type B. In type C, the size of upper arm is comparatively small on the frontal plane, while it is the largest on the sagital plane.

• Journal of Korean Physical Therapy Science
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• v.30 no.3
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• pp.14-22
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• 2023

Background: This study was to investigate the relationship between scapular downward rotation ratio (SDRR), lower trapezius (LT) muscle, and rounded shoulder angle (RSA) on each side in subjects with scapular downward rotation syndrome (SDRS). Design: Cross-sectional Study Methods: Fifteen subjects have participated in this study. The RSA and SDRR were assessed using a tape measure in standing posture. The RSA was computed by the angle made by two lines: one was the distance between the root of the scapula and the acromion, and the other was the distance between the acromion and the horizontal line in the root of the scapula. The SDRR was computed by two horizontal lines: one was the distance between the mid-line and root of the scapula, and the other was the distance between the mid-line and inferior angle of the scapula. LT muscle strength was performed in a prone position by the hand-held dynamometer. Results: There was a positive correlation between SDRR and LT strength in the less affected sides (r=.59; p=.02), however, there was no correlation between RSA and LT strength in the more affected sides (p>.05).

• Journal of the Korean Arthroscopy Society
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• v.14 no.1
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• pp.49-52
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• 2010

Purpose: We introduce arthroscopically assisted mini-open rotator cuff repair using anterolateral approach. Operative Technique: Placing lateral decubitus position on general anesthesia, a standard arthroscopic glenohumeral examination is performed to evaluate lesions of shoulder joint through posterior and anterior portal. And then arthroscope is placed in the subacromial space and we evaluate the size of the torn tendon and perform arthroscopic acromioplasty through lateral portal. A 3 to 4 cm skin incision is performed from anterolateral edge of acromion to distal and dissected along to raphe between anterior and middle deltoid. A deltoid retractor is then placed, allowing direct visualization of the rotator cuff and humeral head. As torn tendon is tagged by traction suture, we try to anatomical reduction on the footprint and then perform single row or double row repair of the rotator cuff using suture anchors. To prevent avulsion of the deltoid from the acromion, additional sutures by bone tunnel with acromion and deltoid is performed. Conclusion: This technique is useful procedure to get direct approach to anterior portion of supraspinatus tendon and to need lesser deltoid retraction than portal extension approach due to dividing along to raphe between anterior and middle deltoid. Also it provide better visualization of the superior portion of subscapularis and infraspinatus.

• Clinics in Shoulder and Elbow
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• v.12 no.2
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• pp.126-136
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• 2009

Purpose: We evaluated the correlation of the anatomic parameters of the acromion those represent on the magnetic resonance image (MRI) of impingement syndrome. Materials and Methods: From June, 2004 to December, 2005, 71 cases were surgically proven to be impingement syndrome, and the anterior acromial hooking angle, the lateral acromial hooking angle (AAHA and LAHA) and the acromial hooking index (AHI: the sum of the AAHA and LAHA) were compared to 16 control cases. At the same period, 55 cases were surgically proven to be partial or full thickness rotator cuff tear, and age, gender and twelve anatomic parameters, including the acromial type, the acromial angle, the anterior covering, the acromial slope, the AAHA, the lateral acromial angle, the acromial torsional angle, the lateral acromial angulation, the LAHA, the lateral covering, the acromiohumeral distance and the AHI were assessed. Results: The AAHA and AHI were increased as impingement syndrome proceeded. The acromial type and acromial angle, and the AAHA, LAHA and AHI showed significant differences between the controls and the rotator cuff tear patients on univariant analysis. On multivariant analysis, gender was most strongly correlated with rotator cuff tear. Age, AAHA and the acromial angle showed similar correlation, respectively. Conclusion: The coronal acromial shape is correlated with rotator cuff tear, and it is important to correct the lateral acromial shape when performing acromioplasty.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2005.03a
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• pp.64-65
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• 2005

• Archives of Reconstructive Microsurgery
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• v.10 no.2
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• pp.111-117
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• 2001

Introduction : The Functional muscle transfer is used to reconstruct the injuried muscle and paralysis of the shoulder. Especially transfer of the trapezius has been the treatment of choice but it has disadvantages of inadequate function and deformed contour, and instability of humeral head in case of acromion resection. We report an operation for shoulder reconstruction after wide resection of malignant fibrous histiocytoma, using rotational latissimus dorsi flap and review the operation method and clinical outcome. Materials and Methods : A patient, 53 year old, with malignant fibrous histiocytoma in the acromioclavicular joint area had been underwent wide excision, including the deltoid, clavicular head of pectoralis major, part of trapezius, lateral 1/3 of clavicle and acromion including scapular spine. The rotational latissimus dorsi flap with its neurovascular pedicle was dissected and then placed over the resected area and transfer of muscle attached at coracoid process was done to achieve stability of the humeral head. The range of motion of the shoulder and test of muscle power were evaluated for functional outcome. Total follow-up period is 2 years 11 months. Results : At last follow-up, the range of motion of the shoulder is abduction $90^{\circ}$, flexion $90^{\circ}$, internal rotation $40^{\circ}$, external rotation $50^{\circ}$ and the muscle power is 4 grade in all direction and then we obtained good functional results. There are no complications such as instability or subluxation of the humeral head and deformed contour and he is a disease-free survival state. Conclusions : The transfered latissimus dorsi flap provides adequate lever arm and stabilization and covering of the humeral head by sufficient muscle volume and width. This procedure can be useful not only for the paralysed deltoid reconstruction but also for use in reconstructive surgery after wide resection of the shoulder for malignant tumor.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2009.03a
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• pp.174-174
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• 2009

The acromioclavicular-hook-plate is one of the surgical treatments for distal clavicle fracture and traumatic acromioclavicular (AC) joint dislocation. Although this procedure can obtain rigid and accurate anatomical reduction of the AC joint, secondary widening of the hook-hole in the acromion is often seen during postoperative follow-up. This complication is owing to the high-degree of mobility of the AC joint. Therefore, it is important to evaluate the effect on these complications due to the position of the hook-hole. The purpose of the present study is to investigate three-dimensionally the effect due to the position of the hook-hole during arm abduction motion. We studied in vivo and three-dimensional kinematics of the normal shoulder joint with use of a markerless bone-registration technique. Magnetic resonance images of 14 shoulders of 7 healthy volunteers were acquired in 7 positions between $0^{\circ}$ and $180^{\circ}$ of abduction. We created three-dimensional computer models of the bones and the acromioclavicular-hook-plate. Based on the three-dimensional kinematics data, we simulated the widening of the hook-hole each different positioning of the hook-hole. The widths of the hook-holes almost linearly increased. And these widths significantly increased, when we put the hook-hole on the acromion from AC joint to 20 mm and 25 mm posterior position.