• Title/Summary/Keyword: elbow joint

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Comparative Study About The Indirect Blood Pressure (measured by different Instruments and Methods) (측정도구와 방법에 따른 간접혈압측정치의 비교연구)

  • Suh Gil-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.1 no.1
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    • pp.51-68
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    • 1994
  • One aim of this study was to find out the difference of indirect blood pressure between the types of instruments. The difference of indirect blood pressure was measured with mercury sphygomomanometer and electronic blood pressuremeter. Another was to determine the difference of indirect blood pressure according to width of cuff and site of cuff. Indirect blood pressures were measured with the diaphragmatic side of sphygomomanometer. The subjects were 40 female volunteers, whose arm circumferences were from 22 to 34cm. The data were analyzed by SPSS-PC program and pared t-test was used. The results are summarized as follows ; 1. Mercury sphygomomanometer systolic pressure was higher(average 2.20mmhg) than electronic blood pressuremeter. It was statistically significant(p=0.026). 2. The value of Mercury sphygomomanometer diastolic pressure was lower(2.00mmhg) than electronic's. It was statistically significant(p=0.03) 3. In the mercury sphygomomanometer systolic pressure, the value of standard cuff($12{\times}23cm$) was higher(2.40mmhg) than large one's($14{\times}45cm$). It was statistically significant(p=0.007). 4. In diastolic pressure(K4), the value of standard cuff was higher(0.65mmhg) than large cuff's. It was not statistically significant(p=0.481). In K5, the value of standard cuff($12{\times}23cm$) was higher(0.55mmhg) than large cuff's. It was not statistically significant(p=0.541). 5. Difference according to site of showed that the values of systolic pressure over elbow joint were higher(20.00mmhg, 26.45mmhg) than ones at site of elbow joint. It was significant statistically(p=0.000) and clinically. 6. The values of diastolic pressure(K4) over elbow joint were higher(17.10mmhg, 21.60mmhg) than ones at site of elbow joint. It was significant statistically (p=0.000) and clinically. The values of K5 over elbow joint were higher(17.25mmhg, 22.15mmhg) than ones at site of elbow joint. It was significant statistically(p=0.000) and clinically. I think similar studies about indirect blood pressure according to diseases and positions are necessary. In addition, similar studies, are required about accuracy of method electronic blood pressuremeter according to site of mesurement.

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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.

Treatment of Recurred Acromioclavicular Joint Cyst after Simple Excision - A Case Report - (단순 절제 후 재발한 견봉 쇄골 관절 낭종의 치료 -증례 보고-)

  • Sohn, Sung-Won;Bae, Ki-Cheol;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.227-230
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    • 2006
  • Acromioclavicular joint cyst is a extremely rare condition, usually occuring in the presence of a wide communication between glenohumeral and acromioclavicular joint in patients with a full thickness rotator cuff tear. Removal of cyst only is reported with high recurrence rate. There was no case previously reported in Korea. We report a case of recurred acromioclavicular joint cyst with a massive rotator cuff tear after simple excision, which was treated by excision of cyst, acromioplasty and resection of the lateral end of the clavicle.

Arthroscopic Treatment for Synovial Chondromatosis of the Shoulder Joint (7-Year-Follow-Up) - A Case Report - (견관절에 발생한 활액막연골종증의 관절경적 치험례(7년 장기 추시 결과) - 증례 보고 -)

  • Lee Byung Il;Choi Hyung Suk;Kim Kwang Sub
    • Clinics in Shoulder and Elbow
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    • v.4 no.1
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    • pp.30-34
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    • 2001
  • Synovial chondromatosis is a rare disease. The knee is the most commonly affected joint but the shoulder joint is very rarely affected. We report typical synovial chondromatosis of the shoulder joint which was managed by arthroscopic removal of multiple loose bodies, synovectomy, good objective and functional outcome was obtained until postoperative 7-year follow-up. Arthroscopy can be used as an effective and useful therapeutic method for synovial chondromatosis of the shoulder joint.

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Use of the Fix and Flap Approach to Complex Open Elbow Injury: The Role of the Free Anterolateral Thigh Flap

  • Chui, Christopher Hoe-Kong;Wong, Chin-Ho;Chew, Winston Y.;Low, Mun-Hon;Tan, Bien-Keem
    • Archives of Plastic Surgery
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    • v.39 no.2
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    • pp.130-136
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    • 2012
  • Background : Complex elbow injuries with associated nerve, muscle, or joint injury commonly develop post-inury stiffness. In order to preserve function, joint congruency, elbow stability and durable wound coverage must be achieved in a timely manner. Methods : A retrospective review of patients who underwent orthopaedic fixation followed by free anterolateral thigh (ALT) flap soft tissue coverage was performed. Five patients were identified and included in this study. Results : We present a series of 5 cases managed with this principle. Soft tissue defects ranged in size from $4{\times}9cm$ ($36cm^2$) to $15{\times}30cm$ ($450cm^2$) and were located either posteriorly (n=4) or anteriorly (n=1). Associated injuries included open fractures (n=3) and motor nerve transection (n=2). Wound coverage was achieved in a mean duration of 18.8 days (range, 11 to 42 day). There were no flap failures and no major complications. The mean postoperative active elbow motion was $102^{\circ}$ (range, $45^{\circ}$ to $140^{\circ}$). Conclusions : In our small series we have highlighted the safety and utility of using the free ALT flap in complex elbow injuries. The ALT flap has many advantages which include abundant skin and subcutaneous tissue; vascularised vastus lateralis muscle that was used in our series to obliterate dead space, provide a vascular bed for nerve grafts and combat infection; and, access to fascia lata grafts for reconstruction of the triceps tendon.

Abnormal Findings of the Ultrasonography for Elbow and Forearm (주관절과 전완부의 초음파 이상 소견)

  • Kim, Eunkuk
    • Clinical Pain
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    • v.20 no.1
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    • pp.1-6
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    • 2021
  • Ultrasonography (US) of the elbow is an increasingly utilized modality for a variety of diagnoses. In this brief review, US findings for the pathologic conditions of forearm and elbow are described. The most common pathologies discussed here include distal biceps tendon and triceps tendon lesions, medial and lateral epicondylopathies, ulnar collateral ligament tears, ulnar nerve subluxation, joint effusions, and intra-articular bodies.

Pigmented Villonodular Synovitis Mimiking the Bone Tumor of the Fossa Olecrani of Elbow in a 8-year-old Boy - A Case Report - (8세 남아에서 골종양을 닮은 주관절 색소 융모 결절성 활액막염 - 증례 보고 -)

  • Kim, Sung-Soo;Lee, Sang-Yup;Yoon, Min Geun;Seo, Young Hoon;Moon, Myung-Sang
    • Clinics in Shoulder and Elbow
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    • v.15 no.2
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    • pp.138-142
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    • 2012
  • Pigmented villonodular synovitis (PVNS) is a rare benign proliferative disorder that results in villous hyperplasia and nodule formation in the synovium, tendon sheath and bursa. That most commonly affects the knee and the hip joint in adult. PVNS of the hand, the wrist, the shoulder and the elbow is rare and that of the elbow in children is particularly rarer. An eight-year-old boy had his left elbow pain and a lesion like benign bone tumor in the left fossa olecrani on plain x-ray. During the operation, abnormal synovial hyperplasia in his left elbow joint led us to diagnose PVNS. Therefore, open curettage of the lesion and radical synovectomy was performed. The specimen of the synovectomized tissue revealed PVNS. The left elbow pain subsided after the operation and the child restored a full range of motion of his left elbow. We reported this rare case of PVNS in a child's elbow joint mimicking the bone tumor together with a review of the literature.