• Title/Summary/Keyword: orthopedic surgery

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Pathogenesis, evaluation, and management of osteolysis after total shoulder arthroplasty

  • Kunze, Kyle N.;Krivicich, Laura M.;Brusalis, Christopher;Taylor, Samuel A.;Gulotta, Lawrence V.;Dines, Joshua S.;Fu, Michael C.
    • Clinics in Shoulder and Elbow
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    • v.25 no.3
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    • pp.244-254
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    • 2022
  • Radiographic osteolysis after total shoulder arthroplasty (TSA) remains a challenging clinical entity, as it may not initially manifest clinically apparent symptoms but can lead to clinically important complications, such as aseptic loosening. A thorough consideration of medical history and physical examination is essential to rule out other causes of symptomatic TSA-namely, periprosthetic joint infection-as symptoms often progress to vague pain or discomfort due to subtle component loosening. Once confirmed, nonoperative treatment of osteolysis should first be pursued given the potential to avoid surgery-associated risks. If needed, the current surgical options include glenoid polyethylene revision and conversion to reverse shoulder arthroplasty. The current article provides a comprehensive review of the evaluation and management of osteolysis after TSA through an evidence-based discussion of current concepts.

Interposition Arthroplasty with Pectoralis Major Muscle Transfer for the Shoulder Arthropathy - 2 Cases Report - (견관절 관절증에서 대흉근 이전술을 이용한 삽입 성형술)

  • Park, Jin-Soo;Lee, Yong-Beom;Yoo, Jung-Han;Park, Yong-Wook;Rowe, Kyu-Cheol;Chung, Kook-Jin;Kim, Hong-Kyun;Hwang, Ji-Hyo;Kim, Hyung-Nyeon;Song, Young-Suk;Son, Won-Su
    • Archives of Reconstructive Microsurgery
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    • v.19 no.1
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    • pp.7-11
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    • 2010
  • Interpostion arthroplasty with allograft has been known as a useful option for the shoulder arthropathy, but it has a limitation to immune response. We performed the pectoralis major muscle transfer for shoulder arthropathy. From January 2007 to December 2007, we performed the pectoralis major muscle transfer in 2 patients. They were 1 man and 1 woman, and the mean age of the patients was 70 years (range, 65 to 75). The average follow-up after surgery was 13 months (range, 12 to 14). We analyzed the clinical results by the American Shoulder and Elbow Surgeons (ASES) Score, and evaluated the pain by Visual Analogue Scale. The level of pain reduced from a preoperative average of 10 to a postoperative average of 1. The ASES scores increased from a preoperative mean of 9 to a postoperative mean of 58. These results indicated that interposition arthroplasty with the pectoralis major muscle transfer is a reliable treatment method for the shoulder arthropathy improving shoulder pain, and patient satisfaction.

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Metastasis of renal cell carcinoma around suture anchor implants

  • Baek, Samuel;Shin, Myung Ho;Kim, Tae Min;Oh, Kyung-Soo;Lee, Dong Ryun;Chung, Seok Won
    • Clinics in Shoulder and Elbow
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    • v.24 no.2
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    • pp.110-113
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    • 2021
  • We present an unusual case of bone metastases from renal cell carcinoma around orthopedic implants in a 78-year-old female with osteolytic, expansile, highly vascularized, malignant infiltration around suture anchors in the proximal humerus. The patient had undergone arthroscopic rotator cuff repair using suture anchor implants 6 years previously. After diagnosis of bone metastasis, she was successfully treated with metastasectomy and internal fixation using a plate and screws, with cement augmentation. This report is the first to document metastases around a suture anchor in a bone and suggests the vulnerability of suture anchor implants to tumor metastasis.

Infection on Sternoclavicular Joint in Electrical Burn - Case Report - (전기화상 환자에서 발생한 흉쇄관절의 감염 - 증례 보고 -)

  • Rha, Jong-Deuk;Jang, Young-Soo;Park, Hyun-Soo;Jung, Tae-Won;Jin, Hyun-Bae;Kim, Kyung-Hoon;Lee, Byung-Hoon
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.242-245
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    • 2006
  • Infection on sternoclavicular joint after electrical burn is rare. No case was reported previously in Korea. Even though the disease is rare, we treated the case successfully with intravenous antibiotics followed by curettage and drainage. Successful treatment was achieved in the case of infection on sternoclavicular joint after electrical burn.