• 제목/요약/키워드: shoulder arthroscopy

검색결과 254건 처리시간 0.023초

요골 상완골 관절의 발음성 추벽 - 증례보고 - (Snapping Plicae of radiocapitellar joint -2 cases Report-)

  • 유연식;정언호
    • Clinics in Shoulder and Elbow
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    • 제6권1호
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    • pp.85-89
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    • 2003
  • We experienced rare cases of Snapping plicae on radiohumeral joint which arthoscopic plicae resection improved symptom of painful snapping elbow. We report that Arthroscopy can be used as a effective therapeutic and diagnostic method for snapping plicae on radiohumeral joint with a review of its literature.

양측 견관절을 침범한 거울 병변 -머리 위의 작업을 하는 근로자 대상 관절경적 연구 (Bilateral Shoulder Involvement with Mirror Image Lesion -An Arthroscopic Study in Overhead Workers)

  • 문영래;이철갑;김종식
    • Clinics in Shoulder and Elbow
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    • 제9권1호
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    • pp.68-72
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    • 2006
  • Purpose: To demonstrate arthroscopically the presence of bilateral shoulder "mirror lesions" due to overhead work. Materials and Methods: A cross-sectional study was performed in a historical cohort of 10 male tire plant workers who underwent MRI studies of both shoulders. Bilateral intraarticular shoulder pathology was diagnosed by magnetic resonance imaging and confirmed by arthroscopy. "Mirror lesions" were defined as similar pathology between an individual patient's two shoulders. Results: We report on ten patients who had bilateral "mirror lesions." The most common mirror lesions were tears of the rotator cuff. Most patients (7 of 10) had more than one mirror lesion in their shoulders. There were two bilateral full thickness tears involving the supraspinatus and infraspinatus, four bilateral partial thickness supraspinatus tears, six bilateral partial or upper corner lesion complete subscapularis tears, and one bilateral complete supraspinatus tear. Conclusion: Occupational overhead work with simultaneous use of both arms is associated with bilateral shoulder lesions verified by arthroscopy. By demonstrating the work-related bilateral shoulder involvement, this study suggests an etiopathogenesis for these lesions and provides rational for developing worksite prevention strategies.

Effective Arthroscopic Treatment of Huge and Anteriorly Extended Spinoglenoid Cysts

  • 박정호;이용석;이정용;김재균
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2008년도 제16차 학술대회
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    • pp.5-5
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    • 2008
  • Spinoglenoid cyst of the shoulder is a rare clinical entity and several treatment modalities have been reported. Recently, arthroscopy is effectively used via communication hole or posterior capsulotomy through the glenohumeral joint. With this method, the complete cystectomy is impossible if the cyst is a large size or extended anteriorly and there are few reports about such cases. We present extra-articular complete cystectomy through bursal space in 3 cases of huge and anteriorly extended spinoglenoid cysts. All patients were able to return to work with no restrictions and 2 patients who performed the follow up MRI demonstrated complete resolution of the cyst and some recovery of the mass of infraspinatus muscle.

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Arthroscopic Treatment for Septic Arthritis of the Shoulders in Neonates: A Case Report

  • Park, Kyoung-Jin;Lee, Hyung-Ki
    • Clinics in Shoulder and Elbow
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    • 제19권3호
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    • pp.163-167
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    • 2016
  • Septic arthritis in neonates is a rare condition. A failure to make an early diagnosis of septic arthritis in neonates may leave a permanent disability as a result of a delayed treatment. Thus, septic arthritis, requires a prompt diagnosis and a timely treatment especially in this subset of patients. In this case report, we describe our treatment protocol for septic arthritis and concurrent osteomyelitis in the right shoulder of a 28-day-old newborn. Using 2.4 mm wrist arthroscopy, we performed an arthroscopic irrigation and drainage, to remove intra-articular debris and inflammatory tissue, and multiple drilling. We report a satisfactory clinical outcome without any postoperative complications or side effects.

Clinical Application of Three-Dimensional Reconstruction in Shoulder Surgeries

  • Kim, Sung-Hwan;Ha, Seung-Joo
    • Journal of International Society for Simulation Surgery
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    • 제1권2호
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    • pp.67-70
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    • 2014
  • 3-D medical image reconstruction technique using computer simulation technology has been used in the knowledge of the anatomical features and the biomechanical characteristics with the advancement of computer hardware and software. Especially, the use of 3-D image reconstruction technique in orthopaedics demonstrates that this technique is useful to improve surgical technique as well as to help inform the knowledge of shoulder joint anatomy. The purpose of this article is to introduce the utilization of 3-D image technology in shoulder surgeries.

Biceps long head tendon revisited: a case report of split tendon arising from single origin

  • 김경천;이광진;신현대;변기용
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2008년도 제16차 학술대회
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    • pp.165-165
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    • 2008
  • A 27-year-old, right-hand-dominant woman with a posttraumatic anterior shoulder dislocation 3 months earlier after traYc accident presented because of pain and limited range of motion in the right shoulder. On physical examination, the patient had negative instability tests and a sulcus sign. On arthroscopic examination, a bifurcate long biceps tendon with two limbs was observed about 1 cm distal to the origin in the supraglenoid tubercle. We found no evidence of a tear in the long biceps tendon on probing, and the margin of each limb was smooth and round. Although this anatomic variant may be benign, its presence might be associated with other shoulder pathology. It is interesting to speculate whether the aberrant biceps anatomy in our patient contributed to transfer of injury at dislocation to the rotator cuff rather than to the classic anterior-inferior capsulolabral complex. In addition, recognition of the described anatomic variant on arthroscopy can aid the shoulder surgeon in focusing treatment on the actual pathology.

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Characteristics of Magnetic Resonance Arthrography Findings in Traumatic Posterosuperior Rotator Cuff Tears

  • Cho, Yung-Min;Kim, Sung-Jae;Oh, Jin-Cheol;Chun, Yong-Min
    • Clinics in Shoulder and Elbow
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    • 제18권4호
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    • pp.211-216
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    • 2015
  • Background: Few studies have investigated magnetic resonance (MR) characteristics of traumatic posterosuperior rotator cuff tears involving the supraspinatus and infraspinatus. We hypothesized that traumatic rotator cuff tears may have MR characteristics distinguishable from those of non-traumatic tears. Methods: Preoperative MR arthrography and intraoperative tear size measurements were compared in 302 patients who underwent MR arthrography and subsequent arthroscopic rotator cuff repairs for traumatic (group T, 61 patients) or non-traumatic (group NT, 241 patients) tears. The inclusion criteria for both groups were posterosuperior full-thickness rotator cuff tear and age between 40 and 60 years. For group T, traumas were limited to accidental falls or slips, or sports injuries, motor vehicle accidents; injuries were associated with acute onset of pain followed by functional shoulder impairment; and time between injury and magnetic resonance imaging (MRI) was 6 weeks or less. Results: In group T, 72.1% of shoulders (44 patients) had tendon tears with blunt edges while 27.9% of shoulders (17 patients) had tears with tapering edges. In contrast, 21.2% of patients in group NT (51 patients) had blunt-edge tears, while 78.8% (190 patients) of tears had tapering edges. These results were statistically significant (p<0.001) and estimated odds ratio was 9.6. The size of tear did not vary significantly between groups. Conclusions: We found no exclusive MR characteristic to define traumatic tears. However, oblique coronal MRI of traumatic tears showed a significant tendency for abrupt and rough torn tendon edges and relatively consistent tendon thicknesses (without lateral tapering) compared to non-traumatic cuff tears.

Arthroscopic Hybrid Double-Row Rotator Cuff Repair

  • Kim, Kyung-Cheon;Rhee, Kwang-Jin;Shin, Hyun-Dae;Byun, Ki-Yong
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2007년도 제15차 대한견주관절학회 및 제3차 Mayo Asia Elbow Club 합동 학술대회
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    • pp.111-111
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    • 2007
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