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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Clinics in Shoulder and Elbow
Journal Basic Information
Journal DOI :
Korean Shoulder and Elbow Society
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Volume & Issues
Volume 10, Issue 2 - Dec 2007
Volume 10, Issue 1 - Jun 2007
Selecting the target year
Traumatic Anterior Instability: Failed Repairs and Complicated Problems
Kim, Young-Kyu ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 1~9
DOI : 10.5397/CiSE.2007.10.1.001
Discriminate between Traumatic and Degenerative Rotator Cuff Lesion in Rotator Cuff Injury Patient
Youn, Te-Hyun ; Moon, Young-Lae ; Kim, Jeoung-Ho ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 10~16
DOI : 10.5397/CiSE.2007.10.1.010
Arthroscopic Treatment for Lateral Epicondylitis of the Elbow
Jeon, In-Ho ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 17~22
DOI : 10.5397/CiSE.2007.10.1.017
Glenoid lesion in Traumatic Anterior Instability of Shoulder
Lee, Seoung-Joon ; Park, Jin-Young ; Keum, Jung-Sup ; Ye, Meng ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 23~26
DOI : 10.5397/CiSE.2007.10.1.023
What are Valuable Positive Signs of Supraspinatus Test for Diagnosis of Torn Rotator Cuff? - Comparison of Pain and Weakness in "Empty Can Test" and "Full Can Test" -
Shin, Hun-Kyu ; Kim, Eu-Gene ; Jeong, Hwa-Jae ; Kim, Jong-Min ; Choi, Jae-Yol ; Lee, Yong-Taek ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 27~32
DOI : 10.5397/CiSE.2007.10.1.027
Purpose: To investigate the validity of positive signs of supraspinatus test. Materials and Methods: The empty can test and full can test were performed on 200 shoulders which were diagnosed with magnetic resonance imaging or surgical findings as full thickness tear, partial thickness tear and no tear. Presence of pain, weakness, pain or weakness, and both pain and weakness were recorded as positive signs separately. The two tests with positive signs were compared and analyzed. Results: Pain and weakness were severity-dependent, and the empty-can test had a higher incidence of pain. The sensitivities of the two supraspinatus tests in all positive signs were higher when including partial-thickness tears in the tear group; however, their specificities were higher when excluding partial-thickness tears. The sensitivities of an empty-can test in `pain`, `pain or weakness`, `both pain and weakness` were higher than those of the full-can test, otherwise, the specificity of the full-can test for `pain` and `pain or weakness` were higher. Concordance rate between `pain or weakness` and `pain` was the highest in all categorization. Conclusion: Both empty can and full can test were valuable for detecting torn rotator cuff.
Medial Anterior-inferior Capsular Shift in Multidirectional Shoulder Instability
Chung, Soo-Tai ; Park, Jai-Hyung ; Kim, Hyoung-Soo ; Yoo, Jeong-Hyun ; Kim, Joo-Hak ; Ji, Jeong-Min ; Jo, Hwan-Hee ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 33~41
DOI : 10.5397/CiSE.2007.10.1.033
Purpose: The purpose of this study was to prove the effectiveness of the open medial (glenoid-based) anterior-inferior capsular shift in patients with multidirectional shoulder instability. Materials and Methods: We reviewed 19 patients treated by medial anterior-inferior capsular shift for multidirectional shoulder instability from March, 1998 to December, 2003. 15 patients of them have experienced recurrent dislocation. 8 patients(42%) showed bilateral laxity and 11 patients(58%) generalized ligamentous laxity, and 2 patients(10.5%) voluntary subluxation. An average follow-up was 24 months (range :
months). Results: Pain improved in 18 patients of all. There was an average loss of 10 degree of external rotation, but no limitation of activity of daily living. There was no redislocation and subluxation, but two patients had some apprehension in sports activity. With Rowe score, the result was excellent or good in all patients. There were hematoma and local skin problem in 1 patient, but all had healed up. Conclusion: Medial anterior-inferior capsular shift in multidirectional shoulder instability provided satisfactory results in pain relief, patient`s satisfactions and stability of glenohumeral joint. Though some of them have anterior gleniod deformities and large Hill-Sachs lesions, we could get good stabilities.
The Thickness of Normal and Repaired Rotator-cuff Measured in MRI
Kim, Jung-Man ; Kim, Yang-Soo ; Kwon, Yong-Jin ; Yoo, Ju-Seok ; Jung, Hyun-Woo ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 42~49
DOI : 10.5397/CiSE.2007.10.1.042
Purpose: To compare the thickness of the repaired full-thickness rotator-cuff tear to that of normal rotator-cuff in young and old persons and evaluate the relationship between the tear size and the repaired thickness in the full-thickness tear using MRI. Materials and Methods: The thickness of the rotator-cuff of the repaired full thickness tear(age:
, mean 63.3 years, 19 patients: group 1) were compared with those of old intact patients(age:
, mean 57.9 years, 23 patients: group 2) and young intact patients (age:
, mean 23.3 years, 22 patients: group 3). The tear length and width was measured in oblique coronal and oblique sagittal view of MRA, respectively, and the thickness was measured in coronal oblique view 15mm anterior to the posterolateral margin of the glenoid. Correlation between the preoperative tear size (the bigger one between the length and the width) and the postoperative thickness in group 1 was also evaluated statistically. Results: The postoperative rotator-cuff thickness in group 1 was 3.0 mm in average, which was inversely proportional to the preoperative tear size (P<0.001). The rotator-cuff thickness was 3.9mm in group 2 and 5.0mm in group 3, and there was statistically significant difference among the three groups(P<0.05). Conclusion: The rotator-cuff thickness decreases with age and the postoperative thickness in the full-thickness tear was inversely proportional to the tear size, smaller than that of the intact rotator-cuff.
Arthroscopic Resection of Synovial Plica in Elbow
Yoo, Yon-Sik ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 50~58
DOI : 10.5397/CiSE.2007.10.1.050
Purpose: To report our experience with nine cases of pathologic synovial plica on radiohumeral joint which symptom of painful snapping elbow was improved by arthroscopic resection. Materials and Methods: Between 1999 and 2004, 43 cases of elbow arthroscopy were performed by one surgeon. Eight patients with nine cases showed pathologic synovial plica in conjunction with snapping or posterolateral elbow pain. The mean age of eight patients (man: 7, woman: 1) was 29 years (range
years). All patients had a trial of conservative treatment at least six months (range
months). The diagnosis was confirmed before surgery in six cases and at the time of surgery in three cases. Pain, snapping, and subjective results were evaluated at least 12 months in the average(range
). Results: All patients showed a hypertropic lateral synovial plica with local synovitis. Seven of them had an associated lesion of chondromalacia on radial head. One of them was associated with radiocapitellar arthritis and had a wrapping over the radial head. Six patients experienced improved posterolateral pain at the end of study (VAS<1). However, the other two patients had occasional pain with activity. One of them persisted with mechanical symptoms, which was treated with additional arthroscopic procedure. Conclusion: Synovial plica in elbow should be considered as an important entity of common elbow disease, especially when pain in the lateral aspect of the elbow with a snapping sensation during motion is featured in patients. The arthroscopic resection seems to be safe and efficient in the short and long term treatment of plica in the elbow joint.
Arthroscopic Repair of Type II SLAP Lesion with Bioabsorbable Knotless Suture Anchor: Surgical Technique and Clinical Results
Lee, Chae-Chil ; Kim, Sung-Jae ; Hwang, Chang-Ho ; Seo, Dong-Kyo ; Ko, Sang-Hun ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 59~64
DOI : 10.5397/CiSE.2007.10.1.059
Purpose: The purpose of this study was to evaluate the results of bioabsorbable knotless suture anchoring for isolated type II SLAP. Materials and Methods: Fourteen patients with isolated type II SLAP underwent a surgical repair with bioabsorbable knotless anchor arthroscopically. Instability, rotator cuff tears or simple subacromial decompression were excluded. The UCLA and pain of VAS (Visual Analogue Scale), ADL (Activity of Daily Living, from the American Shoulder and Elbow Society) were evaluated and patients underwent a thorough shoulder examination at a minimum follow-up period of 2 years postoperatively. Results: At a mean of 27.1 months follow-up. The mean UCLA score improved from 14.4 pre-operatively to 31.2 on last follow-up. The mean VAS for pain was 4.9 and on last follow-up 1.0. The mean VAS for instability was 2.6 and on last follow-up 0.5. The mean ADL was 10.4 and on last follow-up 25.0. 12 patients reported their satisfaction as good to excellent and 10 of the 14 patients returned to their pre-injury level of activity (athletics) (P<0.05). Conclusion: Arthroscopic repair with bioabsorbable knotless suture anchors is an effective surgical technique for the treatment of an isolated unstable type II SLAP lesion. Overall satisfaction was only 85.7%. 1 patient had severe stiffness and 1 patient had shoulder pain.
Correlation of Clinical Outcome and Cuff Integrity after Open Repair in Large and Massive Rotator Cuff Tears
Noh, Haeng-Kee ; Wang, Joon-Ho ; Kim, Dong-Hwee ; Park, Jong-Woong ; Kim, Jae-Gyoon ; Park, Jung-Ho ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 65~72
DOI : 10.5397/CiSE.2007.10.1.065
Purpose: To evaluate the relationship between the clinical outcome and the cuff integrity following open repair in large and massive rotator cuff tears using ultrasonography as an imaging modality. Material and Methods: From November 2001 to April 2005, 17 cases(16 patients) who had open repair of tear measuring more than 3cm were assessed with minimal follow-up of 12 months in this study. 6 cases had a large tear and 11 cases a massive tear. There were 6 men and 11 women with a mean age of 52 years at surgery (range, 33 to 72 years). The evaluation consisted of the preoperative and postoperative shoulder scores according to UCLA shoulder scoring system and Visual analogue scale (VAS). Ultrasonography was performed by a experienced musculoskeletal physician at a minimum of 12 months postoperatively to evaluate the postoperative cuff integrity. Results: Retear were detected in four of seventeen cases. Regardless of the presence of recurrent tear, 14 cases had UCLA score of more than 29 points (good grade). All 17 had an improvement in the functional score, which increased from an average of 15.1 to 31.2 points. All cases showed pain relief and five cases had no pain. Sixteen cases except one had the range of motion of forward elevation above
. Conclusion: Open rotator cuff repair in large and massive tears showed low retear rate. At a minimum of twelve months follow-up, all cases had improvement on UCLA score, pain relief, increased range of motion of the shoulder regardless of retear. And the correlation between recurrent tear and function score was not statistically significant.
Arthroscopic Repair of Type II SLAP lesion with Bio-knotless Anchor
Yum, Jae-Kwang ; Chung, Hyung-Jin ; Ra, Ho-Jong ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 73~77
DOI : 10.5397/CiSE.2007.10.1.073
Purpose: This study reports the clinical results of the arthroscopic repair of type II SLAP lesion with bio-knotless anchor. Materials and Methods: 25 cases of 25 patients (20 male, 5 female) were included in this study. The average age was 44.5 years old. Preoperative ASES score was average 44. Arthroscopic SLAP repair with 1 or 2 bio-knotless anchors were performed in all cases. The average follow up period was 15 months. Results: The ASES score improved to average 92.7 at last follow up period and 23 cases had full range of motion of the shoulder. 2 case had mild limited range of motion of the shoulder without any problem in normal activity. Conclusion: Arthroscopic repair with bio-knotless anchor in type II SLAP lesion is one of the good methods because of the good clinical results.
Tenodesis of Long Head of the Biceps Brachii Tendon with Bioabsorbable Interference Screw
Yum, Jae-Kwang ; Sin, Yong-Woon ; Lee, Sang-Jin ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 78~83
DOI : 10.5397/CiSE.2007.10.1.078
Purpose: This study reports the clinical results of the tenodesis of long head of the Biceps brachii tendon with bioabsorbable interference screw by minimal open procedure. Materials and Methods: Ten cases of 10 patients (7 male, 3 female) were included in this study. The average age was 45.8 years old and the average period from the symptom onset to operation was 13.7 months. Average preoperative ASES score was 38.5. The causes of injury was; sports activities in 4 patients, unknown in 4 patients, industrial accident in 1 patient and traffic accident in 1 patient. The average follow up period was 12.1 months. Tenodesis with bioabsorbable interference screw by minimal open precedure was performed in all cases. Results: The ASES score improved to 87.5 at last follow up period and 6 cases had full range of motion of the shoulder. 4 cases had mild limited range of motion of the shoulder without any problem in normal daily activity. Conclusion: It was assumed that tenodesis of long head of the biceps brachii tendon with bioabsorbable interference screw by minimal open precedure was one of the good methods with good clinical results.
Metallic Radial Head Prosthesis in Korea
Han, Sang-Hwan ; Moon, Jun-Gyu ; Park, Jong-Wong ; Jang, Ki-Mo ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 84~91
DOI : 10.5397/CiSE.2007.10.1.084
Purpose: The aim of this study was to report seven cases of metallic radial head prosthesis and present the limit of use in Korea. Materials and Methods: Metallic radial head arthroplasty was performed on 7 patients between April 2006 and December 2006, who had complex elbow injury including comminuted radial head fracture. Indication, operative findings and outcome were assessed. Availability and payment of implant were investigated. Results: All of the patients had more than one associated injury including coronoid fracture, olecranoan fracture, and ligament ruptures. According to Mason classification, there were three type III and four type IV fractures. All radial head fractures were too comminuted to reconstruct. There were two excellent results, four good, and one poor, as graded by Mayo score. There were no patient with instability and implant related complications. Insufficient supply of implant did not enable to do scheduled surgery in 2 cases. Current medical insurance did not cover charge for radial prosthesis, five patients could not help paying for that by themselves. Conclusion: Metallic radial head implants are useful when the radial head cannot be repaired reliably. Preoperative preparing and coverage by medical insurance based on appropriate indication are helpful for decision for a treatment option.
The Short Term Clinical Follow-up Study for Hemiarthroplasty in Proximal Humeral Fracture
Sung, Chang-Meen ; Cho, Se-Hyun ; Jung, Soon-Taek ; Hwang, Sun-Chul ; Park, Hyung-Bin ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 92~98
DOI : 10.5397/CiSE.2007.10.1.092
Introduction: The treatment of proximal humeral fracture is traditionally determined by Neer`s classification system. The severely displaced three-part or four-part fracture is an indication for primary hemiarthroplasty. The current authors report the clinical results of 10 patients who received hemiarthroplasty for proximal comminuted fractures. The minimum follow-up period was 12 months. Materials and Methods: The current authors studied 10 patients who, between July 1999 and March 2005, each received hemiarthroplasty for a proximal humeral fracture of one shoulder. According to Neer`s classification system, 5 of the patients had three-part fractures, and 5 of the patients had 4-part fractures. The mean interval between trauma and hemiarthroplasty was 6.1 days. The mean age of the 6 female and 4 male patients was 67.4 years(range: 56 to 76). Shoulder function was evaluated using the Constant score, the Simple Shoulder Test, and the modified UCLA score. Results: The mean Constant score was 51.4(range: 34 to 60). The mean modified SST score was 7.8 out of 12 tasks. Excluding the one patient who had also sustained an axillary artery rupture and a brachial plexus injury after the initial trauma, the mean Constant score for the remaining 9 patients was 53.5(range: 44 to 60), and the mean SST score was 7.2 tasks. The modified UCLA score averages for pain, function, and active forward flexion and strength were, respectively, 8.2(
), and 6.9(
). The total UCLA score was an average of 21.7(
). Patients` the modified UCLA ratings were as follows: Excellent: 3, Good: 6, and Poor: 1. The patient with the poor outcome was the one who had also sustained the neurovascular injury. Patient`s subjective satisfaction rating were as follows: Excellent: 2, Good: 7, and Poor: 1. Conclusion: Based on short term follow-up results, this study indicates that hemiarthroplasty is the treatment of choice for proximal humeral fractures on which it would be difficult to perform open reduction and internal fixation. Hemiarthroplasty is a useful treatment modality to prevent shoulder stiffness and to allow daily living tasks in elderly patients. However, restoration of muscle power and range of joint motion were not recovered satisfactorily.
Dynamic Morphologic Study of the Ulnar Nerve Around the Elbow Using Ultrasonography
Jeon, In-Ho ; Lee, Seong-Man ; Choi, Jin-Won ; Kim, Poong-Tak ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 99~105
DOI : 10.5397/CiSE.2007.10.1.099
Purpose: The morphological study and dynamic stability of the ulnar nerve around the elbow joint was investigated in asymptomatic normal population using ultrasonography. The purpose of this study is to provide fundamental data for ultrasonographic diagnosis of ulnar neuropathy in cubital tunnel syndrome. Materials and Methods: Fifty cases of 25 healthy male volunteers, aged between 20 to 30 years, included in this study. High resolution 7.5 MHz linear probe was used to examine the ulnar nerve in axial and longitudinal views. In a longitudinal view, the course, position and the thickness of nerve were monitored, the diameter of ulnar nerve and dynamic stability at elbow flexion and extension were measured in an axial view at four different points; 1cm proximal to medial epicondyle, behind the medial epicondyle, entrance to Osborne ligament, and 1cm distal to Osborne ligament. Results: The short diameters of ulnar nerve at elbow extension at four anatomic points were 2.66 mm, 2.97 mm, 2.64 mm, and 2.69 mm and the long diameters were 4.61 mm, 4.56 mm, 4.36 mm, and 4.37 mm, which showed no significant change at each point. However, at elbow flexion, the short diameters were changed to 2.72 mm, 2.34 mm, 2.65 mm, and 2.41 mm and the long diameters into 4.49 mm, 5.40 mm, 4.16 mm, and 4.66 mm. At elbow flexion, significant morphologic change was observed in the medial epicondyle area, and the diameter of the ulnar nerve was shortest at the entrance of Osborne ligament both at flexion and extension. In terms of dynamic stability, nine subluxations and seven dislocations were observed. Conclusion: This study shows dynamic instability and a morphological change of long and short diameters of ulnar nerve at flexion and extension in a normal person, which should be considered in the ultrasonographic diagnosis of ulnar neuropathy.
The Usefulness of all Arthroscopic Repair with Biceps Incorporation in Massive Sized Fullthickness Rotator Cuff Tears
Ko, Sang-Hun ; Rhee, Young-Girl ; Jeon, Hyung-Min ; Lee, Chae-Chil ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 106~111
DOI : 10.5397/CiSE.2007.10.1.106
Purpose: The purpose of this paper is to clinically evaluate the usefulness of all arthroscopic repair with biceps incorporation in massive sized full thickness rotator cuff tears. Materials and Methods: This is a prospective comparative outcome study evaluating a series of all arthroscopic rotator cuff repairs with biceps incorporation on massive(range:
sized) from March 2003 to May 2006. Group I was twenty two cases of arthroscopically repaired with biceps incorporation, twenty cases of group II without biceps incorporation were analyzed. The average age of the patients was 58 years(range,
years), and mean follow-up was 24 months(range,
months). Results were statistically compared by Mann-Whitney test. Results: Average VAS for pain, ADL, UCLA score were not significantly different between group I and group II (P>0.05 for each). Forward elevation strength was 4.3 in group I, 3.5 in group II(P<0.05). On postoperative follow up ultrasound, retear was 10 cases in the middle of 19 cases at group I, 15 cases in the middle of 17 cases at group II (P<0.05). Conclusion: This study reveals that all arthroscopic repairs with biceps incorporation in massive sized full thickness rotator cuff tears is an effective surgical method and reduced retear and enhanced strength.
Polarus Intramedullary Nail for Nonunion of Humerus neck
Kang, Ho-Jung ; Kim, Sul-Gee ; Yoon, Hong-Kee ; Hahn, Soo-Bong ; Kim, Sung-Jae ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 112~123
DOI : 10.5397/CiSE.2007.10.1.112
Purpose: Evaluate the clinical results of humerus neck nonunion treated with Polarus intramedullary nail. Materials and Methods: 8 patients who underwent surgery for nonunion of humerus surgical neck fracture were included. All patients were female, the average age was 65 years. 5 out the total 8 cases initially received surgery, open reduction and internal fixation with metal plate in 1 case, Ender nail insertion in 2 cases, external fixator in 1 case and closed reduction and percutaneous pinning in 1 case. The other 3 non union cases initial received conservative managemnent. The average period of nonunion was 9 months in the operated group and 6.2 months in the conservative group. All 8 cases received closed reduction with intrameedullary Polarus nail and auto iliac bone graft. Union was confirmed radiologically, and functional evaluation was done with the UCLA functional criteria. Results: All 8 cases showed union on radiologic evaluation. Average time to union was 3.5 months, average follow up period was 27 months. Average UCLA shoulder evaluation score was 7.6 points preoperatively which improved to 26.3 points after surgery. Active shoulder flexion was 40.7 degrees preoperatiely which increased to 104 degrees after surgery. Shoulder abduction improved from 32.9 degrees preoperatively to 96.3 degrees after surgery. UCLA functional criteria was good in 5 cases and fair in 3 cases, which no poor cases. Conclusion: Polarus IM nailing and AIBG is a useful method for treating nonunion of humerus neck fracture with improvement in union and function.
Acromioclavicular Separation with the Fracture of the Coracoid Process - 2 Cases report -
Yoo, Jae-Ho ; Hahn, Sung-Ho ; Yang, Bo-Kyu ; Ahn, Young-Jun ; Zoo, Min-Hong ; Yi, Seung-Rim ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 124~130
DOI : 10.5397/CiSE.2007.10.1.124
The acromioclavicular separation (AC separation) is a common injury, which is often accompanied by the rupture of the coracoclavicular ligament (CC ligament) in severe occasions. In rare forms of AC separation, the fracture of the coracoid process would occur rather than the rupture of the CC ligament. Only 31 cases of such injury have been reported in the English literature. We present 2 additional cases with literature review. The fracture of the coracoid process is not readily seen on anteroposterior shoulder radiograms. Severe AC separation without widening of CC distance on anteroposterior shoulder radiogram heralds the fracture of the coracoid process.
Isolated Anterior Dislocation of the Radial Head in Adult - A Case Report -
Heo, Youn-Moo ; Kim, Woo-Sik ; Kim, Sung-Hun ; Jeon, Teak-Soo ; Kim, Sang-Bum ; Oh, Byung-Hak ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 131~135
DOI : 10.5397/CiSE.2007.10.1.131
We report an isolated anterior dislocation of the radial head in a 23-year-old man after a fall on the outstretched arm. At the time of the injury, the patient`s elbow was in a position of mild flexion and pronation which was suddenly further pronated as he fell down. The radial head was incarcerated by the lateral portion of brachialis muscle, and annular ligament was interposed between capitellum and radial head. Open reduction was performed. During 12 months follow-up, reduction of radial head was well maintained without a limitation of range of motion.
Life-threatening Airway Edema after Arthroscopic Repair of Massive Rotator Cuff Tear - A Case Report -
Moon, Young-Lae ; Yu, Byung-Sik ; So, Keum-Young ; Lim, Kyung-Joon ; Kang, Jeong-Hoon ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 136~139
DOI : 10.5397/CiSE.2007.10.1.136
Shoulder arthroscopic surgeries are an accepted technique for many shoulder disease and have many advantages over open surgeries. To date, shoulder arthroscopic surgery have been rare complications that compromise patient airway, caused by the leakage of irrigation fluid out of the shoulder joint space into the surrounding soft tissues and then the neck and the pharynx. This report presents a case of life-threatening airway obstruction due to extra-articular saline collection during arthroscopic rotator cuff repair. In concluding we should hourly check the patient`s neck swelling undergoing shoulder arthroscopic surgery, because anesthetized patients cannot complain of the airway problem may progress until it becomes life-threatening.
Arthroscopic Treatment of Pigmented Villonodular Synovitis of the Shoulder - A Case Report -
Lee, Seoung-Joon ; Yoo, Jae-Chul ; Lim, Kyung-Sub ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 140~145
DOI : 10.5397/CiSE.2007.10.1.140
Pigmented villonodular synovitis(PVNS) is a benign proliferative lesion, involving synovial tissue in joints, tendon sheaths, and bursae. Pigmented villonodular synovitis is a rare and usually monoarticular condition and primarily affects the knee joint and hand. Polyarticular PVNS appears in less than 1% of all case and its occurrence in the shoulder is rare(<2%). We present a 64-year-old male who had pigmented villonodular synovitis of both shoulder joints, which was treated by arthroscopic total synovectomy.
Surgical therapy of Sprengel deformity by Woodward procedure - A case report -
Lee, Chae-Chil ; Cho, Sung-Do ; Kang, Byeong-Seong ; Kim, Sang-Woo ; Ko, Sang-Hun ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 146~149
DOI : 10.5397/CiSE.2007.10.1.146
Congenital undescended scapula is congenital structural abnormality which affects only one side usually. Scapula located higher than the usual and rotating deformity that inferior angle to medial side, superior angle to lateral side is common. This report presents one case of the surgical therapy of a sprengel deformity patient who passed an optimal operation period with age
years old, and includes brief review of the literature. 7 years old boy whose chief complaint was the limitation of left scapular-thoracic movement and he had an omovertebral bone bridge and periscapular muscle atrophy. There was improvement of motion ranges and cosmetic problems after surgical treatment.
Shoulder and Elbow Fellowship Report at Kyungpook National University Hospital 2007
Kochhar, Hemanshu ;
Clinics in Shoulder and Elbow, volume 10, issue 1, 2007, Pages 150~154
DOI : 10.5397/CiSE.2007.10.1.150