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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
Editor in Chief :
Volume & Issues
Volume 11, Issue 2 - Dec 2008
Volume 11, Issue 1 - Jun 2008
Selecting the target year
Physical Examination of Shoulder Instability
Kim, Jae-Hwa ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 1~5
DOI : 10.5397/CiSE.2008.11.1.001
Shoulder instability is generally diagnosed from a detailed history, physical examination and various radiological studies. Although, a physical examination is essential for making a diagnosis, it is quite difficult. For a precise physical examination, a thorough anatomical knowledge and a great deal of experience is needed. In addition, normal translation and pathologic laxity should be differentiated. An anatomical and biomechanical understanding of a stable and unstable shoulder joint and a precise physical examination are needed to determine the direction and extent of the instability as well as to diagnose the associated lesions and improve the surgical results.
Physical Examination in SLAP Lesion
Yoo, Jae-Chul ; Kang, Hong-Je ; Koo, Kyung-Hawn ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 6~12
DOI : 10.5397/CiSE.2008.11.1.006
With the increasing use of arthroscopy and MRI for the diagnosis of shoulder problems, SLAP (superior labrum from anterior to posterior) lesions are more commonly diagnosed, and the incidence of SLAP repair surgery is increasing. Clinical diagnosis of SLAP is difficult to achieve, and many specific physical exam maneuvers have been described. However, neither these exam maneuvers nor history can provide a definitive diagnosis of a SLAP lesion. Despite this limitation, it is helpful to establish a more precise and accurate examination and to construct a preoperative plan. The purpose of this article is to review the original descriptions for specific physical exam maneuvers in SLAP, along with statistical analysis where available. This will help clinicians in deciding which tests are useful, how they should be implemented, and how to interpret the results.
Physical Examinations of Rotator Cuff Tear
Kim, Kyung-Cheon ; Rhee, Kwang-Jin ; Shin, Hyun-Dae ; Byun, Ki-Yong ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 13~18
DOI : 10.5397/CiSE.2008.11.1.013
Successful treatment of any pathological condition of the shoulder requires an accurate diagnosis. Physical examination represents an integral part of the assessment of shoulder disorders. Pain, loss of strength, decreased range of motion, and instability are the most common symptoms caused by a great variety of different shoulder pathologies. Therefore, a sophisticated clinical approach to the patient with shoulder pathology is essential. A standardized evaluation including a variety of diagnostic tests and clinical assessments improves the diagnostic accuracy by specifically examining one component of the shoulder complex. In most cases a careful physical examination will establish or suggest a diagnosis and special investigative techniques such as imaging procedures can be applied more selectively for confirmation or further evaluation of the pathological entity.
Bursoscopic Finding in Primary Adhesive Capsulitis of the Shoulder
Nam, Ki-Young ; Moon, Young-Lae ; Kim, Dong-Hui ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 19~23
DOI : 10.5397/CiSE.2008.11.1.019
Purpose: To evaluate the bursoscopic findings of refractory primary adhesive capsulitis of the shoulder and to determine the clinical correlation. Materials and Methods: Arthroscopic capsular release was performed in 21 refractory adhesive capsulitis patients who had not responded to conservative treatment. The VAS for pain, range of motion, UCLA score was checked before and after surgery, and at the last follow up. Results: Bursitis, mild friction and impingement on coracoacromial ligament, as well as adhesion were observed. The function and pain improved earlier than after simple acromiohumeral joint capsular release. Conclusion: Subacromial bursoscopy helps rule out a hidden secondary frozen shoulder or secondary changes with primary adhesion. In addition, it has the advantage of being both a treatment and procedure for making a prognosis.
Preoperative Three Dimensional Ultrasonographic Evaluation of the Rotator Cuff Tear
Yum, Jae-Kwang ; Sin, Yong-Woon ; Han, Jung-Il ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 24~28
DOI : 10.5397/CiSE.2008.11.1.024
Purpose: We wanted to determine if preoperative three dimensional (3D) ultrasonographic evaluation for rotator cuff tear is useful to measure the real size of a torn rotator cuff for performing an operation Materials and Methods: This study included 15 cases (7 males and 8 female), and these patients were confirmed to have a full thickness tear of the rotator cuff by 3D ultrasonography and the operative findings, as well as on the magnetic resonance imaging (MRI). The average age of the patients was 55.4yrs. Results: The average difference between the 3D ultrasonographic and operative measurements of the full thickness tear of the rotator cuff was 0.7 mm in the transverse length and 2.0 mm in the longitudinal length. Conclusion: The low error between the 3D ultrasonographic and intraoperative measurements of rotator cuff tear shows the usefulness of preoperative 3D ultrasonographic evaluation for rotator cuff tear.
Clinical Outcome and Causative Factor in Patients of Structural Failure after Rotator Cuff Repair
Chun, Jae-Myeung ; Song, Jung-Suk ; Sohn, Dong-Wook ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 29~36
DOI : 10.5397/CiSE.2008.11.1.029
Purpose: We wanted to evaluate the relationship between the clinical outcomes and cuff integrity after open rotator cuff repair and we wanted to analyze the causes of rotator cuff retear. Materials and Methods: 78 patients who underwent open rotator cuff repair were enrolled from 2004 to 2006. All the patients were observed for a minimum follow-up of 12 months and they were evaluated by magnetic resonance imaging (MRI). The clinical outcomes were accessed by dividing the patients into the retear group and the intact group. The groups were also compared to analyze the cause of rotator cuff retear according to the preoperative tear size, the symptom duration, and so on. Results: The clinical outcome of the retear group (n
Normal Glenoid Size of the Korean in 7th and 8th Decades
Moon, Young-Lae ; Ha, Sang-Ho ; Noh, Kyung-Hwan ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 37~40
DOI : 10.5397/CiSE.2008.11.1.037
Purpose: We wanted to evaluate the normal glenoid size of Koreans in their 7th and 8th decades by conducting Computed tomographic (CT) studies. Materials and Methods: The CT images were obtained from the normal scapulae of the patients (mean age: 68.8) who had humeral fracture. A display workstation version 18.104.22.1685 was used to measure the scans to determine the maximal superoinferior (SI) and anteroposterior (AP) diameters of the glenoid vault. Results: The average diameters of curvature of the glenoid were 31.2 mm (range: 27 to 34 mm) in the superior-inferior direction and 26.1mm (range: 22 to 31mm) in the anterior-posterior direction. Conclusion: This study showed the normal glenoid size of Koreans and it is different from the size that the international literature reported. It should be an important factor for the treatment of fracture or in designing arthroplasty implants.
3.5 mm T-shaped LCP (Locking Compression Plate) Fixation for Unstable Distal Clavicular Fractures
Lee, Churl-Woo ; Kim, Hee-Chun ; Roh, Jae-Young ; Park, Young-Su ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 41~45
DOI : 10.5397/CiSE.2008.11.1.041
Purpose: To review the clinical and radiological results after an open reduction and internal fixation with a T-shaped LCP for unstable distal clavicle fractures. Materials and Methods: From February 2005 to June 2006, ten patients with distal clavicle Neer type II fractures were treated with an open reduction and internal fixation with a T-shaped LCP. Bony union was identified by plain radiography. The clinical results were analyzed according to the UCLA scoring system. Results: The mean time to fracture union was 9weeks and union was achieved in all cases. The mean UCLA score was 33.4 (30-35); excellent in 8 cases and good in 2 cases. In one case, loosening of one distal screw was occured and mild AC joint subluxation was observed in another case. Conclusion: 3.5 mm T-shaped LCP fixation is a useful technique for treating unstable distal clavicle fractures. This procedure provide stable fixation with no further AC joint injury.
Coracoclavicular Ligaments Reconstruction for Acromioclavicular Dislocation using Two Suture Anchors and Coracoacromial Ligament Transfer
Shin, Sang-Jin ; Roh, Kwon-Jae ; Jeong, Byoung-Jin ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 46~52
DOI : 10.5397/CiSE.2008.11.1.046
Purpose: This study examined the outcomes of reconstruction of the coracoclavicular ligaments with using two suture anchors and performing coracoacromial ligament transfer in patients with acromioclavicular dislocation. Material and methods: Forty patients with complete acromioclavicular dislocation were included in this study. According to the preoperative radiographs, 5 patients with AC dislocations were diagnosed as type III, 4 patients as type IV and 31 patients as type V. Two 3.5mm suture anchors with four strands of nonabsorbable sutures were separately placed on the anterolateral and posteromedial portion of the base of the coracoid process to stabilize the distal clavicle. The coracoacromial ligament was then transferred to the undersurface of the distal end of the clavicle for augmentation. Results: At a mean follow-up of 28 months, the average Constant score improved to 97 points. All the patients returned to normal life at an average of 3.2 months postoperatively. At the last follow-up, 37 patients achieved anatomical reduction and three patients showed complete redislocation. However, the clinical results of the patients with redislocation were satisfactory. Conclusion: Anatomical coracoclavicular reconstruction using two suture anchors and coracoacromial ligament transfer for treating complete acromioclavicular dislocation is a safe, effective procedure for restoring a physiologically stable acromioclavicular joint.
Intramuscular Cyst of the Rotator Cuff Associated with Tear of the Rotator Cuff - A Case Report -
Yoo, Jae-Chul ; Ha, Hae-Chan ; Kang, Hong-Je ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 53~56
DOI : 10.5397/CiSE.2008.11.1.053
Periarticular cysts in the shoulder joint are relatively rare. The most common are paralabral cysts, which can cause suprascapular nerve entrapment syndrome. Acromioclavicular juxtaarticular cysts have been described in association with full-thickness rotator cuff tears and a degenerated acromioclavicular joint. Intramuscular cysts of the rotator cuff are a relatively rare and unknown type of periarticular cyst. We report a case of an intramuscular cyst of the rotator cuff that was associated with a tear of the rotator cuff.
Operative Treatment of the Tuberculous Arthritis on the Sternoclavicular Joint - A Report of Two Cases-
Park, Jin-Young ; Kim, Jeong-Woo ; Chun, Churl-Hong ; Kwon, Seok-Hyun ; Choi, Yun-Hong ; Lee, Seok-Jung ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 57~61
DOI : 10.5397/CiSE.2008.11.1.057
Tuberculous arthritis on the sternoclavicular joint is an uncommon disease and a delayed diagnosis can be due to the obscure clinical symptoms. We should suspect tuberculous arthritis in patients with slowly progressive pain, swelling, mild fever and a previous history of tuberculosis. Early diagnosis is important through conducting a thorough physical examination and performing laboratory tests and radiologic study. Tuberculous arthritis on the sternoclavicular joint should be treated with a combination of systemic antituberculous agents and thorough surgical debridement in marked damaged joints. When performing this operation, it is important not only to minimized the injury of the costoclavicular ligament, but also to avoid injury to the surrounding the vital structures such as the mediastinum and pleura after aggressive resection or radical debridement. We describe here 2 cases of the tuberculous arthritis on the sternoclavicular joint: one case had a good result after surgical debridement with using an anti-tuberculous agent, and the other had fatal complications such as mediastinal abscess and pleural effusion after the operation.
Internal Fixation for Isolated Posterolateral Fracture of the Acromion - A Case Report -
Kwon, Young-Ho ; Jung, Gu-Hee ; Cha, Sang-Won ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 62~65
DOI : 10.5397/CiSE.2008.11.1.062
Isolated acromial fracture is not common and it frequently accompanies fractures to the coracoid process and glenoid bone and also injuries to the acromioclavicular joint. Furthermore, most of these combined acromial fractures have minimal displacement, which needs no additional treatment other than protection for a certain period of time. We have experienced a case of isolated fracture of the posterolateral angle of the acromion, which we reduced and fixated using K-wire and cannulated screws. We report on the technical aspects and clinical results of this reduction and fixation, along with a review of the literature.
Traumatic Forequarter Amputation - A Case Report -
Cho, Chul-Hyun ; Lee, Kyung-Jae ;
Clinics in Shoulder and Elbow, volume 11, issue 1, 2008, Pages 66~69
DOI : 10.5397/CiSE.2008.11.1.066
Traumatic forequarter amputation is an extremely rare and life-threatening injury. It is caused by blunt trauma or tremendous traction force, and the prognosis is very poor because of the involvement of massive associated injury. Traumatic forequarter amputation has been rarely reported in the English language clinical literature, but has never been reported in Korea. We report a case of traumatic forequarter amputation caused by a conveyor belt that was treated with emergency resuscitation and surgery, with an accompanying review of the literature.