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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Clinics in Shoulder and Elbow
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Journal DOI :
Korean Shoulder and Elbow Society
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Volume & Issues
Volume 14, Issue 2 - Dec 2011
Volume 14, Issue 1 - Jun 2011
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A Mid-Term Reults of Arthroscopic Versus Open Repair for Large and Massive Rotator Cuff Tears
Wang, Seong-Il ; Park, Jong-Hyuk ;
Clinics in Shoulder and Elbow, volume 14, issue 2, 2011, Pages 222~228
DOI : 10.5397/CiSE.2011.14.2.222
Purpose: To compare the mid-term clinical results of arthroscopic and open repair for large to massive rotator cuff tear. Materials and Methods: We retrospectively reviewed 48 patients who underwent either arthroscopic or open repair for large to massive rotator cuff tear. 28 patients underwent arthroscopic repair and 20 patients had open repair. The clinical outcome for the 2 groups was evaluated using range of motion, Visual Analogue Scale (VAS) for pain and function, American Shoulder and Elbow Society (ASES) score and Korean Shoulder Scoring System (KSS) score. Results: The range of motion, VAS for pain and function and ASES score was improved significantly in both groups at the final follow-up visit compared with preoperative values. However, there were no significant differences between the two groups statistically (p>0.05). There were no significant differences between the two groups statistically at the final follow-up KSS score (p>0.05) either. Conclusion: We could obtain improved mid-term clinical outcomes in both arthroscopic repair and open repair without any statistically significant differences between the two groups.
New Method and Clinical Results of Arthroscopic Mattress-Locking Suture for Small and Medium sized Rotator Cuff Tear
Ko, Sang-Hun ; Park, Hang-Chang ; Lee, Chae-Chil ; Kim, Sang-Woo ; Lee, Seon-Ho ; Cha, Jeo-Ryung ;
Clinics in Shoulder and Elbow, volume 14, issue 2, 2011, Pages 229~235
DOI : 10.5397/CiSE.2011.14.2.229
Purpose: To compare the clinical and radiological result of arthroscopic Mattress Locking suture repair to that of a Simple suture repair with small and medium-sized rotator cuff tears. Materials and Methods: Among 92 patients who were followed up after arthroscopic repair in patients with small and medium-sized rotator cuff tear from April 2007 to October 2010, 27 patients who took Arthroscopic Mattress Locking suture were set as group I and 65 patients who took Simple suture were set as Group II. The average age of patients were 58 years old and average follow-up period was 30 months. For analysis, VAS, ASES and KSS were used to analyze the range of joint movement and pain. And, for the image result, MRI performed after operation were evaluated. Results: The average VAS, KSS, UCLA score and ASES prior to surgery improved in the last follow-up (p<0.001), while was no difference in two groups (p>0.001). In MRI follow-up examination, the 2 cases (7.41%) of group 1 showed increased rupture lesions with improved symptoms. And the 12 cases (18.47%) of group 2 showed increased rupture lesions with improved symptoms. Retears in the group I were significant less than the group II (p<0.001). Conclusion: Comparing patients with small and medium-sized rotator cuff tear who took arthroscopic mattress locking suture repair to those who took simple suture repair after over one year follow up period, the clinical result showed no significant difference between two groups. However, Mattress Locking suture repair showed excellent radiological result compared to simple suture repair when comparing rerupture.
Subluxation of the Long Head Biceps Tendon Diagnosed by Dynamic Ultrasound
Park, Sang-Eun ; Jung, Jae-Jung ; Lee, Yeon-Soo ; Kim, Young-Yul ; Kim, Myung-Jin ; Ji, Jong-Hun ;
Clinics in Shoulder and Elbow, volume 14, issue 2, 2011, Pages 236~241
DOI : 10.5397/CiSE.2011.14.2.236
Purpose: To report the usefulness of dynamic ultrasonography in subluxation of the long head of the biceps tendon, which is difficult to detect with static imaging such as plain radiography, static sonography, MRI and in a subtle physical examination. Materials and Methods: Two male patients suffered from subluxation of the long head of the biceps. This difficult diagnosis? was managed by surgery (biceps soft tissue tenodesis) with the aid of dynamic ultrasonography. At final follow up, we evaluated patients' symptoms and functional outcomes using KSS, UCLA and ASES scores. Results: We diagnosed and treated subluxation of the long head of the biceps easily using dynamic ultrasonography. At the final follow up, both patients' symptoms and functional outcomes were improved. There were no significant complications. Conclusion: Dynamic ultrasonography is a useful method in the difficult and subtle diagnosis of subluxation of the long head of the biceps.
Calcific Tendinitis of Shoulder Associated with Intraosseous Involvement -A Case Report-
Ku, Jung-Hoei ; Cho, Hyung-Lae ; Park, Man-Jun ; Kim, Jeong-Cheol ;
Clinics in Shoulder and Elbow, volume 14, issue 2, 2011, Pages 242~247
DOI : 10.5397/CiSE.2011.14.2.242
Purpose: We present an atypical case of calcific tendinitis of the shoulder with intraosseous loculation. Materials and Methods: A 59 year-old female complained of acute exacerbation of chronic left shoulder pain and restricted range of motion. Simple radiographs showed a subacromial calcific deposit and magnetic resonance imaging revealed cortical erosion with intraosseous extension of calcific material mimicking infection or tumor. She was managed with arthroscopic excision of the calcific deposit, curettage of the intraosseous lesion and subsequent rotator cuff repair with a suture anchor. Results: Her acute pain promptly subsided. Her rehabilitation was uneventful and she gained full range of motion. Radiographs five months after the operation showed no recurrence of calcific material. Conclusion: Calcific tendinitis of the shoulder can present with a variety of images involving the adjacent bone. The correct recognition of this disorder may avoid unnecessary investigation and treatment.
Chronic Recurrent Multifocal Osteomyelitis of The Shoulder - A Case Report -
Lee, Ki-Won ; Choi, Young-Joon ; Ahn, Hyung-Sun ; Kim, Chung-Hwan ; Hwang, Jae-Kwang ; Kang, Jeong-Ho ; Lee, Seon-Woo ; Cho, Wan-Jong ; Park, Jun-Seok ;
Clinics in Shoulder and Elbow, volume 14, issue 2, 2011, Pages 248~252
DOI : 10.5397/CiSE.2011.14.2.248
Purpose: We report a case of chronic recurrent multifocal osteomyelitis of the shoulder. Materials and Methods: A 16 year-old male who had suffered from chronic recurrent multifocal osteomyelitis of the shoulder was diagnosed by clinical features and biopsy and was treated with arthroscopic debridement and Naproxen. Results: Symptoms was subsided without relapse during 16 months follow up. Conclusion: Chronic recurrent multifocal osteomyelitis is rare disease and it can be misdiagnosis because of its rarity and non-specific clinical presentation. This is a report of a case of chronic recurrent multifocal osteomyelitis of the shoulder in 16 years man.
The Current State of Total Shoulder Arthroplasty
Oh, Joo-Han ; Song, Byung-Wook ;
Clinics in Shoulder and Elbow, volume 14, issue 2, 2011, Pages 253~261
DOI : 10.5397/CiSE.2011.14.2.253
Purpose: The purpose of the present article is to help orthopedic surgeons better understand the basic principles of unconstrained total shoulder arthroplasty, and to help them perform the best surgical technique for reconstruction. Materials and Methods: In this article, we reviewed in depth current biomechanics, indications & contraindications, surgical techniques, complications and outcomes of unconstrained total shoulder arthroplasty. Additionally, we discussed current issues relevant to total shoulder arthroplasty such as whether a keeled or a pegged glenoid should be used. Results and Conclusion: A thorough understanding of the biomechanics of total shoulder arthroplasty, and the technical details and problems in implantation, are critical to provide the best functional outcome and to avoid the risk of complications.