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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 6, Issue 2 - Dec 2003
Volume 6, Issue 1 - Jun 2003
Selecting the target year
Chronic somatic painful conditions : Regional Myofacial Pain Syndrome, Fibromyalgia
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 1~7
DOI : 10.5397/CiSE.2003.6.1.001
Chronic Neuropathic Painful Conditions : Cervical Radiculopathy, Nerve Root Avulsion, Stinger and Burners, Cervical Epidural Steroid Injection
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 8~14
DOI : 10.5397/CiSE.2003.6.1.008
Evaluation, Differential Diagnosis of the Painful Shoulder
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 15~21
DOI : 10.5397/CiSE.2003.6.1.015
Nerve Entrapment Syndrome about the Shoulder
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 22~26
DOI : 10.5397/CiSE.2003.6.1.022
Shoulder Function after antegrade intramedullary interlocking nailing for humeral shaft fracture
Park, Jin-Young ; Chun, Ji-Yong ; Kim, Myung-Ho ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 27~36
DOI : 10.5397/CiSE.2003.6.1.027
Antegrade interlocking intramedullary nailing (AIIN) for the humeral shaft fracture can induce shoulder pain and decrease of shoulder function postoperatively. The purpose of this study was to estimate the outcome of the shoulder functions after AIIN through the rotator interval between the subscapularis and the supraspinatus to decrease the shoulder pain. Out of consecutive 43 cases that underwent AIIN 42 had been followed for two years or more. Among them we analysized 40 cases of 39 Patients excluding two cases of Pathologic fractures. The average was 47 years. There were 17 men and 23 women. The average follow-up was 34 months. Open nailing was performed in 26 fractures and closed nailing in 14. Bone graft was done in 7 fractures with open nailing. With a single operation, all but two patients achieved osseous union. Average pain score with visual analog scale was one (range; 0∼4) postoperatively By the Neer`s score 37 patients received a excellent or satisfactory results while 3 patients` unsatisfactory or failed results. By the functional score of ASES (American Shoulder and Elbow Society) 6 cases received the fair or poor results. Except three cases with persistent nerve palsy and one case of technique failure with protruded nail over humeral head, all patients could achieved satisfactory results with Neer`s score and 35 cases (94%) satisfactory results with functional score of ASES. An insertion of antegrade nail to the rotator interval was recommended for better shoulder functions and less pain postoperatively.
Total elbow arthroplasty for posttraumatic destroyed or unreduced elbow joint
Kim, Young-Kyu ; Jung, Lee-Hyuk ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 37~43
DOI : 10.5397/CiSE.2003.6.1.037
Purpose: To evaluate the results in patients who received total elbow replacement for posttraumatic destroyed or unreduced elbow joint. Materials and Methods: Six patients with posttraumatic destroyed, or unreduced elbow joint, who were nearly impossible to move actively and had pain and grossly unstable joint, were followed up average 42 months. 3 cases were soft tissue injuries and bone defects which were caused by severe comminuted fracture, 1 was a nonunion with comminuted fracture, and 2 were unreduced elbow joint. Total elbow replacement was performed average 10 months after the injury. All the cases were used by semiconstrained prosthesis, and the results were estimated by Mayo elbow perfomance score. Results: Pain was decreased in all the cases postoperatively. Average ranges of motion were improved with active extension 20° and flexion 120°. Mayo elbow performance scores were pain 42.5 points, range of motion 17.5 points, stability 8.3 points, function 19.2 points and totally 87.5 points, and final results were 3 excellent and 3 good. Loosening of prosthesis was not found in all the cases by final follow-up radiograph. Conclusicon: Semiconstrained TER can be used as a effective treatment improving pain and active ranges of motion caused by posttraumatic destroyed or unreduced elbow joint, however, long term follow-up is needed because early loosening of TER can be occurred due to severe bone defects.
Anterior inferior reconstruction plate on acute midshaft clavicle fvacture
Kang, Jae-Do ; Kim, Kwang-Ryul ; Kim, Hyung-Chun ; Lim, Moon-Sup ; Kim, Seong-Hoon ; Kweon, Jun-Hyung ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 44~49
DOI : 10.5397/CiSE.2003.6.1.044
Purpose: Many different operative technique of mid-shaft clavicle fracture have been reported. The aim of this prospective study was to compare the results of anterior or anterior-inferior plating with superior plating on the acute mid-shaft fracture of clavicle Materials and Methods: From February1997 to February 2002, thirty-eight consecutive open reduction and internal fixation with reconstruction plates were performed in thirty-eight patients. from August 1999, anterior or anterior-inferior plating was mainly used, prospectively. The duration of follow-up averaged 17 months (range,23 to 43 months). The mean age was 38 years old (range,21 to 57 years old) on anterior or anterior-inferior plating group and 35 years old (range,24 to 55 years old) on superior plating group. The physician progress note, VAS patient complement score, Roentgenogram and ASES score was evaluated. Results: Four patients were lost to follow-up. There was no statistical difference on mean radiological bone union time （8.7 weeks vs. 8.6 weeks) and ASES score (92 vs 94) at inferior and superior plating groups (P > 0.05). VAS patient complement score was very good or excellent on anterior or anterior-inferior group, average score was 1.1 (ranger,0 to 2) compare with superior plating group (P < 0.05). There were two cases of infection, 1 case of failed fixation on superior plating group and 1 case of delayed union on anterior inferior plating group. Conclusion: Anterior inferior plating on acute clavicle midshaft fracture results in excellent patient complement score compare with conventional superior reconstruction plate.
Arthroscopic rotator cuff surgery without traction system in the lateral position
Moon, Young-Lae ; Jung, Heuk-Jun ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 50~54
DOI : 10.5397/CiSE.2003.6.1.050
Object: To evaluate the efficiencies of the arthroscopic rotator cuff surgery which is Performed without the traction system in the lateral decubitus position. Methods: Twenty-nine cases of the arthroscopic rotator cuff surgery performed without the traction system in the lateral decubitus position were studied from February, 2002 to January, 2005. We performed a repair using the arthroscopic debridement and the arthroscopic rotator cuff repair, or using the mini-open incision technique after the confirmation of rotator cuff tear, then, the arthroscopic subacromial decompression was performed after the confirmation of subacromial lesions Results: We could easily find the subscapularis tear which was often overlooked in the arthroscopic rotator cuff surgery performed with the traction surgery by the relaxation of the subscapularis, as the arm position was internally rotate about 45 to 70 degrees from abducted position. We found that the operation time was reduced 14 minutes shorter than the operation time of the controlled group which had the surgery with the traction system on the average. We also found that there were no neurovascular complications from all cases. Conclusions: The arthroscopic rotator cuff surgery without traction system in the lateral decubitus position provided the better visual field, easy manipulation of the joint and reducing operation time.
Arthroscopic Posterior Capsular Shaft for Traumatic Recurrent Unidirectional Posterior Subluxation of the Shoulder
Kim, Seung-Ho ; Ha, Kwon-Ick ; Yoo, Jae-Chul ; Lee, Yong-Seuk ; Lee, Hui-Dong ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 55~66
DOI : 10.5397/CiSE.2003.6.1.055
Background: The purpose of this study was to evaluated results of arthroscopic treatment of the traumatic recurrent unidirectional posterior subluxation. Materials and Methods: We treated twenty-seven patients who had traumatic recurrent unidirectional posterior subluxation of the shoulder by arthroscopic labral repair and posterior capsular shift and prospectively evaluated for a mean of thirty-nine months (range,24 to 85 months). Patients who had posteroinferior instability, multidirectional instability, atraumatic onset, or revision cases were excluded. There were twenty-five male and two female patients with the mean age of twenty-one years (range, 14 to 33 years). All patients were involved in sports activity. All had a significant traumatic event prior to the onset of the instability. Stability, motion, three objective measurement (UCLA, ASES, and Rowe scores) and two subjective measurements (pain and function visual analogue scale) were evaluated. Results: The most common finding in magnetic resonance image-arthrogram was separation of the posteroinferior labrum without displacement in 9 patients, In arthroscopic examination, all patients had one or more lesions in the posterior inferior labrum and capsule. The most common finding was incomplete stripping of the posterior inferior labrum (18 patients). The posteroinferior capsule subjectively appeared to be stretched in twenty-two patients. At follow-up, all patients had improved shoulder function and scores(p < 0.01). All patients had stable shoulder by subjectivel and objectivel measurements, except one patient who had recurrent subluxation. All but one patient with postoperative recurrence were able to return to their prior sports activity with little or no limitation. Twenty-four patients were graded as having more than 90％ of shoulder function. Their were twenty-one excellent, five good, and one fair UCLA. scores. Pain sore improved from 4.5 to 0.2 point(p : 0.0001). Mean loss internal rotation was one vertebral level. None had operative complications. Conclusion: In conclusion, treatment outcomes of the traumatic unidirectional recurrent posterior subluxation are consistently reliable with respect to the stability, pain relief, and functional restoration by the arthroscopic posterior capsular shift procedure.
Calcific Tendinitis of the Subscapularis Tendon -A Case Report-
Nha, Kyung-Wook ; Kim, Jin-Hwan ; Park, Gyu-Won ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 67~71
DOI : 10.5397/CiSE.2003.6.1.067
The shoulder is the most common site in the body for calcific deposition. Calcific tendinitis is one of the common lesions of the painful shoulder. The surpaspinatus tendon is the most frequently affected location, next the infraspinatus and relatively rare the subscapularis tendon. We report upon a case of calcific tendinitis of subscapularis tendon alone, which developed in a 61-year-old female after minor trauma and was treated successfully with surgical excision.
Arthroscopic Rotator Cuff Repair: Serial comparison of outcomes between full-thickness rotator cuff tear and partial-thickness rotator cuff tear
Park, Jin-Young ; Chung, Kyung-Tae ; Yoo, Moon-Jib ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 72~79
DOI : 10.5397/CiSE.2003.6.1.072
Purpose: To compare the results of arthroscopic rotator cuff repair and subacromial decompression in partial thickness rotator cuff tear (PTRCT) with those in full thickness rotator cuff tear (FTRCT). Subjects and method: Of the 46 patients who were rested of the rotator cuff tear based on the operational findings, 42 patients who were able to receive a serial follow-up for 2 years were selected as the study subjects. The average age of the patients at the time of the operation was 55 years, and the mean duration of the follow-up was 34 months. The subjects included 22 cases of PTRCT and 20 cases of FTRCT. In terms of rotator cuff repair, the average number of tendon to tendon repair (TTR) was 1 in both PTRCT and FTRCT, and that of tendon to bone repair (TBR) was 1 and 3 in PTRCT and FTRCT, respectively. The average number of use of suture anchor was 1 and 2 in PTRCT and FTRCT, respectively. The level of shoulder pain and function of the subjects were measured using shoulder functional evaluation score of American shoulder and elbow society (ASES score) at before and 2 years following the operation. Results: At the final follow-up following the operation, PTRCT group showed changes in scores from 7.2 to 0.9 on average pain score and 34 to 91 on ASES score, whereas FTRCT group showed changes in scores from 7.6 to 1.2 on pain score and 29 to 88 on ASES score. There were no significant differences between the two groups (P > 0.05). The average range of motion of shoulder significantly increased in both groups at the final follow-up in comparison with the pre-operative time point. The evaluation at the final follow-up showed that 93% of the total subjects showed good or excellent results, and 95％ showed satisfactory results from the procedure with regard to pain reduction and functional outcomes. Two cases of the 3 fair results were caused by acromioclavicular arthritis. Conclusion: It may be anticipated that arthroscopic rotator cuff repair and subacromial decompression may bring satisfactory post-operative outcomes in both PTRCT and FTRCT on pain relief and functional recovery. However, careful preoperative examination of the acromioclavicular joint is critical to avoid failures of these procedures.
Bucket Handle Type Fracture of the Glenoid
Shin, Sang-Jin ; Kim, Sung-Jae ; Kang, Ho-Jung ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 80~84
DOI : 10.5397/CiSE.2003.6.1.080
We report a patient with an anterior dislocation of the shoulder with uncommon bucket handle type fracture of the anterior glenoid fossa with intact glenoid labrum. The fracture fragment was displaced into the posterior aspect of the glenohumeral joint resulting in prevention of reduction of the shoulder. Excellent fixation was obtained with suture anchors and bioabsorbable interfragmentary screws. This allowed stable range of motion exercises, optimizing the patient`s functional outcome.
Snapping Plicae of radiocapitellar joint -2 cases Report-
Yoo, Yon-Sik ; Jung, Eun-Ho ;
Clinics in Shoulder and Elbow, volume 6, issue 1, 2003, Pages 85~89
DOI : 10.5397/CiSE.2003.6.1.085
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.