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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 9, Issue 2 - Dec 2006
Volume 9, Issue 1 - Jun 2006
Selecting the target year
Arthroscopic Treatment for Rheumatoid Arthritis of the Elbow
Jung, J.Y. ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 131~135
DOI : 10.5397/CiSE.2006.9.2.131
Arthroscopic Management of the Elbow Stiffness
Park, M.J. ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 136~142
DOI : 10.5397/CiSE.2006.9.2.136
Arthroscopic Treatment for Lateral Epicondylitis of the Elbow
Kimi, Y.K. ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 143~148
DOI : 10.5397/CiSE.2006.9.2.143
Osteochondral Lesion of Elbow Joint
Park, J.Y. ; Park, H.K. ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 149~154
DOI : 10.5397/CiSE.2006.9.2.149
Surgical Treatment of Acromioclavicular Dislocation -Comparison of modified Weaver-Dunn method and modified Phemister method-
Bae, Ki-Cheol ; Sohn, Sung-Won ; Cho, Chul-Hyun ; Jung, Su-Won ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 155~161
DOI : 10.5397/CiSE.2006.9.2.155
Purpose: To compare the clinical and radiological results between the modified Weaver-Dunn method and modified Phemister method in the acute acromioclavicular joint dislocation. Materials and Methods: We reviewed 19 patients who were treated for the acute acromioclavicular joint dislocation from 2001 to 2002. 10 patients were operated with the modified Weaver-Dunn method (group A) and the others with modified Phemister method (group B). The classification of preoperative injury was analyzed by using the Rockwood system, the clinical assessment of preoperative and postoperative by the modified UCLA rating scale and the radiological assessment by simple x-ray. Results: With the modified UCLA rating scale, group A showed 5 cases(50%) of excellent and 5 cases(50%) of good, group B showed 4 cases(44.4%) of excellent and 5 cases(55.6%) of good. In the radiologic findings of the coracoclavicular distances, group A was 16.2 mm at preoperative, 8.8 mm at postoperative, 9.7 mm at last follow-up and group B was 12.9 mm, 6.7 mm and 7.9 mm respectively. Postoperatively there were no complications such as surgical wound infection and failure of Kirschner wires. Conclusion: Both the modified Weaver-Dunn and modified Phemister methods have shown satisfied clinical and radiologic results, and there was no difference in these result between two groups (p>0.05).
Arthroscopic Treatment for Multidirectional Shoulder Instability - Comparison between Thermal Capsulorrhaphy and Transglenoid Suture with Thermal Capsulorrhaphy -
Rhee, Kwang-Jin ; Kim, Kyung-Cheon ; Shin, Hyun-Dae ; Kim, Young-Mo ; Woo, Se-Min ; Song, Ho-Sup ; Kang, Tae-Hwan ; Byun, Ki-Yong ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 162~168
DOI : 10.5397/CiSE.2006.9.2.162
Purpose: To compare the clinical results of arthroscopic transglenoid suture with thermal capsulorrhaphy and thermal capsulorrhaphy on multidirectional shoulder instability. Materials and Methods: From January 1993 to September 2001, 23 patients who received the artrhoscopic treatment were the subjects and follow up period were at least 2 years. Each were subdivided as Group A(7 cases), which took transglenoid suture with thermal capulorrhaphy and Group B(16 cases), who took only thermal capsulorrhaphy. Clinical results were evaluated by Rowe score before and after surgery. Results: After operation according to Rowe score 4(57.1%) were excellent, 1(14.3%) were good and 2(28.6%) were fair in the Group A. for Group B 6(37.5%) were excellent, 2(12.5%) were good, 5(31.3%) were fair and 3(18.8%) were poor. Shoulder instability was recurred in 1(14.2%) case of Group A and 8(50%) cases of Group B during follow up period. Conclusion: Thermal capsulorrhaphy is thought to be a good adjuvent method, if it done with anterior capsular shift by transglenoid suture in multidirectional shoulder instability.
Treatment of Proximal Humerus Fracture by Polarus Nailing
Choi, Chang-Hyuk ; Kwun, Kong-Woo ; Jeung, Dae-Ui ; Chang, Ho-Jin ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 169~175
DOI : 10.5397/CiSE.2006.9.2.169
Purpose: The purpose of this study was to evaluate the usefullness of polarus nailing in the treatment of proximal humerus fractures including 2 part, 3 part and proximal comminuted fractures. Materials and methods: Fifteen cases of proximal humerus fracture treated with Polarus nailing from March, 2002 to March, 2004 were selected. Man was 3 cases, and woman was 11 cases. There were one case of follow up loss due to decease. Average age was 60 years old (range, 23 to 84), and there were 6 cases of 2 part fracture, 3 cases of proximal segmental fracture, 5 cases of 3 part fracture. We analyzed the outcom results between 2 part fracture and 3 part fracture. The average follow up period after the operation was 1.5(range, 1 to 2) years. Range of motion (ROM), pain and functional outcome were evaluated by visual analogue scale(VAS) and american shoulder and elbow surgery (ASES) activity of daily living (ADL) functional scoring system. Results: All cases showed union on radiologic evaluation, with 2.3 months follow up. In 5 cases of 3 part fracture, average union time was 1.9 months regardless of proximal screw loosening in 4 cases. In 2 part fracture union time was 2.2 months (P>0.05). VAS pain score was 1.3, ROM was
in forward flexion,
in external rotation, L3 level in internal rotation, and ASES, ADL functional score was 21 in 2 part fracture. VAS pain score was 1.25, ROM was
and L1 level, and ASES, ADL functional score was 21 in 3 part fracture. There were no statistically significant difference between two groups (P>0.05) VAS pain score was 1.6, ROM was
and L3 level, and ASES, ADL functional score was 23 in proximal comminuted fracture. Conclusion: Polarus nailing could be used as an effective modality in certain cases of proximal humeral fracture including 2 part, proximal segmental and in cases of 3 part fractures with large greater tuberosity fragment.
Mini-Open Repair in Large and Massive Rotator Cuff Tears
Chung, Soo-Tai ; Kim, Hyung-Soo ; Yoo, Jeong-Hyun ; Park, Jae-Hyung ; Kim, Joo-Hak ; Jung, Kwang-Gyu ; Lee, Joong-Hyo ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 176~180
DOI : 10.5397/CiSE.2006.9.2.176
Purpose: Although surgical arthroscopic repair of rotator cuff has become much more common as surgeons have developed proficient techniques, it is still technically difficult. The purpose of this study was to evaluate the clinical results and the usefulness of mini-open repair in large and massive size tears. Materials & Methods: From January 2000 to December 2004, sixteen patients were treated with mini-open repair. There were 10 male and 6 female patients with the average age of 62.5 years. The size of tear was massive in 4 cases and large in 12 cases. All tears were repaired with metal anchor sutures. The mean duration of follow-up period was 23 months. Postoperative results were evaluated based on American Shoulder and Elbow Society scoring system. Results: Five patients showed excellent results, five good, and two fair in large tears while one patient showed excellent result, one good, and two fair in massive tears. Poor outcome was not seen during the follow-up period. There was no significant relationship between the patient's age and the size of tear, and postoperative results. However, the relationship between the duration of symptomatic period in preoperation and postoperative results showed significant correlation. Conclusion: Mini-open repair combined with the preservation of deltoid and early rehabilitation is clinically useful in large and massive size rotator cuff tear patients treatment.
Use of Massive Cuff Stitch in Arthroscopic Repair of Rotator Cuff Tears
Ko, Sang-Hun ; Cho, Sung-Do ; Gwak, Chang-Youl ; Eo, Jin ; Yoo, Chang-Hyun ; Choe, Seung-Wan ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 181~188
DOI : 10.5397/CiSE.2006.9.2.181
Purpose: To evaluate the integrity of repair & technical tip in use of Massive Cuff Stitch at arthroscopic repair of rotator cuff tear. Materials and Methods: Twenthy-nine cases of arthroscopically repaired full thickness tear of rotator cuffs which are medium sized were evaluated. Between December 2004 to September 2005 we have studied, the average age 53(
) years old, mean follow-up was 15(
) months. We analyzed the results statistically by paired t-test. The integrity of repair were verified by follow up MRI which were checked 11 cases and ultrasound which were checked 10 cases. Results: VAS of pain improved preoperative average 7.1 to postoperative 0.9, ADL improved 11.2 to 25.6 respectively, UCLA improved 13.7 to 32.9(all, P<0.05). 89.7% showed excellent & good results at the final follow-up. The satisfied rate was 93.1%(27 cases). There was re-rupture of the repaired rotator cuff in one case out of 11 cases which were checked by MRI, and in one case out of 10 cases which were checked by ultrasound, and there was one case of thinning of cuff which were checked by ultrasound. Conclusion: The use of Massive Cuff Stitch in arthroscopic repair of rotator cuff tear have been reduced technical failure. It will be good surgical technique which maintain the integrity of repairs.
Open Reduction of Acromioclavicular Joint for the Acromioclavicular Joint Dislocations
Song, Hyun-Seok ; Choi, Nam-Yong ; Han, Suk-Ku ; Nah, Ki-Ho ; Nam, Won-Sik ; Yang, Hyuk-Jae ; Park, Sung-Jin ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 189~195
DOI : 10.5397/CiSE.2006.9.2.189
Purpose: To analyze the result of the accurate open reduction of acromioclavicular (AC) joint and pin fixation, coracoclavicular (CC) screw fixation without CC ligament repair for AC joint injuries. Materials and Methods: Between January 2000 and December 2003, seventeen cases with at least one year follow-up among twenty-one cases underwent operation for AC-CC ligament injuries. A transverse incision approximately 5 cm in length was made over the clavicle, and the AC joint was reduced accurately. Under the image intensifier, a cannulated screw and washer were inserted for the CC ligament. Two Steinman pins were inserted for the AC joint and the AC ligament was repaired with nonabsorbable suture. Gentle passive range of motion was begun postoperative 2 weeks. The pins were removed at
weeks and the screw was removed at
weeks. The results were evaluated by a distance between AC and CC joints on plain films and ASES score at last follow-up. Results: At the last follow-up, there was no limitation of motion and average ASES score was 96(
points). There was no failure showing over 5 mm difference of distance compared to opposite side on the plain films. Seven cases had the skin damages and local infection due to pin migration and three cases showed the loosening of CC screw. Conclusion: We could have satisfactory results by accurate reduction of AC joint and simple pins and screw fixation for AC-CC ligament injuries.
Migration of K-wires from the Acromioclavicular Joint to the Neck - Case Report(2 cases) -
Lee, Woo-Seung ; Kim, Taik-Seon ; Yoon, Jeong-Ro ; Kim, Young-Bae ; Seo, Dong-Hoon ; Kwon, Jae-Ho ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 196~201
DOI : 10.5397/CiSE.2006.9.2.196
We report two cases of migration of K-wires from the acromioclavicular joint to the neck. A 73-year-old man complained of right shoulder pain for one month and had undergone orthopedic surgery because of acromioclavicular joint dislocation about 27 years earlier. Another 56-year-old man complained of left shoulder pain and neck pain for 5 years and had undergone orthopedic surgery because of acromioclavicular joint dislocation about 25 years earlier. In both cases, we took X-rays to look for the cause of shoulder pain and discovered broken and migrated K-wires in the neck. We removed the K-wires from the trapezius muscle and the paraspinal muscle respectively. K-wire fixation technique is simple and effective but should be followed up with X-rays periodically. In addition, we should warn patients of the possibility of migration of K-wire. And it is desirable for us to avoid using K-wire near major neurovascular structures like the sternoclavicular joint and the clavicle.
Synovial Chondromatosis of the Glenohumeral Joint Presenting as Impingement Syndrome - Case Report -
Lee, Dong-Hun ; Noh, Young-Min ; Chang, Jun-Dong ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 202~206
DOI : 10.5397/CiSE.2006.9.2.202
Synovial chondromatosis is an uncommon condition and involvement of the glenohumeral joint is rare comparing its involvement of knee and hip. We report a case of synovial chondromatosis with its radiography, MRI and microscopic findings and treatment by arthroscopic synovectomy & loose body removal which have been developed in right shoulder of a 46 year-old-female and presented as impingement syndrome.
Operative Treatment of Posteriorly Displaced Fracture of the Distal Clavicle in Child - A Case Report -
Park, Hyun-Soo ; Chung, Tae-Won ; Rha, Jong-Deuk ; Jang, Youn-Soo ; Lee, Byung-Hoon ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 207~210
DOI : 10.5397/CiSE.2006.9.2.207
We presented a case of posteriorly displaced fracture of the distal clavicle in Child. The closed reduction was failed due to posteriorly displaced proximal fragment and interpositon of trapezius muscle and periosteum. We found that periosteal sleeve and coracoclaviclar ligament and acromioclavicular ligament was intact. The open reduction should be considered for the treatment of the irreducible posteriorly displaced fracture of the distal clavicle in child.
The Subclavian Artery Thrombosis after Open Reduction and Internal Fixation of Clavicular Fracture - A Case Report -
Moon, Eun-Sun ; Kim, Myung-Sun ; Jeong, Kwang-Cheul ; Lim, Keun-Young ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 211~215
DOI : 10.5397/CiSE.2006.9.2.211
Reported in this article is a case report of a patients who developed limb threatening ischemia as a consequence of a subclavian artery thrombosis resulting from screws. The subclavian artery thrombosis after open reduction and internal fixation of clavicle fracture, when it occurs, should be treated promptly by plate removal and claviculectomy. It can be prevented by placing screws in locations away from the underlying neurovascular structures.
Avulsion of the Triceps Brachii - 3 cases report -
Rhyou, In-Hyeok ; Chung, Chae-Ik ; Suh, Bo-Gun ; Kim, Kyung-Chul ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 216~221
DOI : 10.5397/CiSE.2006.9.2.216
Avulsion of the triceps brachii is an uncommon injury. The usual mechanism of injury is fall onto an outstretched hand but can occur after direct contact injuries. Diagnosis is critical and dependent on history, physical examination, and radiological findings. Rupture of triceps brachii occurs most frequently at the tendo-osseous insertion and may be complete or partial, and could be associated with radial head fracture. Treatments include surgical repair of the complete rupture and immobilization of partial triceps rupture. We report 3 cases of triceps avulsion fractures treated by open surgical repair with literature reviews.
Traumatic full thickness rotator cuff tear accompanied by the humerus shaft fracture - A case report -
Jeong, Woong-Kyo ; Park, Sang-Won ; Lee, Soon-Hyuck ; Choi, Keun-Seok ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 222~226
DOI : 10.5397/CiSE.2006.9.2.222
Full-thickness rotator cuff tears are relatively uncommon in the young adults. One of the pathogenesis of such tear is thought to be closely related to the specific trauma event. Favorable outcome is expected in young patient rotator cuff tears when it is diagnosed early following prompt surgical repair. However, early detection is sometimes difficult when the acute rotator cuff tear is combined with other injuries especially around the shoulder joints such as ipsilateral humerus fractures. Authors report an uncommon case of acute traumatic rotator cuff tear accompanied by the midhumerus shaft fracture in young adult.
Treatment of Recurred Acromioclavicular Joint Cyst after Simple Excision - A Case Report -
Sohn, Sung-Won ; Bae, Ki-Cheol ; Cho, Chul-Hyun ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 227~230
DOI : 10.5397/CiSE.2006.9.2.227
Acromioclavicular joint cyst is a extremely rare condition, usually occuring in the presence of a wide communication between glenohumeral and acromioclavicular joint in patients with a full thickness rotator cuff tear. Removal of cyst only is reported with high recurrence rate. There was no case previously reported in Korea. We report a case of recurred acromioclavicular joint cyst with a massive rotator cuff tear after simple excision, which was treated by excision of cyst, acromioplasty and resection of the lateral end of the clavicle.
Shoulder Impingement Caused by Superiorly Displaced Glenoid Fracture Fragment at a Boy - A Case Report -
Jeong, Kyoung-Il ; Park, Kyoung-Jin ; Kim, Yong-Min ; Kim, Dong-Soo ; Choi, Eui-Sung ; Shon, Hyun-Chul ; Choi, Hun-Sik ; Park, Gee-Kang ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 231~234
DOI : 10.5397/CiSE.2006.9.2.231
We experienced a case of impingement caused by a bone fragment which was impacted between acromion and humeral head in a child. The bone fragment came from antero-inferior glenoid fracture. Satisfactory clinical results and stability were obtained by arthroscopic bone fragment removal. In case that bone fragment is located in the upper shoulder joint and results in impingement, We must consider not only greater tubercle fracture but also glenoid fracture. Magnetic resonance imaging can assist in the preoperative diagnosis.
Surgical Treatment of Neglected Adult Monteggia Fracture - 2 Cases Report -
Shon, Hyun-Chul ; Kim, Weon-Yoo ; Park, Sang-Eun ; Kim, Young-Yul ; Yoon, Jong-Seoung ; Ji, Jong-Hun ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 235~241
DOI : 10.5397/CiSE.2006.9.2.235
Neglected adult Monteggia fracture could induce the pain, instability and malformation of elbow. Especially, compared with the chronic Monteggia fracture of child, that of adult is difficult to treat and could concur with valgus instability and deformity, limitation of range of motion and tardy ulnar nerve palsy. But recently, the chronic Monteggia fracture of adult could be treated by the 3.5 mm compression plate (DCP) or 3.5 mm pelvic reconstruction plate, so that the result improved more and more. The treatment of choice of the chronic Monteggia fracture of adult is the corrective osteotomy and reduction of radial head or resection of radial head. We experienced two patients who had neglected Monteggia fracture over 1 year 6 months and 25 years respectively and we want to report the result of surgical treatment of chronic Monteggia fracture of adult.
Infection on Sternoclavicular Joint in Electrical Burn - Case Report -
Rha, Jong-Deuk ; Jang, Young-Soo ; Park, Hyun-Soo ; Jung, Tae-Won ; Jin, Hyun-Bae ; Kim, Kyung-Hoon ; Lee, Byung-Hoon ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 242~245
DOI : 10.5397/CiSE.2006.9.2.242
Infection on sternoclavicular joint after electrical burn is rare. No case was reported previously in Korea. Even though the disease is rare, we treated the case successfully with intravenous antibiotics followed by curettage and drainage. Successful treatment was achieved in the case of infection on sternoclavicular joint after electrical burn.
Brachial Neuritis - A Case Report -
Lee, Ki-Won ; Choi, Young-Joon ; Ahn, Hyung-Sun ; Kim, Chung-Hwan ; Hwang, Jae-Kwang ; Youn, Dong-Jin ; Kim, Eu-Gene ; Ha, Jung-Ki ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 246~250
DOI : 10.5397/CiSE.2006.9.2.246
Brachial neuritis is a rare disorder of unknown etiology that affects the lower motor neurons of the brachial plexus. The clinical course is characterized by acute onset of severe pain followed by weakness and gradual recovery. Among diagnostic tests, electromyography may be useful. The brachial neuritis has been confused with other painful shoulder conditions. The awareness of this disorder helps prevent unwarranted diagnostic studies & treatment. The authors report a case of brachial neuritis.
Anterior Interosseous Syndrome after Use of a Kenny-Howard Sling for a Acromioclavicular Joint Separation - A Case Report -
Kim, Byoung-Suck ; Kim, Keun-Woo ; Nam, Woo-Dong ; Rhyu, Kee-Hyung ; Awe, Soo-Ik ;
Clinics in Shoulder and Elbow, volume 9, issue 2, 2006, Pages 251~254
DOI : 10.5397/CiSE.2006.9.2.251
The anterior interosseous syndrome is an entrapment neuropathy which can be caused by several different etiologies. It is also clinically known that it weakens flexor pollicis longus, flexor digitorum profundus to the index and long fingers without loss of finger sensory. We have experienced anterior interosseous syndrome which found to be rare to ordinary conservative treatment, i.e. application of Kenny-Howard brace, given to a patient with acromioclavicular separation type III. We also review related articles.