• Title/Summary/Keyword: 견관절경

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Ocular complications in patients with anti-adhesion barrier agent during arthroscopic shoulder surgery (견관절경 수술에서 사용된 유착방지제와 수술 후 안구 합병증의 연관성)

  • Heo, Hyun Joo;Lee, Ji Hye;Kim, Yu Yil;Baek, Seung Min;Jung, Da Wa
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.363-368
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    • 2020
  • Background: Intraoperative and postoperative ocular complications are rare. We retrospectively investigated the abnormal ocular findings in patients who underwent arthroscopic shoulder surgery. Methods: The records were investigated of patients who underwent shoulder arthroscopic surgery at our hospital between January 2018 and March 2019. Ocular complications were confirmed by review of medical records. We performed logistic regression analysis to defined the main factors associated with ocular complications. Results: The overall prevalence of postoperative ocular complications was 8.5% (18/211). A significant association was found between anti-adhesion barrier agent and ocular complications (p=0.020). Conclusions: Anti-adhesion barrier agent used during surgery may be the cause of postoperative ocular complication.

Life-threatening Airway Edema after Arthroscopic Repair of Massive Rotator Cuff Tear - A Case Report - (관절경하 광범위 회전근 개 파열 수술 후 발생한 치명적인 기도 부종 - 증례 보고 -)

  • Moon, Young-Lae;Yu, Byung-Sik;So, Keum-Young;Lim, Kyung-Joon;Kang, Jeong-Hoon
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.136-139
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    • 2007
  • 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 rotator cuff surgery without traction system in the lateral position (측와위에서 견인 기구 없이 시행하는 견관절경하 회전근 개 수술)

  • Moon, Young-Lae;Jung, Heuk-Jun
    • Clinics in Shoulder and Elbow
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    • v.6 no.1
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    • pp.50-54
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    • 2003
  • 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 Findings of Biceps pulley in Shoulder Pathology (견관절 병변과 관련된 이두박건 활차의 관절경적 소견)

  • Choi Chang-Hyuk;Kim Shin-Kun;Jang Woo-Chang;Lee Sung-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.136-141
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    • 2002
  • Purpose : The role of biceps pulley is stabilizing sling for the long head of the biceps tendon against anterior shearing stress in the rotator interval. The purpose of this study was to classify arthroscopic findings of biceps pulley and to evaluate the relationship with shoulder pathology. Materials and Methods : From January 2002 through July 2002, we observed biceps pulley in 49 cases of shoulder pathology treated with arthroscopically. There were 22 cases of anterior instability, 12 cases of rotator cuff tear, 5 of impingement syndrome, 6 of frozen shoulder, 2 of superior labral injury and 1 of each scapulothoracic bursitis and biceps dislocation. We classified biceps pulley as four types according to the arthroscopic appearance. Type I its stretched type. type II as sling type, type III at detached sling type, and type IV as concealed type. Results : We observed stretched type in 24 cases $(49\%)$, sling type in 5 cases $(10\%)$, detached sling type in 2 cases, concealed type in 1 case, and unidentified cases in 17 cases $(35\%)$. Conclusion : Development and variation of biceps pulley may have symptomatic correlation according to the degree of shoulder motion or pathologic status.

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Arthroscopic Treatment of Synovial Chondromatosis of the Shoulder Joint with Mini-open Procedure for the Lesions of Biceps Tendon Sheath (견관절에 발생한 활액막 연골종증의 관절경적 치료에서 소절개를 이용한 상완 이두건 건초 병변의 병행 치료)

  • Jo, Ki-Hyun;Oh, Joo-Han;Choi, Jung-Ah;Jung, Jin-Haeng;Gong, Hyun-Sik
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.69-73
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    • 2008
  • Synovial chondromatosis is an uncommon condition, and the involvement of the shoulder joint is rare. A 15 year old female patient presented to author's institution for right shoulder pain. We checked the plain radiographs and MRI. And they showed that a diagnosis of synovial chondromatosis in the shoulder, and they also demonstrated that the disease involved the bicipital tendon sheath as well as glenohumeral joint. We removed all loose bodies with total synovectomy by arthroscopic procedure, and a miniopen procedure for the lesions of biceps tendon sheath. Arthroscopic treatment affords excellent visualization of the shoulder joint with less morbidity. However, with current arthroscopic techniques, it is difficult to manage the synovial chondromatosis of biceps tendon in bicipital groove. The authors suggest that the complete elimination of synovial chondromatosis involving shoulder requires a mini-open procedure for the lesions of biceps tendon sheath in addition to the arthroscopic resection of the affected synovium and loose body removal in the glenohumeral joint.

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Continuous intra-lesional Infusion Combined with Interscalene Block for Effective Postoperative Analgesia after Arthroscopic Shoulder Surgery (상완신경총 사각근간 차단과 국소마취제의 병소내 지속주입법의 병용이 견관절경 수술 후 진통에 미치는 영향)

  • Oh Joo-Han;Kim Jae-Yoon;Gong Hyun-Sik;Kim Jae-Kwang;Kim Sang-Gee;Kim Tae-Yune;Rhee Ka-Young;Kim Woo-Sung
    • Clinics in Shoulder and Elbow
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    • v.8 no.2
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    • pp.141-147
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    • 2005
  • Purpose: The purpose of this study was to compare the effectiveness of postoperative pain control by intravenous patient-controlled analgesia (IV) to the effectiveness of postoperative pain control by continuous intra-lesional infusion of local anesthetics (IL) with or without an interscalene brachial plexus block (ISB) after arthroscopic shoulder surgery. Materials and Methods: We designed this prospective randomized case-controlled double-blind study, and allocated 84 consecutive patients to four groups according to postoperative analgesic method, i.e., Group IV, Group ISBIV, Group IL, and Group ISB-IL after arthroscopic shoulder surgery. Postoperative pain, side effects and supplemental analgesics were recorded at 1 hour and then at every 8 hours for 2 days. Result: The demographic and clinical characteristics of four groups were identical statistically. Interscalene block (Group ISB-IV, Group ISB-IL) was found to be effective at relieving pain and at reducing supplemental analgesic amounts at 1 and 8 hours postoperatively (p<0.05). Patients in the Group ISB-IL had less pain at 16 and 48 hours postoperatively than the other groups (p<0.05). Continuous intra-lesional infusion (Group IL, Group ISB-IL) was superior in reducing analgesic-related side effects (p<0.05). Conclusion: This study suggests that a combination of an interscalene brachial plexus block and continuous intralesional infusion of ropivacaine is an effective and safe method of postoperative pain control in patients after arthroscopic shoulder surgery.