• Journal of the Korean Orthopaedic Association
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• v.55 no.5
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• pp.426-430
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• 2020

Magnetic resonance imaging and static ultrasound imaging do not indicate some cases of partial thickness tears of the supraspinatus tendon. The authors observed a partial thickness tear of the supraspinatus tendon that was not found using other imaging tools but was observed by resisted scaption in shoulder extension position dynamic ultrasound in several cases. This paper outlines this technique is reported by describing two cases.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2008.03a
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• pp.167-167
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• 2008

연부조직에서의 연골종은 주로 수부에서 드물게 보고되고 있으나, 견관절의 회전근 개 내에 발생한 경우는 보고된 바 없다. 저자들은 견관절의 상관절와순 파열로 내원한 30세 남자에서 발견된 극상건 내 연골종을 관절경적으로 치료하여 좋은 결과를 얻었기에 문헌 고찰과 함께 보고하고자 한다.

• Journal of Korean Orthopaedic Sports Medicine
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• v.5 no.1
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• pp.50-57
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• 2006

Purpose: The purpose of this study was to evaluate the tendon healing of arthroscopic repair in full-thickness supraspinatus tears. We evaluate the effectiveness of the arthroscopic repair of full-thickness supraspinatus tears by assessing functional improvement. Materials and Methods: Thirty consecutive full-thickness supraspinatus tears were repaired arthroscopically in 19 patients with a one row of anchor and 11 patients with two rows of anchors. Patients ranged in age from 51 to 79 years (average 63 years). Average follow-up was 16 month (range, 12 to 28 months). To evaluate the effectiveness of the arthroscopic repair of full-thickness supraspinatus tears by assessing functional improvement, we calculate the Constant, ASES, UCLA scores. The 30 patients had either an MR Arthrogram (25 cases) or an MRI (5 cases), performed between 5 months and 20 months (mean 10 months) after surgery. Results: The cuff was healed in 21/30 cases (70%) and partially torn in 3 cases (10%) after the arthroscopic repair of full-thickness supraspinatus tear. Although the supraspinatus tendon was totally torn to the tuberosity in 6 cases(20%) after the arthroscopic repair, the size of the tear was smaller than the initial in 5 cases. The Constant score improved from an average of $55.7{\pm}7.1$ points preoperatively to $77.7{\pm}9.7$ points at the last follow-up (p<0.001), and the average ASES score improved from $39.2{\pm}7.4\;to\;72.4{\pm}12.6$ (p<0.001), and the average UCLA score improved from $17.9{\pm}2.2\;to\;26.8{\pm}5.0$ (p<0.001). Strength of elevation was significantly better $(7.1kgs{\pm}2.4)$ in the shoulders with a healed tendon that in those with an total or partial re-tear tendon $(4.5kgs{\pm}1.0)$ (p<0.05). Factors adversely affecting tendon healing were increasing age, Only 41.7% of the repairs completely healed in patients over 65 years (p<0.05). Conclusion: Arthroscopic repair of isolated full-thickness tear of the supraspinatus leads to completely healing in 70% of the cases. Total or partial re-tear of the repaired rotator cuff is associated with a decreased strength. Older patients had significantly lower healing rates.

• Investigative Magnetic Resonance Imaging
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• v.18 no.2
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• pp.157-166
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• 2014

Purpose : The purpose of this study is to determine whether adding an angled oblique sagittal plane to the routine shoulder MRI improves the diagnostic performance in the evaluation of supraspinatus tendon tears with arthroscopic correlation. Materials and Methods: The study included 121 patients who had a shoulder MRI followed by arthroscopy. Two radiologists separately evaluated the supraspinatus tendon for tears on shoulder MRI either with or without the angled oblique sagittal images. Arthroscopy was used as the reference standard. The sensitivity and specificity for diagnosing supraspinatus tendon tears were calculated and compared by using McNemar test. Interobserver and intertechnique variability in the interpretation of supraspinatus tendon tears were calculated as a kappa value. Results: Adding the angled oblique sagittal images to the standard shoulder MRI showed improvement in the sensitivity for diagnosing full-thickness supraspinatus tendon tears and also in the sensitivity, specificity and accuracy for the detection of partial-thickness tears. However, there was no statistically significant difference in all of them between with and without the angled set. Interobserver agreement was substantial to almost perfect and intertechnique agreement was moderate. Conclusion: Adding an angled oblique sagittal plane image to the routine shoulder MRI showed no significantly different diagnostic performance in detecting the partial- and full-thickness supraspinatus tendon tears, compared to MRI without angled oblique sagittal plane.

• Journal of the Korean Society of Radiology
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• v.82 no.6
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• pp.1366-1387
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• 2021

The interpretation of MRI of partial-thickness rotator cuff tears can be challenging. This review describes the anatomic considerations for diagnosing partial-thickness tears, especially supraspinatus and infraspinatus tendon and summarizes the classification of partial-thickness rotator cuff tears, as well as provides an overview on partial-thickness tears with delamination.

• Journal of the Korean Society of Radiology
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• v.83 no.1
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• pp.252-252
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• 2022

• Journal of Acupuncture Research
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• v.22 no.6
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• pp.165-171
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• 2005

목적 : 견관절 질환의 대부분의 원인을 차지하는 극상근건과 견봉하 점액낭 질환 침치료에 있어서 근위취혈의 관점으로 접근했을 때 손상된 조직인 극상근건과 견봉하 점액낭에 자입하는 것이 중요하다. 어떻게 이 조직에 접근할 것인가에 대해 X선 촬영을 통해 확인해 보고자 한다. 방법 : 4명의 지원자를 받아서 견우혈(LI 15), 거골혈(巨骨穴)(LI 16), 노상혈(UE 57)의 혈자리에 투시촬영을 이용해 자침을 하였다. 투시촬영으로 원하는 조직에 침이 자입되었음을 확인한 후 X선 촬영을 하여 확인하는 방법으로 진행하였다. 결과 : 견우혈(LI 15) 자침시(刺針時) 5cm의 깊이로 직자(直刺)할 때 원하는 조직인 근상근건과 견봉하 점액낭에 도달하는 것을 확인할 수 있었다. 거골혈(巨骨穴)(LI 16) 자침시(刺針時) 5cm의 깊이로 노상혈 부위로 하사자(下斜刺) 했을 때, 노상혈(UE 57) 자침시(刺針時) 5cm의 깊이로 거골혈(巨骨穴) 부위로 상사자(上斜刺) 했을 때 극상근건과 견봉하 점액낭에 도달함을 확인할 수 있었다. 결론 : 극상근건과 견봉하 점액낭 질환을 근위취혈의 관점으로 치료하고자 할 때 견우혈, 거골혈(巨骨穴), 노상혈에 정확한 깊이와 방향으로 자입을 해야 원하는 조직인 극상근건과 견봉하 점액낭에 자입할 수 있음을 확인할 수 있었다.

• Clinics in Shoulder and Elbow
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• v.16 no.2
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• pp.130-134
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• 2013

A painful pseudoarthrosis will develop due to a delay in diagnosis and treatment, and surgical care is required. Treatment of pseudoarthrosis is really difficult because the acromion is a thin flat bone that is difficult to be fixed firmly. A 52-year-old woman with multiple trauma had an acromial fracture that was not detected until it had caused pain after ambulation. Open reduction and internal fixation with a variable angle locking compression plate for distal radius and autogenous iliac bone graft were performed. At nine months after the operation, there was partial tear in the supraspinatus tendon, and arthroscopic repair of the supraspinatus tendon was performed. At nine months after the operation, radiographs showed a complete union. At three months after tendon repair, the patient had excellent function of the shoulder. We have reported a case of a successful treatment of nonunion and pseudoarthrosis of acromial fracture that is difficult to be fixed.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2005.03a
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• pp.14-15
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• 2005

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2009.03a
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• pp.211-211
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• 2009