• Title/Summary/Keyword: 회전근개

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Acromio-Clavicular joint Cyst Associated with Rotator Cuff Re-tear Followed by Ultrasonography (초음파검사로 추시한 회전근 개 재파열에 동반된 견봉 쇄골 관절의 낭종)

  • Oh, Chung Hee;Kim, Joon Yub;Kim, Sae Hoon;Kim, Je Kyun;Oh, Joo Han
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.65-68
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    • 2010
  • Acromio-clavicular (AC) joint cyst have been reported in small series of the orthopedics literature in association with extensive rotator cuff tear, pseudotumor, infection of the shoulder or chondrocalcinosis. Authors experienced one case of AC joint cyst with rotator cuff re-tear after arthroscopic rotator cuff repair, clinicians may need pay attention to AC joint bulging or mass lesion after arthroscopic rotator cuff repair as an important sign to check follow-up imaging study for the cuff integrity. Especially, ultrasonography is recommended for this follow up study, because it is simple to be operated, economic, easily accessible.

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Postoperative Ultrasound Findings of the Rotator Cuff Tendon after Arthroscopic Repair of a Rotator Cuff Tear (회전근개 파열의 수술적 치료 후 회전근개 초음파 소견)

  • Kwon, Dong Rak
    • Clinical Pain
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    • v.19 no.2
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    • pp.64-69
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    • 2020
  • Ultrasound (US) imaging is an efficient, easy to use, rapid, dynamic, noninvasive, with rare side-effects and inexpensive tool allowing for facilitated diagnosis and management of the painful shoulder. It also has advantages over other imaging modalities in the evaluation of the postoperative shoulder for rotator cuff integrity and correct anchor and suture placement, as well as rotator cuff analysis following repair surgery. Early postoperative tendons frequently had a hypo- echoic echo texture and the absence of a fibrillar pattern, which might be misinterpreted as recurrent tears. however, these features often normalized into tendons with an increased echo texture and the reappearance of a fibrillar pattern at 6 months. Based on these sequential findings, the US findings within 3 months after surgery should be interpreted with caution to accurately understand and monitor the repaired tendon status.

Criteria for Implant Choice of Reverse Total Shoulder Arthroplasty (역행성 인공관절 전치환술 시 임플란트 선택에 대한 기준)

  • Choi, Chang-Hyuk;Kim, Jun-Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.377-390
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    • 2021
  • Reverse total shoulder arthroplasty (RTSA) is a surgical method that has recently been conducted in widely irrepairable rotator cuff tears with pseudoparalysis, cuff tear arthropathy, and osteoarthritis of the shoulder joint. Several topics can be described, but this review article provides an opinion on the criteria for the choice of implant in RTSA.

Large Hill-Sachs Lesion Combined with a Rotator Cuff Tear in an Acute Traumatic Anterior Dislocation of the Shoulder in an Elderly Patient Treated with an Allogenic Iliac Tricortical Bone Graft (노인 환자의 급성 외상성 견관절 전방 탈구에서 회전근개 파열과 동반된 거대 Hill-Sachs 병변에 대해 간접 정복 및 지지대 목적의 동종 장골 삼중 피질골 이식을 통한 치료 1예)

  • Hyun, Yoonsuk;Lim, Jinkyu;Baek, Seung-Ha;Park, Jinho;Lee, Seung-Jin
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.2
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    • pp.188-192
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    • 2020
  • An indirect reduction through the bicipital groove and allogenic iliac tricortical bone graft was performed as a treatment for a large Hill-Sachs lesion with a rotator cuff tear in an acute traumatic shoulder joint dislocation in an elderly patient. Six months after surgery, the rotator cuff healing and bone union were confirmed. The patient also showed satisfactory clinical results with 95 points of the American Shoulder and Elbow Surgeons (ASES) shoulder score and active range of motion with 155° flexion, 120° abduction, and 70° external rotation and 30° internal rotation at 90° abduction. The surgical method can be considered for a large Hill-Sachs lesion with rotator cuff tear in an acute traumatic shoulder joint dislocation in elderly patients.