• Title/Summary/Keyword: Cuff

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Reverse Total Shoulder Replacement for an Enchondroma with Concomitant Rotator Cuff Tear Arthropathy: A Case Report

  • Park, Bong-Ju;An, Ki-Yong;Choi, Yong-Suk
    • Clinics in Shoulder and Elbow
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    • v.20 no.2
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    • pp.100-104
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    • 2017
  • Enchondromas generally occur in the hand and uncommonly in the long bones. Because enchondromas are usually asymptomatic, most are discovered during diagnostic radiology for another disease. Here, we describe a case of enchondroma in the right humerus in a 79-year-old female patient with concomitant rotator cuff tear arthropathy. The patient was initially hospitalized for prolonged pain and pseudoparalysis of the right shoulder. The condition, which was histologically confirmed as an enchondroma in the proximal humerus, was treated with curettage and reverse total shoulder arthroplasty. In this case report, we present a rare case of an enchondroma with combined rotator cuff tear arthropathy.

Effects of Muscle Strengthening Exercises on Function and Pain for Rotator Cuff Partial Tear Patients (근력강화운동이 회전근개 부분 파열환자의 기능과 통증에 미치는 영향)

  • Bang, Hyoji;Lee, Hyojeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.1
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    • pp.53-62
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    • 2015
  • Purpose: The purpose of this study was to evaluate the effects of muscle strengthening exercise on shoulder function and pain for rotator cuff tear patients. Method: The subjects of this study, partial tear of the rotator cuff diagnosed patients, twelve patients were picked up, who were agreed with this research. The twelve patients received muscle strengthening exercise for 4 weeks, which consisted of 5 times per week, 40 min of supervised exercise program. Shoulder function and pain, measured by ROM, CMS, SST, PPT and VAS. Result: In comparison of VAS, PPT and ROM, CMS, SST were showed a more improved after intervention. Conclusion: Therefore, muscle strengthening exercise is useful to improve the shoulder function and pain for rotator cuff tear patients.

Effect of Sling Exercise on Muscle Activity and Pain in Patients with Rotator Cuff Repair

  • Kim, Jae-Woon;Kim, Yong-Nam
    • The Journal of Korean Physical Therapy
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    • v.29 no.2
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    • pp.45-49
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    • 2017
  • Purpose: This study was conducted to determine the effects of sling exercise on muscle activity and pain in patients with rotator cuff repair. Methods: This research evaluated 20 rotator cuff repair patients, divided randomly between 10 controls and 10 in an experimental group who performed a sling exercise. Both the experimental and control groups underwent transcutaneous electrical nerve stimulation and performed continuous passive motion. Muscle activity was measured with a surface electromyograph and pain was measured with the visual analogue scale. The paired t-test was used to compare groups before and after the experiment. The independent t-test was conducted to assess differences in the degree of change between the two groups before and after the experiment. Results: Within-group comparison of both the experimental and control group showed significant differences in muscle activity and pain. Comparison of the groups revealed significant differences in muscle activity between groups group, but not in pain. Conclusion: These results indicate that sling exercise is effective for improving muscle activity of rotator cuff repair patients.

'MEMIARTHROPLASTY VS. TOTAL SMOULDER ARTHROPLASTY'

  • Bigliani Louis U.
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2002.10a
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    • pp.7-7
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    • 2002
  • Historically, the decision to perform a hemiarthroplasty (HHR) versus a total shoulder arthroplasty (TSA) is based on the status of the glenoid and the status of the soft tissues (rotator cuff). In disease processes where the glenoid articular cartilage is relatively well preserved such as avascular necrosis and complex proximal humerus fractures, most orthopaedists recommend performing a HHR while preserving the native glenoid articular surface. At the other end of the spectrum, if the glenoid has excessive bone loss or is unreconstructible, a HHR is the preferred procedure. In patients who have deficient so(t-tissues (rotator cuff) such as rotator cuff tear arthropathy and, occasionally, rheumatoid arthritis, a HHR is the procedure of choice. The indications for HHR in osteoarthritis remain somewhat controversial. There is mounting evidence that performing a HHR for osteoarthritis is inferior to TSA. Recent developments, or 'third generation techniques and materials', in shoulder arthroplasty are expected to improve the longevity of TSA, particularly the glenoid component. In addition, newer designs of reverse-ball prostheses are entering the market with promising early results in patients with deficient rotator cuff mechanisms.

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Vocal Fold Paralysis Following General Anesthesia with Endotracheal Intubation (기관내 삽관에 의한 전신 마취 후 발생된 성대 마비)

  • 정성민;이재연;장주애;구태완
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.2
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    • pp.130-134
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    • 1999
  • Background and Objectives : Vocal fold paralysis is an unusual complication following endotracheal intubation. We experienced five cases and analyzed their causes and preventions. Materials and Methods : We reviewed 5 cases of vocal fold paralysis following general anesthesia with endotracheal intubation at Ewha Womans University Hospital from September 1997 to May 1999 retrospectively. Results : Four cases were unilateral vocal fold paralysis(3 cases were left side, 1 case was right side) and a case was bilateral vocal fold paralysis. Conclusion : Vocal fold paralysis following endotracheal intubation is the result of recurrent laryngeal nerve damage. This damage can occur as the result of compressing the anterior branch of recurrent laryngeal nerve between an inflated endotracheal tube cuff and thyroid cartilage. Prevention of this complication lies in eliminating the use of endotracheal tubes with cuff inflated unevenly, desisting from the practice of deliberately placing the cuff within the larynx, and filling the cuff with a sample of the inspired mixture of gases.

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Correlation of Ultrasonography, MR and Arthroscopy of Rotator Cuff Disease (회전근 개 질환에서 초음파, 자기공명영상, 관절경 소견의 연관성)

  • Jeong, Woong-Kyo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.122-127
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    • 2008
  • Ultrasonography is a powerful and useful method for the examination of the various shoulder diseases. The use of high-resolution transducer and technical evolution allowed the improvement of the accuracy of detection of the rotator cuff disease. However, its limitation is that there is marked disparity in the interpretation according to the operators' experience. This article describes the ultrasonographic findings of rotator cuff pathology compared to the MR (magnetic resonance) imaging and arthroscopic findings for helping the interpretation of ultrasonographic picture.

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Review of Shoulder Joint Impingement Syndrome (견관절 충돌증후군의 고찰)

  • Kim, In-Sup
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.1
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    • pp.93-100
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    • 2004
  • Shoulder impingement syndrome is cause by the collision of acromion, acrominoclaviclar joint, coracoacromino ligament, coracoid process and synovial sac, biceps brachiialis tendon, rotator cuff muscle. Treatment for Shoulder impingement syndrome is genetally classified into two different methods; preservative method and operational method. Operational method includes rotator cuff sutura, anterior acromioplasty, arthroscope decompression. Preservative method includes rest, medicinal therapy, physical therapy. Physical therapy concentrates on pain control, functional recovery and prevention of disease progress. It is also important for physical therapy to maintain the strength of rotator cuff. Strengthening rotator cuff decreases the collision and helps the stability of shoulder joint. In conclusion, it must be aware that shoulder impingement syndrome and some other shoulder problem demand different treatment, which results in a better outcome.

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The best options in superior capsular reconstruction

  • Kim, Dong Hyun;Jung, Young Soo;Kim, Kyung-Rock;Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
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    • v.24 no.2
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    • pp.114-121
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    • 2021
  • Irreparable massive rotator cuff tears cause pain, loss of function, and a decrease in range of motion, which cause serious disturbances in daily life. Young patients, in particular, are active and have relatively high functional requirements, and their surgical options are limited. Superior capsular reconstruction (SCR) was first proposed for irreparable massive rotator cuff tears, good clinical results have been reported in short-term follow up. Since then, SCR has been used increasingly worldwide for irreparable massive rotator cuff tears, and various studies have been published on clinical outcomes, biomechanical outcomes, surgical techniques, and graft types. This article reviews the optimal graft and surgical options for improving clinical outcomes in SCR.

Protecting the tracheal tube cuff: a novel solution

  • Abel, Adam;Behrman, David A.;Samuels, Jon D.
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.2
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    • pp.167-171
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    • 2021
  • We describe the successful insertion of a nasotracheal tube following repeated cuff rupture. The patient was a 55-year-old woman with a history of nasal trauma and multiple rhinoplasties, who underwent elective Lefort I osteotomy and bilateral sagittal split osteotomy for correction of skeletal facial deformity. During fiberoptic bronchoscope-guided nasal intubation after the induction of general anesthesia, the tracheal tube repeatedly ruptured in both nares, despite extensive preparation of the nasal airways. We covered the cuff with a one-inch tape, intubated to the level of the oropharynx, pulled the tracheal tube out through the mouth, and removed the tape. The tracheal tube was then backed out to the level of the uvula, and was successfully advanced.

Superior capsular reconstruction for irreparable rotator cuff tear: a review of current methods

  • Seok Won Chung;Dong-Hyun Kim;Hyun Joo Lee;Won Ki Hong;Seung Ho Chung;Jong Pil Yoon
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.438-444
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    • 2023
  • Irreparable massive rotator cuff tears can significantly impact daily life; and these types of tears can be difficult to repair completely, especially in younger patients who are more active and have higher functional requirements. Since its introduction by Mihata and the colleagues, superior capsular reconstruction (SCR) has gained popularity in the treatment of irreparable massive rotator cuff tears and has shown promising short-term results. A variety of studies have focused on the clinical and biomechanical outcomes of this procedure. This article reviews the biomechanics, indications for the surgical procedure, graft options, surgical technique, and rehabilitation from SCR.