• Clinics in Shoulder and Elbow
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• 제23권2호
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• pp.109-117
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• 2020

Repair of the rotator cuff tear is a joint-tightening procedure that can worsen joint stiffness. This paradoxical phenomenon complicates treatment of rotator cuff tear with joint stiffness. As a result, there is controversy about how and when to treat joint stiffness. As many treatments have been published, this review discusses the latest findings on treatment of rotator cuff tear with joint stiffness.

• Clinics in Shoulder and Elbow
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• 제8권1호
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• pp.14-18
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• 2005

Purpose: Limitation of motion of the elbow joint due to stiffness affect on life quality of the patients. So contracture of the elbow should be treated as soon as possible. Among the many treatment modalities, we described the result of arthroscopic treatment. Materials and Methods: From Mar. 2000 to Mar. 2003, 40 patients, who received the arthroscopic treatment by author for contracted elbow, were the subjects. We estimated the range of motion (ROM) of elbow joint before and after surgery by goniometer. The clinical result was evaluated by Severance elbow scoring system. The final ROM was evaluated at the point of no further increasement of joint motion. Male ware 30 cases, female ware 7 cases, average 42.6 years old and mean follow up period were 31 months. During arthroscopic treatment we had done release of the joint capsule or resection, synovectomy, removal of loose bodies. We used traditional portals. Results: The avarage preoperative ROM of elbow joint was 72.5 degree(range, 5 - 132 degree) and the increasement of ROM was totally 49.3 degree in flexion 26.5 degree and extension 22.8 degree. There was no other complication. Conclusion: Arthroscopic treatment for contracted elbow permit early joint ROM and it decrease the secondary injury to the elbow joint. Also there are few complications. It is thought to be a good treatment modality in contracted elbow joint.

• Clinics in Shoulder and Elbow
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• 제24권3호
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• pp.172-177
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• 2021

Background: This study aimed to evaluate the response rate to arthroscopic release treatment in adhesive capsulitis of the shoulder (ACS) for patients with refractory to conservative treatment. Methods: In this retrospective study, 51 patients (age mean, 49.1±5.6 years) with unilateral adherent capsule underwent arthroscopic releasing surgery for the shoulder capsule. Etiologies of the ACS in 30 patients were idiopathic: 10 patients were affected after surgery and 11 patients following trauma. The patients were evaluated in terms of shoulder function, satisfaction rate, pain intensity, and joint range of motion (ROM) based on a Constant score, a Simple Shoulder Test, the visual analog scale, and four movements, respectively. Results: The mean Constant score before surgery was 48.2±3.5 and reached 74.4±6 and 77.0±6.3 at 6 months and the final follow-up, respectively (p<0.001). The mean scores of pain intensity, a Simple Shoulder Test, and ROM showed significant improvement at all follow-ups (p<0.001). Sex, age, and diabetes did not have any significant effect on patient recovery. However, patients who experienced ACS after surgery had poorer results than others at all follow-up points. Conclusions: Arthroscopic releasing surgery of the shoulder in patients with ACS refractory to conservative treatment produces rare complications and an effective injury response. It seems that patients suffering ACS following surgery have a weaker response to the treatment.

• 대한족부족관절학회지
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• 제23권4호
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• pp.166-172
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• 2019

Purpose: This study evaluated the clinical and radiological results after reinforcement of the weakened medial joint capsule using Internal Brace (Arthrex) for treating severe hallux valgus. Materials and Methods: This study reviewed 56 cases of 50 patients that were followed-up postoperatively for at least 12 months, from September 2017 until August 2018. An extended distal chevron osteotomy combined with a distal soft-tissue release was performed by a single surgeon to treat severe hallux valgus. Internal Brace was applied in 12 cases (group A) who had weakened medial joint capsules, and capsulorrhaphy was performed in 44 cases (group B), and these two groups were compared postoperatively for the clinical and radiological results. The postoperative complications were also investigated. Results: No significant differences at 1-year follow-up on the Manchester-Oxford Foot Questionnaire and the patients' satisfaction scores were found between the two groups (p=0.905 and p=0.668, respectively). For the radiology, the changes of the values between before surgery and at 1-year follow-up according to the group showed no significant differences in the hallux valgus angle, intermetatarsal angle, and the hallux interphalangeal angle (p=0.986, p=0.516, p=0.754, respectively). Recurrence of hallux valgus was reported in two cases in group A, and in three cases in group B. Transfer metatarsalgia occurred in 4 cases in group B. Conclusion: Based on these results, we recommend the capsule reinforcing technique using Internal Brace as a successful operative option for treating a weakened medial capsule in patients with severe hallux valgus.

• Clinics in Shoulder and Elbow
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• 제7권2호
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• pp.76-82
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• 2004

Purpose: In the traumatic anterior shoulder instability, the laxity of joint capsule and ligament is frequently demonstrated. Although a arthroscopic procedure to address anterior instability with joint capsular redundancy have generally provided good results, its recurrence rate is higher than open procedure. By reducing the capsular redundancy, thermal shrinkage is likely to improve the outcome of arthroscopic anterior stabilization. The objective of this study was to evaluate additional thermal capsular shrinkage as a treatment of joint capsular redundancy in anterior shoulder instability. Materials and Methods: From March 1999 to June 2000, 25 shoulders of 23 patients of recurrent anterior shoulder dislocation underwent arthroscopic Bankart repair with shrinkage procedure. The mean follow up was 29 months and average age at the time of operation was 26 years. Of these patients, 20 were male and 3 were female who had been experienced the average 8 times of dislocation before operation. Thermal shrinkage alone without Bankart repair was performed in two cases who did not have Bankart lesion. The clinical result was evaluated in according to Modified Rowe Score. Results: The Modified Rowe Score was improved from preoperative 35 points to postoperative 88 points. None of cases showed recurrence of dislocation. But, in two cases, temporary sensory hypesthesia of the axillary nerve was developed and in two cases of postoperative stiffness, arthroscopic capsular release and brisement were performed. Conclusion: Additional capsular shrinkage in arthroscopic technique to address recurrent anterior shoulder instability could treat effectively the capsular redundancy.

• 대한정형외과스포츠의학회지
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• 제11권2호
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• pp.69-74
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• 2012

목적: 슬관절의 신전 또는 굴곡 시 슬와 동맥의 위치 변화를 확인하고 슬관절의 후방 관절낭 유리술을 시행 후의 슬와 동맥의 위치 변화를 측정하여 슬관절 수술 시 슬와 동맥의 손상을 최소화 할 수 있는 자세 및 후방 관절낭 유리술의 유용성에 대해 알아보고자 하였다. 대상 및 방법: 중년의 남성 및 여성, 총 2구의 신선 동결 전신 사체로서, 모두 4례의 슬관절을 대상으로 하였다. 슬관절을 0도, 30도, 60도, 90도 각도로 굴곡하여, 각각의 각도에서 관절면 및 관절면으로부터 원위 1 cm 및 2 cm에서 경골 후방 피질골로 부터 슬와 동맥과의 거리를 측정하였다. 관절경을 이용하여 후방 관절낭 유리술을 시행하였고, 같은 방법으로 경골 후방 피질골로부터 슬와 동맥과의 거리를 측정하였다. 결과: 슬와 동맥에서 후방 경골 피질까지의 거리는 관절면, 관절면 원위 1 cm, 관절면 원위 2 cm에서 0도 굴곡 시 평균 6.3 mm (4.5~7), 4.6 mm (3.6~6), 4.9 mm (3.9~5.8), 30도 굴곡 시 평균 7.4 mm (5.2~9), 4.9 mm (3.6~7.2), 5.3 mm (3.8~6.6), 60도 굴곡 시 평균 8.7 mm (5.4~11), 5.2 mm (4.9~7.3), 6.2 mm (5.4~9.6), 90도 굴곡 시 9.8 mm (5.8~12.1), 5.5 mm (5.1~7.4), 6.5 mm (5.4~10.7) 이었다. 후방 관절낭 유리술 시행 후에는 관절면, 관절면 원위 1 cm, 관절면 원위 2 cm에서 0도 굴곡 시 6.5 mm (5.5~7.5), 5.8 mm (3.9~7.2), 5.2 mm (3.8~7.0), 30도 굴곡 시 7.7 mm (5.5~9,1), 7.1 mm (4.6~7.6), 5.5 mm (4.1~6.9), 60도 굴곡 시 8.9 mm (5.7~11.2), 8.5 mm (5.5~9.2), 6.4 mm (5.3~10.1), 90도 굴곡 시 10.2 mm (6.3~13.6), 9.5 mm (6.5~11), 6.6 mm (5.9~9.8)로 측정되었다. 결론: 슬관절을 굴곡시킬수록 슬관절 관절면에서 관절면 원위 2 cm 사이에서는 경골 후방 피질골과 슬와 동맥 사이의 거리를 증가되어 슬관절 수술시 슬와 동맥 손상을 줄일 수 있다. 또한 후방 관절낭 유리술을 시행하게 되면 경골 후방 피질골과 슬와 동맥 사이의 거리를 더 증가시켜 슬와 동맥 손상을 보다 더 줄일 수 있을 것이다.

• 대한관절경학회지
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• 제10권2호
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• pp.214-218
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• 2006

목적: 급성 또는 재발성 슬개골 탈구의 치료에 있어서 내측 슬개-대퇴 인대의 해부학적 위치를 고려하여 견인 봉합술을 이용한 관절경적 내측 관절막 중첩술을 새롭게 고안하였기에 소개하고자 한다. 수술 술기: 관절경하에서 내측 슬개-대퇴 인대가 위치하는 부위의 내측 관절막에 봉합사를 관절 밖에서 안으로 통과시킨다. 슬개골에 유도강선으로 3개의 터널을 뚫는데, 그 관절내 입구가 슬개골의 내측 변연 상부 1/2에 위치하도록 한다. 관절 내로 들어와 있는 봉합사를 슬개골의 터널을 통해 관절 밖으로 빼내고, 봉합사에 긴장을 준 상태에서 적절한 정도로 외측 지대 유리술을 시행한 후 봉합사를 결찰한다. 결론: 본 술기는 최근 중요시되고 있는 내측 슬개-대퇴 인대를 봉합함으로써 내측 관절막 중첩술의 효과를 극대화시키고 슬개골의 아탈구 및 경사를 교정할 수 있으며, 최소 침습적이고 비교적 쉽고 간단하여 급성 또는 재발성 슬개골 탈구의 치료에 있어서 효과적인 술식으로 생각된다.