• Archives of Plastic Surgery
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• v.48 no.6
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• pp.583-589
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• 2021

Background In prosthesis-based breast reconstruction patients, the drain tends to be kept in place longer than in patients who undergo only mastectomy. Postoperative arm exercise also increases the drainage volume. However, to preserve shoulder function, early exercise is recommended. In this study, we investigated the effect of early exercise on the total drainage volume and drain duration in these patients. Methods We designed a prospective randomized trial involving 56 patients who underwent immediate breast reconstruction following mastectomy using tissue expanders. In each group, the patients were randomized either to perform early arm exercises using specific shoulder movement guidelines 2 days after surgery or to restrict arm movement above the shoulder height until drain removal. The drain duration and the total amount of drainage were the primary endpoints. Results There were no significant differences in age, height, weight, body mass index, or mastectomy specimen weight between the two groups. The total amount of drainage was 1,497 mL in the early exercise group and 1,336 mL in the exercise restriction group. The duration until complete removal of the drains was 19.71 days in the early exercise group and 17.11 days in the exercise restriction group. Conclusions Exercise restriction after breast reconstruction did not lead to a significant difference in the drainage volume or the average time until drain removal. Thus, early exercise is recommended for improved shoulder mobility postoperatively. More long-term studies are needed to determine the effect of early exercise on shoulder mobility in prosthesis-based breast reconstruction patients.

• Clinics in Shoulder and Elbow
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• v.1 no.1
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• pp.40-45
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• 1998

Multidirectional instability of the shoulder joint is an unusual entity which is not yet well understood. Traditionally recommended treatment is non-operative, but recently arthroscopic treatment has been performed. This is a retrospective review of 20 patients who had multidirectional instability, who had been treated with arthroscopic capsular shift(7 cases), and arthroscopic treatment using Ho:YAG laser(l3 cases) at Department of Orthopaedic Surgery, Chungnam National University Hospital from July, 1988to February, 1997. Results of this study were as follows: 1. In five patients who were treated with arthroscopic anterior capsular shift only, all cases had redislocation of the shoulder joint. But there was no redislocation in two patients who were treated with arthroscopic anterior and posterior capsular shift. 2. ln three patients who were treated with laser-assisted capsular shift only, all cases had redislocation of the shoulder joint. But there was only one redislocation in ten patients treated with laser-assisted capsular shrinkage and capsular plication. Ho: Y AG laser has been found to be a safe and efficacious adjunct to many arthroscopic shoulder procedures. We had satisfactory results by combining a transglenoid capsular shift with laser-assisted capsular shrinkage. Arthroscopic laser-assisted capsular shrinkage and capsular plication is a one of recommendable treatment options in multidirectional instability of the shoulder joint.

• Journal of Korean Traditional Oncology
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• v.15 no.1
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• pp.79-87
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• 2010

Objectives : Quality of life(QoL) in patients with lung cancer usually goes down after pneumoectomy, and the pain is the most common cause. Uncontrolled postoperative pain can restrict the movements of shoulders resulting in frozen shoulder. This case report is to report the effect of herb medicine, Ohjuksan on a 49-year-old female lung cancer patient with shoulder pain after lobectomy. Methods : The patient was treated with Ohjuksan for 10 days. The patient's symptoms were assessed by range of motion(ROM) of shoulder, Visual analogue scale(VAS) of shoulder pain and abdominal diagnosis. Results & Conclusions : The patient showed improvement of ROM, VAS and abdominal diagnosis. As the shoulder pain is relieved from VAS6 to VAS3, ROM of abduction, adduction and internal rotation were increased. Also discomfort of abdomen was disapeared to a certain degree. This suggests that herb medicine, Ohjuksan is effective for treating postoperative pain of shoulder for a Lung cancer patient.

• Journal of the Ergonomics Society of Korea
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• v.15 no.2
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• pp.15-24
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• 1996

To generate workspace analytically using the robot kinematics, data on range of human joints motion, especially range of two degrees of freedom motion, are needed. However, these data have not been investigated up to now. Therefore, in this research, we are to investigate an interaction effect of motions with two degrees of freedom occurred simultaneously at the shoulder, virtual hip(L5/S1) and hip joints, respectively, for 47 young male students. When motion with two degrees of freedom occurred at a joint such as shoulder, virtual hip and hip joints, it was found from the results of ANOVA that the action of a degree of freedom motion may either decrease or increase the effective functioning of the other degree of freedom motion. In other words, the shoulder flexion was decreased as the shoulder was adducted or abducted to $60^{\circ}C$TEX>or abducted from $60^{\circ}C$TEX>to maximum degree of abduction, while the shoulder flexion increased as the joint was abducted from $60^{\circ}C$TEX> to $60^{\circ}C$TEX> The flexion was decreased as the virtual hip was bent laterally at the virtual hip joint, and also did as the hip was adducted or abducted from the neutral position. It is expected that workspace can be generated more precisely based the data on the range of two degrees of joint motion measured in this study.

• Journal of the Korean Society of Costume
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• v.53 no.3
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• pp.63-72
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• 2003

The purposes of this study were to classify the upper half of body somatotype and analyze the characteristics of each somatotype. The subjects of survey were 272 elementary school boys of 11 to 12 years old living in Pusan and Kyungsangnam-do. Datas were collected through 36 anthropometric measurements and 7 photographic measurements. They were analyzed by factor analysis, cluster analysis and analysis of variance. The results of the study were as follows : 1. According to the factor analysis. seven factors were extracted from measurements of the upper half of body and those factors comprised 79.62% of total variance. Specially factor 1 was characterized sectional size and factor 2 was characterized longitudinal size comprised 58.83% of total variance. 2. According to the cluster analysis, the upper half of body somatotype was classified four types : Boys in type 1 had quite high stature and big frame, broadest and most sloping shoulders, flattest chest and belly, quite protruded shoulder blades boys in type 2 had quite short stature and small frame, quite broad and most rising shoulder, most protruded belly, quite protruded shoulder blades boys in type 3 had shortest stature, smallest frame, narrowest and quite rising shoulders, most protruded chest, flattest shoulder blade and quite flat belly : boys in type 4 had highest stature, biggest frame, most protruded shoulder blades and quite protruded chest and belly.

• Clinics in Shoulder and Elbow
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• v.3 no.1
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• pp.26-32
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• 2000

Purpose : The aim of this study is the assessment of the clinical outcomes after percutanous pinning of unstable two-parts fracture of surgical neck in humerus. Materials and Methods: This study was based on thirteen cases of non-comminuted unstable surgical neck fracture of humerus among 19 cases, which followed-up more than one year. Follow-up averaged 29 months. We treated with percutaneous pinning techniques and assessed clinical outcomes. Functional evaluation was performed using the standard method of research committee of American Shoulder and Elbow Surgeons(ASES). Results: Last follow-up ROM of shoulder joint were 142 degrees of forward elevation, 57 degrees of external rotation, 72 degrees of external rotation in 90 degrees abduction, and T8 of internal rotation. Pain scale was l(range : 0∼3). ASES scores was 86.2(range : 63.3~98.3). Patient satisfaction based on ASES were excellent in 6 cases, good in 5 cases, fair in 1 case, poor in 1 case. A case of fair result was caused by limitation of motion in shoulder joint and poor case was paraplegia patient after traffic accident. Conclusion : Percutaneous pinning is recommended for non-comminuted unstable fracture of surgical neck in humerus.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2002.10a
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• pp.125-134
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• 2002

This is a prospective study in which we evaluate the 5-10 year results of BiPolar shoulder arthroplasty in 64 patients (71 shoulders) with primary glenohumeral osteoarthritis. Fifty two patients (56 shoulders) were followed for greater than 60 months (average 79months)1 and no patients were lost to follow Lip. The average age of the patient at operation was 72.5 years. The UCLA score increased from 10.8 preoperatively to 25,7 postoperatively. The final Constant score in this elderly subset of patients averaged $65\%$ (unadjusted). Eighty seven percent of patients were satisfied with their final result. Excellent pain relief was achieved with a VAS of 2.5 (0=no pain, 15=excruciating pain). Active anterior forward flexion improved from $45^{\circ}$ to $104^{\circ}$. Seventy five percent of patients reveal persisting head-shell motion at an average of 7 years. There were two reoperations because of humeral stem loosening; both stems should have been cemented at the initial arthroplasty. It is demonstrated that BiPolar shoulder arthroplasty is durable over time, with clinical results equivalent to that in the literature when compared with hemiarthroplasty and total shoulder replacement.

• Polymer(Korea)
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• v.36 no.1
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• pp.53-58
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• 2012

The differences between single and mixed aluminium catalyst systems in the bulk polymerization of L-lactide were studied. $Al(O-i-Pr)_3$, TMA, TOA and TIBA were employed for the mixed-catalyst systems, and TIBA was chosen as a reference catalyst. For the $Al(O-i-Pr)_3$/TIBA catalyst system, the conversion of polymerization increased as the composition of $Al(O-i-Pr)_3$ in the mixed catalyst increased. The molecular weight of the resulting PLA reached to about 13000 g/mol, and the polydispersity index of the polymer from the $Al(O-i-Pr)_3$/TIBA catalyst was slightly increased than that of single catalyst. The higher molecular weight tail or shoulder was revealed in the GPC curve. The conversion of the TOA/TIBA catalyst system decreased as the composition of TOA in the mixed catalyst increased. The molecular weight of PLA prepared with TOA/TIBA catalysts increased up to 14000 g/mol. The Al compounds-mixed catalysts could produce a higher molecular weight tail or shoulder in the GPC curve, which may result in enhancement of mechanical properties of PLA.

• The Research Journal of the Costume Culture
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• v.4 no.3
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• pp.373-381
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• 1996

Draping design system organized by European about 13C has been developed greatly for a long while, but for the purpose of the practical use the Dress form similar to human body has been needed. In order to make three-dimensional effect as fitting Muslin ot the Dress form. the Basic lien has to be established in Muslin and Dress form each. At this time, Shoulder-blade level is indicated from various angles : measure down 10cm from the back neck point, a quarter of the back neck point to the waist lie, the half-way point between neckline and bust line, measure down 41 inches from the back neck line, measure down 3 inches from the top edge of the muslin at center back and cross mark for neck line, and so forth. This study established the Basic line through the two ways of them (B.N.P∼B.L/2, B.N.P∼W.L/4), did tight fitting to the 5 kinds of Dress forms which ar normal type in the drop value(the difference between hip circumference and bust circumference), and acquired Basic Pattern. After the experiment, fitness are throughly investigate by statistical analysis of measurements. As a result, this study finds out that fit is proper when shoulder blade level is situated on a fourth of the back neck point to the waist line and a quarter point between back neck point and waist line, and waist dart is situated on the back center line and princess line.

• Clinics in Shoulder and Elbow
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• v.13 no.1
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• pp.20-26
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• 2010

Purpose: To evaluate clinical features and surgical results for rotator cuff tear secondary to shoulder dislocation in middle-aged and elderly patients. Materials and Methods: We reviewed 19 patients over 50 years of age who had rotator cuff tears combined with shoulder dislocation between October 2004 and October 2008. There were 7 males and 12 females with a mean age 64.7 years (range, 50 to 78 years). The average follow-up duration was 22 months (range, 8 to 56 months). We investigated the number of dislocations, the size of the cuff tear, the presence of Bankart lesions and the time interval from dislocation to surgery. We also investigated the ASES score, UCLA score, SST score, and shoulder range of motion before and after surgery. We analyzed clinical outcomes and contributing factors. Results: ASES scores improved from 30.2 preoperatively to 72.3 postoperatively; UCLA scores improved from 12.9 to 26.5; SST scores improved from 2.4 to 7.3. Range of motion improved significantly: forward flexion, abduction, external rotation and internal rotation were, respectively, $110.8({\pm}39.3)^{\circ}$, $107.7({\pm}40)^{\circ}$, $22.5({\pm}17.6)^{\circ}$ and L5 level preoperatively; postoperatively they were $153.6({\pm}20.6)^{\circ}$, $152.1({\pm}20.8)^{\circ}$, $36.4({\pm}22.7)^{\circ}$ and L1 level. Age, the presence of Bankart lesions and the number of dislocations were not correlated with clinical outcomes. But the size of the cuff tear was correlated with clinical results. Also, the duration from dislocation to surgery was correlated with postoperative UCLA and SST scores (p=0.039, p=0.038). Conclusion: For shoulder dislocation, it is important to achieve early diagnoses of rotator cuff tears in middle-aged and elderly patients. If these injuries are both present, early rotator cuff repair should be performed for better clinical results.