• Title/Summary/Keyword: L-shoulder

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Does humeral fixation technique affect long-term outcomes of total shoulder arthroplasty?

  • Troy Li;Kenneth H. Levy;Akiro H. Duey;Akshar V. Patel;Christopher A. White;Carl M. Cirino;Alexis Williams;Kathryn Whitelaw;Dave Shukla;Bradford O. Parsons;Evan L. Flatow;Paul J. Cagle
    • Clinics in Shoulder and Elbow
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    • v.26 no.3
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    • pp.245-251
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    • 2023
  • Background: For anatomic total arthroscopic repair, cementless humeral fixation has recently gained popularity. However, few studies have compared clinical, radiographic, and patient-reported outcomes between cemented and press-fit humeral fixation, and none have performed follow-up for longer than 5 years. In this study, we compared long-term postoperative outcomes in patients receiving a cemented versus press-fit humeral stem anatomic arthroscopic repair. Methods: This study retrospectively analyzed 169 shoulders that required primary anatomic total shoulder arthroplasty (aTSA). Shoulders were stratified by humeral stem fixation technique: cementation or press-fit. Data were collected pre- and postoperatively. Primary outcome measures included range of motion, patient reported outcomes, and radiographic measures. Results: One hundred thirty-eight cemented humeral stems and 31 press-fit stems were included. Significant improvements in range of motion were seen in all aTSA patients with no significant differences between final cemented and press-fit stems (forward elevation: P=0.12, external rotation: P=0.60, and internal rotation: P=0.77). Patient reported outcome metrics also exhibited sustained improvement through final follow-up. However, at final follow-up, the press-fit stem cohort had significantly better overall scores when compared to the cemented cohort (visual analog score: P=0.04, American Shoulder and Elbow Surgeon Score: P<0.01, Simple Shoulder Test score: P=0.03). Humeral radiolucency was noted in two cemented implants and one press-fit implant. No significant differences in implant survival were observed between the two cohorts (P=0.75). Conclusions: In this series, we found that irrespective of humeral fixation technique, aTSA significantly improves shoulder function. However, within this cohort, press-fit stems provided significantly better outcomes than cemented stems in terms of patient reported outcome scores. Level of evidence: III.

A Study on Basic Pattern Evaluations Utilizing a Bodice Sloper Size Measurement Tool (원형치수 계산도구에 의한 바디스 원형 평가 연구)

  • Hong, Jiun;Kwon, Sookhee
    • Human Ecology Research
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    • v.54 no.4
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    • pp.427-440
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    • 2016
  • This study uses comparison tests of bodice basic patterns to research improvements in wearing evaluation methods based on differences in bodice basic patterns and body size. As study methods, we calculated body sizes for six types by selecting four types of bodice basic pattern and utilized bodice basic pattern size measurement tools. The study result are as follows. First, as the result of analyzing bodice basic patterns per each part and body size difference by bodice basic pattern size measurement tool, shoulder angle cover rate was J&K type 57.57%~68.41%, N type 53.13%~65.57%, L type 51.87%~63.73%, and H type 59.03%~68.20%. In the item of neck base circumference, it was J&K type 6.4~-16 mm, N type 10.7~-31.9 mm, L type -5.2~-13.4 mm, and H type -6.2~-15.4 mm. In the item of armscye circumference, it was J&K type -18.9~-59.4 mm, N type -15.2~-51.3 mm, L type -38.9~-52.7 mm, and H type -17~-42.2 mm. In the item of biacromion length, it was J&K type 23.2~-4.7 mm, N type 18.4~-10.4 mm, and H type 3.5~-5.7 mm. In the item of interscye back, it was J&K type and N type 17.6~-13.6 mm, L type 11.9~-13.6 mm, and H type 3.2~-11.8 mm. The item of interscye front was found in the sequences of study type and L type. Second, the Kruskal-Wallis test result (according to bodice basic pattern) indicated meaningful differences in items of shoulder angle cover rate, neck point to breast point, bust point-bust point, biacromion length and armscye circumference and H type had an overall higher rank.

Comparison of old-old aged women's bodice pattern using 3D anthropometric data

  • Cha, Su-Joung
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.11
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    • pp.111-122
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    • 2018
  • The purpose of this study was to investigate the bodice prototype method suitable for the upper body shape of old-old aged women using the 3D anthropometric data. And it was to provide the basic data for the upper body garments of old-old aged women. In the overall appearance evaluation, the B pattern was rated as 4.00, and it was evaluated as the most suitable for the bodice prototype of the old-old aged woman. The E pattern was rated lower than normal, and the L pattern and the S pattern were found to be inadequate for older female bodice prototypes. As a result of the measurement of the waist and bust air gap of bodice prototype, the air gap of the bust was not significantly different between the patterns. But the waist air gap showed the largest difference between the L pattern and the S pattern. As a result of evaluating the appearance, the amount of space in the state of 3D simulation, and the air gap, the pattern B appeared to be the most appropriate prototype for the old-old aged women's body shape. However, there is a tendency that the shoulder end point is biased toward the back, so it is necessary to set the inclination of the back shoulder line to be more gentle. Conversely, the front shoulder should be more inclined. In the case of the 3D simulation, the B pattern showed that the other parts generally fit well. In the case of the 3D simulation program used in this study, it was evaluated that it is suitable only for the normal body shape because it is impossible to set the isometric angle which is one of the characteristics of the older female body shape. A study on the bodice prototype suitable for the bent body shape should be carried out through experiments on the actual body shape of various elderly women. In order to cope with the increase of elderly people who are familiar with digital, I think it is necessary to develop an avatar that reflects the old female body shape.

Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes?

  • Al-Tawil, Karam;Casey, Joseph;Thayaparan, Prashant;Tavakkolizadeh, Adel;Sinha, Joydeep;Colegate-Stone, Toby
    • Clinics in Shoulder and Elbow
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    • v.25 no.2
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    • pp.112-120
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    • 2022
  • Background: The prognostic factors for patients with full-thickness rotator cuff tears (RCTs) include tear size, muscle atrophy and fatty infiltration. However, the influence of early coexisting degenerative changes on RCT outcomes is unappreciated. The purpose of this study was to calculate the impact that pre-existing partial glenohumeral cartilaginous changes have on patients undergoing arthroscopic RCT repair. Methods: A study of 54 patients undergoing arthroscopic RCT repair was undertaken. The presence of co-existing patches of glenohumeral degenerative cartilaginous changes and RCT size was recorded at surgery. Pre- and postoperative outcomes were assessed using traditional (Oxford Shoulder Score [OSS], 5-level EuroQol-5D [EQ-5D-5L] questionnaire and EuroQol visual analog scale [EQ-VAS]) and patient-centric re-formatted prisms. Outcomes were assessed as an entire dataset, and sub-group analysis was performed according to the grade of co-existing arthritis and tear size. Results: Significant improvements (p<0.05) in clinical outcomes were recognized when assessed using either the traditional or reformatted prisms (average % improvements in OSS, EQ-5D-5L and EQ-VAS were 47%, 33% and 43%, respectively; average improvements in pain, function, and psychological well-being were 48%, 33% and, 29%, respectively). Positive gain was noted in all sub-groups of arthritic grading and tear size. Conclusions: Good clinical outcomes can be achieved following RCT repair even in the presence of local partial degenerative cartilage changes and advancing tear size. These benefits are patient-centered but require RCT repairability.

Comparison of Meat Quality Characteristics of Wet- and Dry-aging Pork Belly and Shoulder Blade

  • Hwang, Young-Hwa;Sabikun, Nahar;Ismail, Ishamri;Joo, Seon-Tea
    • Food Science of Animal Resources
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    • v.38 no.5
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    • pp.950-958
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    • 2018
  • The physicochemical characteristics and oxidative stability of wet-aged and dry-aged pork cuts were investigated at different aging periods (1, 7, 14 and 21 d). Samples were assigned into four groups in terms of shoulder blade-wet aging (SW), shoulder blade-dry aging (SD), belly-wet aging (BW), and belly-dry aging (BD). SD showed significantly higher pH at 21 d of aging than the other samples. Wet-aged cuts had significantly higher released water (RW) %, lightness ($L^*$) and shear force compared to the dry-aged meats. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) analysis showed greater degradation of proteins for dry-aged cuts than the wet-aged cuts. At the end of aging, wet-aged cuts showed significantly lower thiobarbituric acid-reactive substances (TBARS) value than the dry-aged samples, indicating higher oxidative stability for wet-aged pork cuts. However, dry-aging led to higher degradation of proteins resulting in increased water-holding capacity (WHC) and decreased shear force value.

Open Intramedullary Nail with Tension Band Sutures on Proximal Humeral Fracture (상완골 근위부 골절에 시행한 긴장 대 봉합을 동반한 관혈적 골수강내 고정술)

  • Park, Jin-Young;An, Jin-Woo;Lee, Sung-Churl
    • Clinics in Shoulder and Elbow
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    • v.6 no.2
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    • pp.149-160
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    • 2003
  • Purpose: to determine the results after open intramedullary nailing and tension band suture technique in proximal humerus fracture for improving the stability and decreasing the complications. Materials and Method: Authors reviewed 27 patients treated by open intramedullary nailing and tension band suture technique. Mean follow-up period was 39 months (24-59months). Surgical neck fracture were 6 cases, surgical neck fracture with shaft fracture were 3 cases, three part fracture with greater tuberosity fracture were 17 cases, four part fracture was 1 case and fracture and dislocation were 2 cases Results: We got the bony union in 26 cases. Average pain scale was 1 point (0-6), Neer score was 86 point(45-99) and ASES score was 85 point(40-100). We separate all cases in two groups based on age (65 years), L-spine t-score (-2.5) and Neer classification (2 and 3 part). There is no significance in pain scale, Neer score and ASES score between each group. Conclusion: As a method of surgical treatment on severe proximal humeral fractures, we recommend intramedullary nailing and tension band suture technique and it may have particular advantages in early exercise and satisfactory functional outcome.

Long-term Follow-up of Extensive Peri-anchor (Poly-L/D-lactic Acid) Cyst Formation after Arthroscopic Rotator Cuff Repair: A Case Report

  • Kim, Jong-Ho;Kim, Jong-Ick;Lee, Hyo-Jin;Kim, Dong-Jin;Sung, Gwang Young;Kwak, Dong-Ho;Kim, Yang-Soo
    • Clinics in Shoulder and Elbow
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    • v.22 no.2
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    • pp.100-105
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    • 2019
  • Suture anchors are commonly used in shoulder surgeries, especially for rotator cuff tears. Peri-anchor cyst formation, however, is sometimes detected on follow-up radiologic image after surgery. The purpose of this report is to discuss the case of a patient who presented with regression of extensive peri-anchor cyst on postoperative 4-year follow-up magnetic resonance imaging and had good clinical outcome despite peri-anchor cyst formation after arthroscopic rotator cuff repair.

Evaluation of the correlation between the muscle fat ratio of pork belly and pork shoulder butt using computed tomography scan

  • Sheena Kim;Jeongin Choi;Eun Sol Kim;Gi Beom Keum;Hyunok Doo;Jinok Kwak;Sumin Ryu;Yejin Choi;Sriniwas Pandey;Na Rae Lee;Juyoun Kang;Yujung Lee;Dongjun Kim;Kuk-Hwan Seol;Sun Moon Kang;In-Seon Bae;Soo-Hyun Cho;Hyo Jung Kwon;Samooel Jung;Youngwon Lee;Hyeun Bum Kim
    • Korean Journal of Agricultural Science
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    • v.50 no.4
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    • pp.809-815
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    • 2023
  • This study was conducted to find out the correlation between meat quality and muscle fat ratio in pork part meat (pork belly and shoulder butt) using CT (computed tomography) imaging technique. After 24 hours from slaughter, pork loin and belly were individually prepared from the left semiconductors of 26 pigs for CT measurement. The image obtained from CT scans was checked through the picture archiving and communications system (PACS). The volume of muscle and fat in the pork belly and shoulder butt of cross-sectional images taken by CT was estimated using Vitrea workstation version 7. This assemblage was further processed through Vitrea post-processing software to automatically calculate the volumes (Fig. 1). The volumes were measured in milliliters (mL). In addition to volume calculation, a three-dimensional reconstruction of the organ under consideration was generated. Pearson's correlation coefficient was analyzed to evaluate the relationship by region (pork belly, pork shoulder butt), and statistical processing was performed using GraphPad Prism 8. The muscle-fat ratios of pork belly taken by CT was 1 : 0.86, while that of pork shoulder butt was 1 : 0.37. As a result of CT analysis of the correlation coefficient between pork belly and shoulder butt compared to the muscle-fat ratio, the correlation coefficient was 0.5679 (R2 = 0.3295, p < 0.01). CT imaging provided very good estimates of muscle contents in cuts and in the whole carcass.

Generation of 3-dimensional isocomfort workspace using the robot kinematics (로보트 기구학을 이용한 3차원 등편의 작업영역의 생성)

  • 기도형
    • Journal of the Ergonomics Society of Korea
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    • v.16 no.3
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    • pp.11-21
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    • 1997
  • The purpose of this study is to obtain 3-dimensional isocomfort workspace using the robot kinematics, which is based on perceived discomfort in varying postures for manipulating four types of controls. Fifteen healthy male subjects participated in the experiment where their perceived discomfort in the given postures was measured, in which L32 orthogonal array was adopted. The shoulder flexion and adduction-abduction, elbow flexion, types of controls, and right/left hands were selected as experimental variables. The results showed that the shoulder flexion and adduction-abduction, elbow flexion, and types of controls significantly affected the perceived discomfort at .alpha. =0.01. Depending upon the types of control used, regression equations predicting perceived dis- comfort and three dimensional isocomfort workspace were suggested based on the experiemntal cata. Using the equations, driver's isocomfort workspace in his/her cabin for pushing operation was illustrated, in which the robot kinematics was employed to describe the translational relationships between the upper arm and the lower arm/hand. It was ecpected that isocomfort workspace could be used as a valuable guideline to design workplaces ergonomically.

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