• Title/Summary/Keyword: Labrum

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Superior Labral Dimension of the Glenohumeral Joint on Direct MR Arthrography (MRA): Relationship with Presence of SLAP (Superior Labrum Anterior to Posterior) Lesion (직접 자기공명 견관절 조영술 상에서 상부 관절순의 크기: 상부 관절순 전후방 파열과의 관계)

  • Im, Tae Seong;Choi, Jung-Ah;Oh, Joo Han
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.3
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    • pp.193-199
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    • 2014
  • Purpose : To evaluate the relationship between superior labral dimension of the glenohumeral joint on direct MRA and presence of SLAP lesion. Materials and Methods: IRB approval was obtained and informed consent was waived for this retrospective study. Direct MRA studies of the shoulder in 296 patients (300 shoulders) with arthroscopic surgery were analyzed by two radiologists blinded to the arthroscopic results, which were used as gold standard. One of the radiologists reviewed the images twice (session 1 and 2) for the evaluation of intra-observer variability. Transverse and longitudinal dimensions of superior labrum on coronal T1-weighted images were measured as base and height of the inverted triangular-shaped superior labrum and compared between patients with SLAP lesions vs. non-SLAP patients. Presence of meniscoid labrum was noted. Statistical analysis was done using unpaired t-test. Results: Among 279 patients (283 shoulders), 122 patients (43.1%) had SLAP lesions. The mean base/height of superior labrum in SLAP and non-SLAP patients measured on T1-weighted MR image were 8.8 mm / 5.2 mm, 8.5 mm / 4.9 mm for reader 1; 8.2 mm / 4.9 mm, 8.1 mm / 4.5 mm for session 1 of reader 2; 8.0 mm / 4.8 mm, 7.6 mm / 4.3 mm for session 2 of reader 2. In SLAP group, the mean labral height was larger than non-SLAP group with statistically significant difference (p<0.05). Fifteen patients (5.3%) had meniscoid labrum according to operation records. Conclusion: In patients with SLAP lesion, the height of the superior glenoid labrum on oblique coronal image of MRA was slightly larger than non-SLAP patients. A larger height of superior glenoid labrum may be associated with SLAP lesions.

Associated Changes During Arthroscopic Evaluation of the Glenohumeral Joint in Rotator Cuff Tear - Comparison According to Tear Size - (회전근 개 파열의 관절경적 치료 시 관절된 관절와 상완관절의 동반 변화 -파열의 정도에 따른 차이-)

  • Choi Chang-Hyuk;Kwun Koing-Woo;Kim Shin-Kun;Lee Sang-Wook;Cho Myung-Rae;Ko Sang-Bong;Kim Tae-Hoon
    • Clinics in Shoulder and Elbow
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    • v.7 no.1
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    • pp.5-9
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    • 2004
  • Purpose: To identify associated findings in glenohumeral joint in rotator cuff tear and evaluate its clinical significance, we examined minor and major changes during arthroscopic or mini open repair. Materials & Methods: We reviewed 66 patients of rotator cuff tear treated from March, 2001 to January, 2004. Of 38 cases of small to medium tear, average age was 53 years old and involved in dominant arm in 27 cases. Of 28 cases of large to massive tear, average age was 58 years old and involved in dominant arm in 26 cases. Minor and major associated changes of the glenohumeral joint were evaluated in the tendon of biceps long head, biceps pulley, cartilage of the glenoid and humeral head, labrum and synovium. Results: Minor changes in biceps tendon were in 35% of cases, biceps pulley in 18%, cartilage of humeral head in 27%, cartilage of glenoid in 18%, labrum in 38%, and synovium in 42%. Major changes in biceps tendon were in 6% of cases, biceps pulley in 35%, arthritis of humeral head in 3%, arthritis of glenoid in 2%, labrum in 6%, and synovium in 21 %. Major changes in biceps tendon were 5% in Group I and 7% in Group Ⅱ(p>0.05) and in biceps pulley, 18% and 57% in each (P<0.05). Minor changes of arthritis were prevalent in glenoid cartilage and major changes were more prevalent in humeral head. There were no differences in minor changes of labrum and synovium, but major changes were more prevalent in Group Ⅱ. Conclusion: The prevalence of intraarticular associated changes of rotator cuff tear were 63% in synovium, 54% in labrum, 53% in biceps pulley, 41% in biceps tendon, 30% in humeral head and 20% in glenoid cartilage in order. Major changes of biceps pulley, humeral head, labrum and synovium were more prevalent in Group Ⅱ.

Two New Species of a New Genus of Leptobathynellinae (Crustacea, Bathynellacea) from Califonia, USA

  • Cho, Joo-Lae
    • Animal cells and systems
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    • v.1 no.2
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    • pp.265-270
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    • 1997
  • A new genus and two new species of Bathynellacea are described from California in USA. Califobathynella, a new genus, belongs to the subfamily Leptobathynellinae, and is closely related to the genera Parvulobathynella and Leptobathynella but differs from them with respect to labrum, maxillule, maxilla, and male thoracopod VIII. Based on the detailed structure of mouthparts, the phylogenetic relationship of three genera are discussed. The phlogenetic age of the stem species of three genera are estimated at the late Jurassic, based on their phylogenetic relationship and distribution pattern. Two new species, C. noodti and C. teucherti differ from each other in the structure of labrum.

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Arthroscopic Treatment of a Type II Superior Labrum Anterior to Posterior (SLAP) Lesion Combined with a Bankart Lesion: Comparative Study between Debridement and Repair of Type II SLAP Lesion by the Status of Lesion

  • Lee, Sung Hyun;Joo, Min Su;Lim, Kyeong Hoon;Kim, Jeong Woo
    • Clinics in Shoulder and Elbow
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    • v.21 no.1
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    • pp.37-41
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    • 2018
  • Background: The purpose of this study is to evaluate results of superior labrum anterior to posterior (SLAP) repairs and debridement of type II SLAP lesions combined with Bankart lesions. Methods: Between 2010 and 2014, total 58 patients with anterior shoulder instability due to a Bankart lesion combined with a type II SLAP lesion were enrolled. Patients were divided into two groups: group C consisted of 30 patients, each with a communicated Bankart and type II SLAP lesion and group NC consisted of 28 patients, each with a non-communicated Bankart and type II SLAP lesion. Bankart repairs were performed for all patients. SLAP lesions were repaired in group C and debrided in group NC. Clinical results were analysed to compare groups C and NC by using the visual analogue scale pain score, American Shoulder and Elbow Surgeons score, Constant scores, Rowe score for instability and range of motion assessments. Results: The clinical scores were improved in both groups at final follow-up. Also, there were no differences between two groups. No significant difference was found in terms of the range of motion measured at the last follow-up. The number of suture anchors used was significantly higher in group C than in group NC (5.6 vs. 3.8; p=0.021). Conclusions: In this study, it is considered that Bankart repair and SLAP debridement could be a treatment option in patients with a non-communicated type II SLAP lesion combined with a Bankart lesion (study design: IV, therapeutic study, case series).

Calcific Tendinitis in Posterosuperior Labrum of Shoulder - Case Report - (견관절의 후상방 관절와 순에서 발생한 석회화 건염 - 증례보고 1례-)

  • Ji Jong-hun;Kim Weon-Yoo;Kim Jin-Young;Nam Won-Sik;Lee Yun-Su
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.2
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    • pp.226-229
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    • 2003
  • Most of the caicific tendinitis have been reported to be found on the rotator cuff, in particularly on supraspinatus. We reported a case of calcific tendinitis on the posterosuperior glenoid labrum. The location of the lesion was diagnosed accurately by the MRI and easily removed the lesion with arthroscopic surgery and got satisfactory results.

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SLAP병변의 치료시 감별해야 할 상완 이두근 장두와 상부 관절와 순 간의 드문 변형 - 증례보고 -

  • Kim, Yong-Ju;Jeong, Hun;Ha, Jong-Gyeong;Lee, Gwan-Hui;Lee, U-Jin
    • 대한관절경학회:학술대회논문집
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    • 2009.10a
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    • pp.183-187
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    • 2009
  • Labral lesions and anatomic variants have been studied by several authors in the last decade. Buford complex and sublabral recess and foramen are most common variants. Their recognition is important in order to distinguish them from superior and anterior labral tear. We report rare normal variant of biceps anchor and superior labrum that was observed during arthroscopic surgery for SLAP lesion.

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Larval Development of Chthamalus challengeri Hoek (Cirripedia: Thoracica: Chthamalidae) with Keys to Barnacle Larvae of Korean Coastal Waters

  • Chu Lee
    • Animal cells and systems
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    • v.3 no.1
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    • pp.59-68
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    • 1999
  • Chthamalus challengeri Hoek was collected from intertidal rocks to rear the larvae from hatching through nauplius to cyprid in the laboratory. Larval development consists of six nauplius stages and a cyprid. Unilobed labrum with a prominent protuberance and the frontolateral horns folded under the anterior cephalic shield margin are diagnostic features through all nauplius stages. The posterior border of the cephalic shield bears no posterior shield spines in nauplius stages IV-Ⅵ. There is a specific hispid seta in the fourth group of the antennal endopodite. Morphological features such as the cephalic shield, labrum, abdominal process, antennules, antennae and mandibles in all nauplius and cyprid stages are illustrated and described. The numerical setations of the antennule are found to aid in the intraspecific identification of barnacle nauplius stages without dissection. The keys to each stage of the barnacle larvae in Korean coastal waters are provided based on the reared nauplii of seven species: Pollicipes mitella Octomeris sulcata, Chthamalus challengeri, Balanus albicostatus B. trigonus, B. amphitrite, and B. improvisus inhabiting Korean coastal waters.

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Posterior type II SLAP Lesion Combined with Posterior Bankart Lesion - A Case Report - (후방 Bankart 병변을 동반한 후방 II형 SLAP 병변 - 증례보고 -)

  • Cheon, Sang-Jin;Youn, Myung-Soo;Kim, Hui-Taek;Suh, Jeung-Tak
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.2
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    • pp.134-138
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    • 2008
  • SLAP(Superior labrum anterior to posterior) lesion is found in superior labrum injury alone and also combined with extension of the Bankart lesion(anteroinferior labral tear) in recurrent shoulder dislocation patients and rarely accompanied by the posterior Bankart lesion. There have been reports about SLAP lesions associated with various lesions, however, posterior type II SLAP lesion associated with posterior Bankart lesion has been rarely reported. In such a case, there are important technical tips in inserting anchors and suturing during arthroscopic repair. We experienced a rare case of posterior type II SLAP lesion associated with posterior Bankart lesion, occurred not after repetitive throwing(common mechanism) but after trauma in slipping down with the arm stretched during riding a bicycle. The satisfactory result was obtained after arthroscopic repair in this case.

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