• 제목/요약/키워드: Shoulder arthroscopy

검색결과 253건 처리시간 0.032초

회전근 개 석회화 건염의 관절경적 치료 (Arthroscopic Treatment of Calcific Tendinitis of the Rotator Cuff)

  • 이광원;류창수;김하용;김병성;최원식
    • 대한관절경학회지
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    • 제5권1호
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    • pp.27-31
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    • 2001
  • 목적 : 고식적인 치료에 반응이 없는 14례의 환자에 대하여 관절경적 치료를 시행하여 이에 대한 치료결과를 평가하고자 한다. 대상 및 방법 : 1996년 3월부터 1998년 6월까지 회전근개의 석회화 건염의 진단하에 6개월이상 고식적 치료에 반응이 없어 관절경적 치료를 받은 14례 환자를 대상으로 하였다. 전례에서 극상근의 원위부에서 병변이 관찰되었으며 그 중 2례에서 극하근에, 1례에서 견갑하근에 병변이 동반되었다. 결과 평가는 UCLA 견관절 평가 지수와 Constant-Murley score를 이용하였다. 결과 : 동통 정도는 Constant-Murley score상 수술 전 평균 3.2점에서 수술 후 평균 8.3점으로 호전되었고 기능상으로는 UCLA점 수상 수술 전 평균 4.5점에서 수술 후 8..3점으로 호전되었다. 수술 전 평균 관절 운동 범위는 굴곡 110도, 외회전 45도, 내회전 제 3요추의 극돌기, 외전 90도로 제한되었으나 수술 후에는 굴곡 170도, 외회전 50도, 내회전 제 12흉추의 극돌기, 외전 140도로 호전되었다. 추시결과 판정은 우수 3례, 양호 9례, 보통 2례였다. 결론 : 보존적 치료에 호전이 없는 석회화 건염에 대하여 관절경적 치료는 효과적인 치료법으로 사료된다.

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견관절의 관절경 삽입구 (Arthroscopic Portals of the Shoulder Joint)

  • 송현석
    • 대한관절경학회지
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    • 제16권1호
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    • pp.87-91
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    • 2012
  • 관절경 수술에 있어서 적절한 삽입구를 만드는 것은 수술에 있어서 가장 중요한 시작이며, 이후 수술의 진행 과정을 쉽고 원활하게 할 수 있느냐를 결정짓는 중요한 단계이다. 수술을 하고자 하는 견관절 내를 정확히 검사를 하고, 다음 삽입구를 만드는 데에도 영향을 미치며, 관절 내에서 기구를 조작하는 데에도 영향을 미친다. 정상 구조물 및 병리 해부학적인 지식과 삽입구(portal)에 대한 이해가 관절경 수술을 용이하게 하는데 필수적이다.

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좌 체위 견관절 수술 후 발생한 설하신경 단독 편마비 - 증례 보고 - (Isolated Unilateral Hypoglossal Nerve Palsy after Shoulder Surgery in Beach-Chair Position - Case Report -)

  • 이용걸;이동훈
    • Clinics in Shoulder and Elbow
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    • 제7권1호
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    • pp.51-55
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    • 2004
  • Arthroscopic surgery of the shoulder is regarded as a convenient and safe approach, but there is a possibility of complication during procedure. We report an isolated unilateral hypoglossal neurapraxia following combined arthroscopic and open Bankart reconstruction performed in beach-chair position under general anesthesia with orotracheal intubation.

견과절 전방 불안정성에 대한 Bankart 술식의 결과-관절경적 술식과 관혈적 술식의 결과 비교- (The Results of Bankart Repair for Anterior Instability of the Shoulder - Arthroscopic versus Open Bankart Procedure -)

  • 이용걸;박재영
    • Clinics in Shoulder and Elbow
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    • 제2권1호
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    • pp.60-73
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    • 1999
  • Purpose : The purpose of this study was to compare patients with anterior shoulder instability who were treated with an open Bankart procedure with those treated with an arthroscopic procedure, and to evaluate factors influencing the final outcomes and recurrence. Materials & Methods : One hundred seven shoulders underwent open Bankart repair, and fifty-one shoulders were treated arthroscopically. Average followup for open group was 34 months, and for arthroscopy group was 25 months. The Bankart Rating System by Rowe was used to evaluate the clinical outcome of the procedure. And, the patients were asked about any changes concerning their sports and professional activities. Results: According to Bankart Rating system by Rowe, open group had 97% fair to excellent results with 2 recurrent dislocation(1.8%) and 4 recurrent subluxation(3.6%), and arthroscopy group had 94% fair to excellent results with 3 recurrent dislocation(5.8%) and 4 recurrent subluxation(8%). In open group, 9 shoulders(8.4%) had the mild limitation of range of motion at the time of followup, and 2 shoulders(3.9%) in arthroscopy group. Age and gender do not seem to be a significant factor contributing to an increased re-recurrence rate. The incidence of re-recurrence seems to be affected by dominance, frequency, and patient's activity. The size of Bank art lesion might be also considered as a contributing factor. Conclusion: Either open or arthroscopic Bankart procedures are safe and effective methods with acceptable results if an adequate patient's selection, precise surgical technique and proper postoperative care are done. And arthroscopic surgery could be considered if the anterior instability is non-dominant, non-athlete, traumatic unidirectional and Bankart lesion has minimal erosion of the glenoid and it has thick and mobile labrum.

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Clinical Outcome after Arthroscopic Capsular Release for Adhesive Capsulitis of the Shoulder

  • Yoo, Jae Chul;Koh, Kyoung Hwan;Shon, Min Soo;Bae, Kyu Hwan;Lim, Tae Kang
    • Clinics in Shoulder and Elbow
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    • 제21권3호
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    • pp.127-133
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    • 2018
  • Background: This study was undertaken to evaluate the outcome of the arthroscopic capsular release for adhesive capsulitis of the shoulder. Methods: This study retrospectively investigated thirty shoulders in 29 patients who presented with recalcitrant adhesive capsulitis and underwent arthroscopic treatments. Other than typical findings of adhesive capsulitis, combined pathologies in the glenohumeral joint and subacromial space were evaluated by arthroscopy. Clinical evaluations were performed using the Constant's score and ranges of motion (ROM) at preoperative, 6 months postoperatively and at the final follow-up. Results: Our study included 17 women and 12 men with a mean age of 53.8 years (range, 34-74). Mean follow-up duration was 24 months (range, 12-40 months). Assessment of combined pathologies revealed that partial rotator cuff tear of less than 25% thickness, was most common (overall 83.3%; with bursal 57% and articular 23%). Subacromial synovitis and adhesion were also frequent (53.3%). The Constant score and ranges of motion significantly improved at the final follow-up, compared with preoperative levels. However, clinical results at 6 months postoperatively were found to be significantly inferior to those observed at the final follow-up ($p{\leq}0.001$ for all factors). Functional impairment was the major complaint in 59.3% patients at the 6 months follow-up. Conclusions: Although arthroscopic capsular release yielded favorable outcome at the mean 24 months follow-up, pain and motion limitations at 6-month postoperatively persisted in more than 50% of our patients. While combined pathologies were commonly encountered during arthroscopy, although their effects on surgical outcome in adhesive capsulitis remains unclear in this study.