• 제목/요약/키워드: Shoulder injury

검색결과 315건 처리시간 0.019초

쇄골 골절을 동반한 동측 견봉쇄골 관절 탈구 치험(1례 보고) (Acromioclavicular Joint Dislocation Associated with Clavicular Fracture and Brachial Plexus Injury)

  • 이광원;김규현;박종현;황인식;최원식
    • Clinics in Shoulder and Elbow
    • /
    • 제1권1호
    • /
    • pp.128-131
    • /
    • 1998
  • Fracture of the clavicle and dislocation of the acromioclavicular joint occur commonly as separate injuries. However, complete acromioclavicular dislocation with an ipsilateral clavicle fracture is quite rare. We experienced a case of acromioclavicular joint dislocation associated with fracture of clavicle and brachial plexus injury treated by open reduction and internal fixation.

  • PDF

Arthroscopic Approach of the Elbow

  • Kim Seung-Ki
    • 대한견주관절학회:학술대회논문집
    • /
    • 대한견주관절학회 2003년도 연수강좌
    • /
    • pp.61-63
    • /
    • 2003
  • - Injury to the neurovascular structures can be minimized - Incising the skin only - Using blunt dissection and blunt trocars - Distending the joint - Placing the anterior portals in a more proximal position - With more innovation in instrument and techni

  • PDF

Chronic locked anterior shoulder dislocation with impaction of the humeral head onto the coracoid: a case report

  • Richard D. Lander;Marc J. O'Donnell
    • Clinics in Shoulder and Elbow
    • /
    • 제26권2호
    • /
    • pp.212-216
    • /
    • 2023
  • The glenohumeral joint is one of the most commonly dislocated joints. When dislocated, the humeral head typically moves anteriorly and medially within the soft tissues adjacent to the glenoid. We present a case of a 64-year-old female who presented with a locked anterior shoulder dislocation with impaction of the humeral head onto the coracoid. To our knowledge, this is the first reported instance of humeral head impaction onto the coracoid causing the shoulder dislocation to be irreducible by closed means. Complications of this dislocation can include humeral head deformity, pseudoparalysis, brachial plexus injury, and significant pain.

휠체어에서 엉덩이 들기 동작 동안 발위치가 척수손상환자의 어깨 근활성도, 최대 족저압, 무릎굽힘 각도, 운동자각도에 미치는 효과 비교 (Comparison of the Effects of Different Foot Positions During Body-lifting in Wheelchair on Shoulder Muscle Activities, Peak Plantar Pressure, Knee Flexion Angle, and Rating Perceived Exertion in Individuals With Spinal Cord Injury)

  • 이왕재;임원빈;윤병구;이범석;이충휘
    • 한국전문물리치료학회지
    • /
    • 제24권2호
    • /
    • pp.1-8
    • /
    • 2017
  • Background: Individuals with spinal cord injury (SCI) rely on their upper limbs for body-lifting activity (BLA). While studies have examined the electromyography (EMG) and kinematics of the shoulder joints during BLA, no studies have considered foot position during BLA. Objects: This study compared the effects of different foot positions during BLA on the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion in individuals with SCI. Methods: The study enrolled 13 mens with motor-complete paraplegic SCI, ASIA (American Spinal Injury Association) A or B. All subjects performed BLA with the feet positioned on the wheelchair footrest and on the floor independently. Surface EMG was used to collect data from the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii. The peak plantar pressure was measured using pedar-X and the knee flexion angle with Image J. Borg's rating perceived exertion scale was used to measure the physical activity intensity level. The paired t-test was used to compare the shoulder muscle activities, peak plantar pressure, knee flexion angle, and rating perceived exertion between the two feet positions during BLA. Results: The activity of the latissimus dorsi, pectoralis major, serratus anterior, and triceps brachii and rating perceived exertion decreased significantly and the peak plantar pressure and knee flexion angle increased significantly when performing BLA with the feet positioned on the wheelchair footrest compared with on the floor (p<.05). Conclusion: These findings suggest that individuals with SCI may perform BLA with the feet positioned on the wheelchair footrest for weight-relief lifting to decrease the shoulder muscle activities and the rating perceived exertion and to increase the peak plantar pressure and the knee flexion angle.

Unusual and nondescript type of distal clavicular fracture

  • Fernandez, Alberto Izquierdo;Minarro, Jose Carlos
    • Clinics in Shoulder and Elbow
    • /
    • 제24권2호
    • /
    • pp.106-109
    • /
    • 2021
  • Displaced fracture of the distal third of the clavicle usually occurs after direct trauma to the shoulder and typically results in superior displacement of the proximal fragment. We report a previously undescribed case of downward displacement of the clavicle caused by a fall on an outstretched hand, and we suggest the mechanism of injury.

Radiofrequency in arthroscopic shoulder surgery: a systematic review

  • Neeraj Vij;Joseph N. Liu;Nirav Amin
    • Clinics in Shoulder and Elbow
    • /
    • 제26권4호
    • /
    • pp.423-437
    • /
    • 2023
  • Background: Radiofrequency has seen an increase in use in orthopedics including cartilage lesion debridement in the hip and knee as well as many applications in arthroscopic shoulder surgery. The purpose of this systematic review is to evaluate the safety and usage of radiofrequency in the shoulder. Methods: This systematic review was registered with PROSPERO (international registry) and followed the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. Embase and PubMed were searched using: "shoulder," "rotator cuff," "biceps," "acromion" AND "monopolar," "bipolar," "ablation," "coblation," and "radiofrequency ablation." The title and abstract review were performed independently. Any discrepancies were addressed through open discussion. Results: A total of 63 studies were included. Radiofrequency is currently utilized in impingement syndrome, fracture fixation, instability, nerve injury, adhesive capsulitis, postoperative stiffness, and rotator cuff disease. Adverse events, namely superficial burns, are limited to case reports and case series, with higher-level evidence demonstrating safe use when used below the temperature threshold. Bipolar radiofrequency may decrease operative time and decrease the cost per case. Conclusions: Shoulder radiofrequency has a wide scope of application in various shoulder pathologies. Shoulder radiofrequency is safe; however, requires practitioners to be cognizant of the potential for thermal burn injuries. Bipolar radiofrequency may represent a more efficacious and economic treatment modality. Safety precautions have been executed by institutions to cut down patient complications from shoulder radiofrequency. Future research is required to determine what measures can be taken to further minimize the risk of thermal burns.

Isokinetic Shoulder Joint Characteristics by Position: Professional Korean Female Volleyball Players

  • Song, Young Wha;Kim, Yong Youn
    • 국제물리치료학회지
    • /
    • 제8권2호
    • /
    • pp.1158-1162
    • /
    • 2017
  • The purpose of the study was to investigate the strength of sokinetic muscle by the position of a volleyball players. Analysis and comparison of shoulder dynamic stability will be conducted according to rotational movement of the shoulder during spiking and serving amongst the various positions. Fifty professional Korean female volleyball players (age: 20~30), all different positions - attacker (left and right), center, setter, and libero were The concentric peak torque, strength ration of the internal and external rotation of the shoulder girdle for both dominant and non-dominant arms. Firstly, there were significant differences found for the strength ratio between the setter and the other positions in the dominant arm. On a second note, there was a significant decrease in shoulder dynamic stabilization for both the attacker and center in the dominant arm. However, there were no significant differences for the setter or the libero. This study suggests that the isokinetic muscle strengths of the volleyball players are different from each other.

스포츠와 연관된 과사용 증후군: 주관절 (Sports-related Overuse Injuries: Elbow joint)

  • 오정환;금정섭;박진영
    • 대한정형외과스포츠의학회지
    • /
    • 제7권2호
    • /
    • pp.67-74
    • /
    • 2008
  • 반복적으로 던지는 동작은 주관절에 심한 기계적인 스트레스를 주며, 주된 기전은 외반력이며 그 결과 내측 인장력과 외측 압박력, 후방부의 충돌현상이 발생한다. 성장기나 청년기에 지속적인 스트레스는 주관절에 해부학적 변화를 유발할 수 있다는 위험성을 운동선수와 가족, 코치들은 반드시 잘 이해하고 있어야 한다. 스포츠와 관련된 주관절 손상을 막기 위하여 적절한 운동법 교육, 워밍업, 의학적 전문 지식, 보호 장구 등이 필요하다. 또한 손상 예방과 재활은 적절한 투구 동작, 근력 강화, 견갑골에 대한 조절, 관절 운동 범위의 적절한 유지가 필수적이다.

  • PDF