• Title/Summary/Keyword: Surgery: shoulder arthroscopy

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Improving visualization in shoulder arthroscopy

  • Emily R. McDermott;David J. Tennent;Daniel J. Song
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.455-461
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    • 2023
  • Arthroscopic shoulder procedures are one of the most common procedures used to restore function through minimally invasive techniques. With the demand for shoulder arthroscopic procedures comes the need for safe, effective, and efficient surgery that maximizes patient outcomes while minimizing complications. Many variables contribute to visualization in shoulder arthroscopy including vascular anatomy, blood pressure control, arthroscopic pump systems, turbulence control, epinephrine, and tranexamic acid. Furthermore, patient positioning can have a dramatic effect on visualization with both the beach chair position and lateral decubitus positioning having various strengths and weaknesses depending on the intended procedure being performed. The purpose of this review is to examine the benefits and complications reported in the literature for improving visualization in shoulder arthroscopy.

Arthroscopic Partial Repair of Massive Contracted Rotator Cuff Tears

  • Kim, Sung-Jae;Kim, Young-Hwan;Chun, Yong-Min
    • Clinics in Shoulder and Elbow
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    • v.17 no.1
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    • pp.44-47
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    • 2014
  • Typically, massive rotator cuff tears have stiff and retracted tendon with poor muscle quality, in such cases orthopaedic surgeons are confronted with big challenging to restore the cuff to its native footprint. Furthermore, even with some restoration of the footprint, it is related with a high re-tear rate due to less tension free repair and less tendon coverage. In this tough circumstance, the partial repair has yielded satisfactory outcomes at relatively short follow-up by re-creating the transverse force couple of the rotator cuff. Through this partial repair, the massive rotator cuff tear can be converted to the "functional rotator cuff tear" and provide improvement in pain and functional outcomes in patient's shoulder.

Technical Note Transarticular Approach for Elbow Arthroscopy

  • Kim Sung-Jae;Jeong Jae-Hoon
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2004.11a
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    • pp.176-179
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    • 2004
  • Arthroscopy of the stiff elbow joint is a technically difficult procedure because of the decreased joint space of the elbow joint. even to experienced surgeons. Problems encountered include limited access of instrument to the intra-articular ,pace and an increased risk of cartilage injury in the contracted elbow joint. This study describes a novel transarticular approach for elbow arthroscopy that allow, the safe and effective creation of the proximal medial and lateral portals.

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Arthroscopic Treatment for Pyogenic Arthritis of the Shoulder in an Infant - A Case Report - (영아 화농성 견관절염의 관절경적 치료 - 증례 보고 -)

  • Kong, Gyu-Min;Lee, Soo-Won;Kim, Sung-Hwan;Lee, Eun-Ha
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.28-31
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    • 2011
  • Pyogenic arthritis of the shoulder is very rare disease in infant. Early diagnosis and proper treatment are very important prognostic factors. We treated a 10-month-old infant who was suffering pyogenic arthritis of the shoulder by arthroscopic irrigation and synovectomy with direct inspection. Finally, satisfactory result was achieved without any major scar or complications.

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Transarticular Portal for Elbow Arthroscopy (Transarticualr portal를 이용한 주관절의 관절경술)

  • Kim, Sung-Jae;Park, In-Seop;Kim, Ju-Young;Jeong, Jae-Hoon;Ryu, Sang-Wook;Cheon, Yong-Min
    • Clinics in Shoulder and Elbow
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    • v.6 no.2
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    • pp.127-130
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    • 2003
  • Arthroscopy of the elbow is a very precise and demanding procedure due to the closeness of the recommended portals to neurovascular structures and complexity of articular geometry. So to establish safe portal is not always reproducible especially in case of stiff elbow, even for the experienced arthroscopist. We described new tip of elbow arthroscopy using a new starting portal. This procedure is almost always reproducible even in stiff elbow, and minimizes risk of damage to neurovascular structures.

Arthroscopic Treatment for Synovial Chondromatosis of the Shoulder Joint (7-Year-Follow-Up) - A Case Report - (견관절에 발생한 활액막연골종증의 관절경적 치험례(7년 장기 추시 결과) - 증례 보고 -)

  • Lee Byung Il;Choi Hyung Suk;Kim Kwang Sub
    • Clinics in Shoulder and Elbow
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    • v.4 no.1
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    • pp.30-34
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    • 2001
  • Synovial chondromatosis is a rare disease. The knee is the most commonly affected joint but the shoulder joint is very rarely affected. We report typical synovial chondromatosis of the shoulder joint which was managed by arthroscopic removal of multiple loose bodies, synovectomy, good objective and functional outcome was obtained until postoperative 7-year follow-up. Arthroscopy can be used as an effective and useful therapeutic method for synovial chondromatosis of the shoulder joint.

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The Osteochondritis Dissecans of The Adult Elbow - A Case Report - (성인형 주관절 박리성 골연골염 - 1례 보고 -)

  • Moon Young Lae;You Jae Won;Cho Sam Ho
    • Clinics in Shoulder and Elbow
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    • v.3 no.2
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    • pp.115-117
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    • 2000
  • Adult type of osteochondritis dissecans of elbow is very rare condition. We describe a case of a osteochondritis dissecans of capitellum in 51-year-old male patient. We performed arthroscopy procedure for removal of loose osteochondral fragments. After I year follow-up, the patient gained good result.

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