• 제목/요약/키워드: elbow dysplasia

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증상이 있는 관절와의 양성 골내 골용해성 병변: 3예에 대한 증례보고 (Symptomatic Benign Intraosseous Osteolytic Lesions of the Glenoid: Report of 3 cases)

  • 김영규;조승현;문성훈
    • Clinics in Shoulder and Elbow
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    • 제16권1호
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    • pp.40-46
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    • 2013
  • 관절와 내의 양성 골내 골용해성 병변은 매우 드물다. 저자들은 수술적 치료가 시행되었던 3예의 증상이 있는 양성 골내 골용해성 병변에 대하여 보고하고자 한다. 이 중 2예는 골내 결절종이었으며, 1예는 섬유이형성증으로 진단되었다. 모든 예에서 병변의 위치는 관절와의 후하방이었으며, 이는 견관절의 후방 통증과 연관이 있는 것으로 생각된다. 골내 골용해성 병변이 증상을 보이거나, 연골 결손의 위험 또는 피질골의 파괴의 위험이 있는 경우 치료가 필요하며 골 이식을 동반한 또는 동반하지 않은 단순 골 소파술이 유용한 치료 방법으로 생각된다.

Posterior Shoulder Instability in the Patients with Bilateral Congenital Absence of Long Head of Biceps Tendon: A Case Report

  • Yoon, Sung-Hyun;Heo, Kang;Yoo, Jae-Sung;Kim, Sung-Joon;Seo, Joong-Bae
    • Clinics in Shoulder and Elbow
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    • 제21권4호
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    • pp.240-245
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    • 2018
  • Rare cases of a congenital absence of the long head of the biceps tendon (LHBT) have been reported, and its incidence is unknown. In a literature review of the congenital absence of the LHBT, only 1 case was associated with posterior shoulder instability and severe posterior glenoid dysplasia. This paper reports the first case of a patient with a bilateral congenital absence of the LHBT with posterior shoulder instability without glenoid dysplasia or posterior glenoid tilt. The patient experienced a traffic accident while holding the gear stick with his right hand. After the accident, a posteroinferior labral tear with paralabral cysts was detected on the magnetic resonance images. The congenital absence of the LHBT was assumed to have affected the posterior instability that possibly increased the susceptibility to a subsequent traumatic posterior inferior labral tear. This case was identified as a posterior inferior tear caused by a traumatic 'gear stick injury'.

Ununited Anconeal Process in a Labrador Retriever Dog

  • Lee, Jae-Hoon;Yang, Wo-Jong;Kang, Eun-Hee;Chang, Hwa-Seok;Chung, Dai-Jung;Choi, Chi-Bong;Lee, Jeong-Ik;Kim, Hwi-Yool
    • 한국임상수의학회지
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    • 제25권6호
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    • pp.537-539
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    • 2008
  • A 6 month-old male Labrador retriever was presented for intermittent lameness on the left forelimb after exercise. The dog was suffering progressive lameness that had started two months before. On mediolateral radiographic view of the left elbow, proximal margin of the anconeal process was irregular. A lucent, indistinct line separating the anconeal process from the ulna was observed, when the elbow joint was flexed. The lateral approach to the elbow joint was used and the ununited anconeal process was removed. The limb was bandaged after surgery for 7 days to support soft tissue and exercises were restricted. The dog showed normal limb function 3 weeks after surgery. On a telephone conversation with the owner 18 months after surgery, the dog was reported to maintain normal function of the limb.

Iliac Bone Graft for Recurrent Posterior Shoulder Instability with Glenoid Bone Defect

  • Ko, Sang-Hun;Cho, Yun-Jae
    • Clinics in Shoulder and Elbow
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    • 제17권4호
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    • pp.190-193
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    • 2014
  • Recurrent posterior shoulder instability is a debilitating condition that is relatively uncommon, but its diagnosis in young adults is increasing in frequency. Several predisposing factors for this condition have been identified, such as the presence of an abnormal joint surface orientation, an osteochondral fracture of the humeral head or glenoid cavity, and a postero-inferior capsuloligamentary deficit, but their relative importance remains poorly understood. Whilst, conservative treatment is effective in cases of hyperlaxity or in the absence of bone abnormality, failure of conservative treatment means that open or arthroscopic surgery is required. In general, soft-tissue reconstructions are carried out in cases of capsulolabral lesions in which bone anatomy is normal, whereas bone grafts have been required in cases where posterior bony Bankart lesions, glenoid defects, or posterior glenoid dysplasia are present. However, a consensus on the exact management of posterior shoulder instability is yet to be reached, and published studies are few with weak evidence. In our study, we report the reconstruction of the glenoid using iliac bone graft in a patient suffering recurrent posterior shoulder instability with severe glenoid bone defect.