• Title/Summary/Keyword: labrum

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Biceps Pulley Impingement - Case Report - (이두박건 활차의 충돌 징후 - 증례보고 -)

  • Choi Chang-Hyuk;Kim Shin-Kun;Kang Byung-Kyu;Jang Woo-Chang
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.71-76
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    • 2003
  • We evaluated biceps pulley as a stabilizing sling for the long head of biceps tendon in the rotator interval. We present 3 cases of detached biceps pulley which impinges on posterosuperior glenoid labrum in the position of late cocking. Pulley impingement related to anterior shoulder instability was relieved after Bankart repair. In another two cases, impingement symptoms were disappeared after resection of the detached biceps pulley.

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Shoulder Injuries in Throwing Athletes (Throwing athletes에서 어깨 관절의 손상)

  • Lee Kwang-Won
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.119-126
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    • 2003
  • The shoulder is a complex joint and, by virtue of having a large range of motion, is inherently unstable, relying on the surrounding soft tissue structures for stability. The bony joint consists of the glenoid, acromion, and humoral head, while the soft tissues include the glenoid labrum, the glenohumeral ligaments. and coracoacromial ligament as well as the muscles of the rotator cuff, the long head of the biceps, and the scapulothoracic muscles. Dysfunction in any one of these components can cause shoulder problems. The throwing motion involves a series of phases that stress to their limits the dynamic and static restraints of the glenohumeral and scapulothoracic joints. . Therefore, maintaining a balance of proper biomechanical forces is essential to avoiding shoulder injuries in throwing athletes. Over the last decade, signficant advances have been made in the study and understanding of the shoulder mechanics, and pathophysiology of injury. Additionally, advances in surgical techniques, particularly arthroscopy , have aided in the diagnosis of and the developement of less invasive surgical treatments for injuries that do not respond to nonoperative measures. In this article, we reviewed the pathophysiology of injuries , diagnostic techniques, and surgical management of shoulder injuries in throwing athletes .

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Fine Structure of the Mouthparts in the Ambrosia Beetle Platypus koryoensis(Coleoptera: Curculionidae: Platypodinae)

  • Moon, Myung-Jin;Park, Jong-Gu;Kim, Kyung-Hee
    • Animal cells and systems
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    • v.12 no.2
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    • pp.101-108
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    • 2008
  • Recently, Platypus koryoensis has been reported as a major pest of oak trees in Korea which can introduce the pathogenic fungus(Raffaelea sp.) by making galleries into the heartwood of the tree. As the beetle has developed its effective drilling mouthpart enough to make tunnels, we have analyzed the fine structural aspects of the mouthpart using the field emission scanning electron microscopy(FESEM) to reveal its mechano-dynamic characteristics. The mouthparts of this ambrosia beetle which consist of a labrum, a pair of mandibles, a pair of maxillae and the labium exhibit typical morphology of mycophagous coleopteran beetles and have those characteristics of chewing mouthparts that can excavate galleries in the hardwood. Both of maxillary and labial palpi have the functions of direct the food to the mouth and hold it while the mandibles chew the food. The distal ends of these palpi are flattened and have shovel-like setae. Females have larger maxillary palpi and a larger gular region than males in general.

External Morphology of the Asian Ladybird-fly, Degeeria separata, with Scanning Electron Microscope (주사전자현미경을 이용한 무당벌레에 기생하는 무당벌레기생파리(Degeeria separata)의 외부형태적 특징)

  • Youn, Young-Nam;Kim, Nam-Sung;Kim, Ki-Duck;Park, Su-Jin;Seo, Mi-Ja;Chae, Soon-Yong
    • Korean Journal of Agricultural Science
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    • v.27 no.1
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    • pp.20-24
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    • 2000
  • External morphological characteristics of male and female of Degeeria separata, which was endoparasited in adult of the Asian ladybird, were studied by using the scanning electron microscopy (SEM). The antenna of Degeeria separata was consisted of three segment and arista. Aristae were about $750{\mu}m$ length and $30{\mu}m$ in diameter. The surface of antennae was covered with many sensilla. They were long or short, slender or thick, and straight or curved. Each three morphological types of sensilla were observed on the second and third segment of antennae. The mouthpart was sponging type. It was consisted with clypeus, labellum, labium, labrum, and maxillary palp. The labellum is $400{\mu}m$ width and double folded vertically. The leg consist of tarsus, tarsus claw, pulvilli, and empodium.

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Copepods (Cyclopoida) Associated with Compound Ascidians (Tunicata) from Korea, with Descriptions of Nine New Species

  • Lee, Jimin;Kim, Il-Hoi
    • Animal Systematics, Evolution and Diversity
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    • v.38 no.4
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    • pp.167-198
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    • 2022
  • Ten species of copepods, including nine new species, associated with compound ascidians are recorded from Korean waters. Nine new species can be characterized by their major diagnostic features, as follows: Botryllophilus pentamerus n. sp. by having a five-annulated abdomen; B. paucisetatus n. sp. by the presence of four and three setae on the exopods of right and left leg 1, respectively; Haplostoma quadridens n. sp. by the presence of four lobes on the labrum and one seta plus four spines on the exopods of legs 1-4; H. paucidens n. sp. by the presence of only two spines on the distal segment of the antenna; Enterocola horridus n. sp. by having five setae on the antenna, no seta on the caudal ramus, and two setae on leg 5; E. longicaudatus n. sp. by having long caudal rami which are more than three times as long as wide; Thoracodelphys bisetata n. sp. by the presence of only two setae on the basis of the maxillule; T. cerasta n. sp. by the presence of a large, horn-like process on the distal margin of the basis of leg 2; and Unimeria hirsuta n. sp. by having three setae on the terminal segment of the maxilla. Zygomolgus didemni (Gotto, 1956) previously known only from European waters is reported from Korean waters, with a redescription and illustrations.

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

  • Rhee Yong Girl;Park Jae Young
    • Clinics in Shoulder and Elbow
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    • v.2 no.1
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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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Assessment of Capsular Insertion Type and of Capsular Elongation in Patients with Anterior Shoulder Instability and It's Correlation with Surgical Outcome: A Quantitative Assessment with Computed Tomography Arthrography

  • Kim, Do Hoon;Kim, Do Yeon;Choi, Hye Yeon;Park, Ji Soon;Lee, Ye Hyun;Oh, Joo Han
    • Clinics in Shoulder and Elbow
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    • v.19 no.3
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    • pp.155-162
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    • 2016
  • Background: The study aimed to determine the type of capsular insertion and the extent of capsular elongation in anterior shoulder instability by quantitatively evaluating their computed tomography arthrographic (CTA) findings, and to investigate the correlation of these parameters with surgical outcomes. Methods: We retrospectively reviewed 71 patients who underwent CTA and arthroscopic capsulolabral reconstruction for anterior shoulder instability between April 2004 and August 2008. The control group comprised 72 patients diagnosed as isolated type II superior labrum anterior to posterior (SLAP) lesion during the period. Among the 143 patients, 71 were examined with follow-up CTA at an average 13.8 months after surgery. It was measured the capsular length and cross-sectional area at two distinct capsular regions: the 4 and 5 o'clock position of the capsule. Results: With regards to the incidence of the type of anterior capsular insertion, type I was more common in the control group, whereas type III more common than in the instability group. Anterior capsular length and cross-sectional area were significantly greater in the instability group than in the control group. Among patients of the instability group, the number of dislocations and the presence of anterior labroligamentous periosteal sleeve avulsion lesion were significantly associated with anterior capsular redundancy. Postoperatively, recurrence was found in 3 patients (4.2%) and their postoperative capsular length and cross-sectional area were greater than those of patients without recurrence. Conclusions: Capsular insertion type and capsular redundancy derived through CTA may serve as important parameters for the management of anterior shoulder instability.

Ultrasound Related Anatomy and Biomechanics of Shoulder Joint (초음파 영상과 관련된 견관절 해부학 및 생역학)

  • Kim, Yang-Soo;Lee, Jae-Young
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.112-116
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    • 2008
  • Ultrasonography of shoulder joint recently enlarges its utility since the knowledge of the shoulder disease is increased by numerous researches. Ultrasonography is not only noninvasive, safe, and relatively cheap, but also an unique modality that can monitor tendon movement during shoulder motion. Sonographic examination generally starts from the front side of the shoulder joint and finishes at back side in sitting position. Many structures in shoulder joint such as muscles, ligaments, glenoid labrum, bone, and especially rotator cuff tendon can be examined by ultrasonography. The rotator cuff is a motion unit consisted with subscapularis, supraspinatus, infraspinatus, and teres minor muscles. It functions as fulcrum and compresses the humeral head onto the glenoid, and steers for shoulder joint.

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A Case Report of Conservative Treatment for the Amatuer Baseball Player diagnosis with type 2 Superior labral anterior posterior lesion (제2형 상부관절와순파열로 진단받은 사회인 야구선수에 대한 보존적 치료 치험 1례)

  • Jin, Eun-Seok;Yeom, Sun-Kyo;Kim, Seok;Lee, Jin-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.151-158
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    • 2010
  • Objective : SLAP is rupture of biceps brachii muscle tendon and it's origin, posterior side of superior labral to anterior glenoid fossa. Snapping and Pain, instability are its typical symptoms. SLAP is physical damage so surgeons use arthroscopy. In point of surgeons view, a conservative medicine is not effective for lesion of labrum. So In this article, we report a result of conservative treatment for the amatuer baseball player diagnosis with type 2 superior labral anterior posterior lesion. Methods : In this case, patient played amatuer baseball for 2 years, had diagnosis with type 2 Superior labral anterior posterior lesion by MRI after right shoulder Injury. OS recommened arthroscopy surgery. But he receive conservative Korean medicin treatment in Korean medicine hospital, including Atx, BV, herbal acupunture and rehabilitation excersise. Results : After 6 months, in the end of continuous conservative treatment and rehabilitation excersise, patient can play baseball normally, and felt a little pain. But In physical examination, he still has a some abnormal signs. Conclusion : A Conservative treatment for an amatuer baseball player diagnosis with SLAP type 2 was effective in restore of fuctional activities, but usefulness of this treatment needs more study.

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Rotation Control of Shoulder Joint During Shoulder Internal Rotation: A Comparative Study of Individuals With and Without Restricted Range of Motion

  • Min-jeong Chang;Jun-hee Kim;Ui-jae Hwang;Il-kyu Ahn;Oh-yun Kwon
    • Physical Therapy Korea
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    • v.31 no.1
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    • pp.72-78
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    • 2024
  • Background: Limitations of shoulder range of motion (ROM), particularly shoulder internal rotation (SIR), are commonly associated with musculoskeletal disorders in both the general population and athletes. The limitation can result in connective tissue lesions such as superior labrum tears and symptoms such as rotator cuff tears and shoulder impingement syndrome. Maintaining the center of rotation of the glenohumeral joint during SIR can be challenging due to the compensatory scapulothoracic movement and anterior displacement of the humeral head. Therefore, observing the path of the instantaneous center of rotation (PICR) using the olecranon as a marker during SIR may provide valuable insights into understanding the dynamics of the shoulder joint. Objects: The aim of the study was to compare the displacement of the olecranon to measure the rotation control of the humeral head during SIR in individuals with and without restricted SIR ROM. Methods: Twenty-four participants with and without restricted SIR ROM participated in this study. The displacement of olecranon was measured during the shoulder internal rotation control test (SIRCT) using a Kinovea (ver. 0.8.15, Kinovea), the 2-dimensional marker tracking analysis system. An independent t-test was used to compare the horizontal and vertical displacement of the olecranon marker between individuals with and without restricted SIR ROM. The statistical significance was set at p < 0.05. Results: Vertical displacement of the olecranon was significantly greater in the restricted SIR group than in the control group (p < 0.05). However, no significant difference was observed in the horizontal displacement of the olecranon (p > 0.05). Conclusion: The findings of this study indicated that individuals with restricted SIR ROM had significantly greater vertical displacement of the olecranon. The results suggest that the limitation of SIR ROM may lead to difficulty in rotation control of the humeral head.