• 제목/요약/키워드: rotator cuff

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Anterolateral Mini-open Fixation with a Patch Augmentation for Latissimus Dorsi Tendon Transfer in Irreparable Rotator Cuff Tears: Technical Note

  • Kim, Du-Han;Kim, Dong-Hu;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • 제18권4호
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    • pp.269-271
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    • 2015
  • Latissimus dorsi tendon transfer is a well-established method for treatment of irreparable posterosuperior rotator cuff tears. We report on an anterolateral mini-open technique with a porcine dermal patch augmentation for latissimus dorsi tendon transfer. Use of this technique would result in avoidance of deltoid damage by anterolateral mini-open approach and reduction of failure rate by patch augmentation.

만성 견관절통에 대한 정형외과적 재활치료 (Orthopaedic Rehabilitation in Chronic Shoulder Pain)

  • 태석기;이기현
    • Clinics in Shoulder and Elbow
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    • 제6권2호
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    • pp.99-107
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    • 2003
  • Disorders of the shoulder in which conservative management is indicated as a primary treatment include idiopathic frozen shoulder, atraumatic instability. acute calcific tendinitis , subacromial impingement syndrome, partial thickness or small full thickness tear of the rotator cuff, and chronic rotator cuff tear in elderly population. Aside from medication and various physical modalities used for relief of pain, the mainstay of orthopaedic rehabilitation consists of stretching of the tendons and capsulologamentous complex, and strengtnening of rotator cuff muscles as well as surrounding muscles. However, orthopaedic rehabilitation in chronically painful conditions of the shoulder differs in detail according to the specific diseases or injuries, And it is important to make the rehabilitation program that can be undertaken by the patients rather than adhering to a fixed schedule. Also the program should be changed as the condition of the patient improves or deteriorates. Nevertheless there are basic rules of stretching and strengthening , which should always be observed in applying orthopaedic rehabilitation treatment.

Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

  • Cho, Hyun IK;Cho, Hyung Lae;Hwang, Tae Hyok;Wang, Tae Hyun;Cho, Hong
    • Clinics in Shoulder and Elbow
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    • 제18권3호
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    • pp.167-171
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    • 2015
  • Humeral head chondrolysis has been widely reported as a devastating complication after arthroscopic shoulder surgery; however little is known about post-arthroscopic humeral head osteonecrosis. We experienced a 66-year-old female patient with rapidly progressive osteonecrosis of the humeral head only seven months after arthroscopic Bankart and rotator cuff repair. The patient had no systemic risk factors for osteonecrosis. A satisfactory result was achieved with reverse total shoulder arthroplasty for severe humeral head destruction and an irreparable massive rotator cuff tear. Shoulder surgeons should be aware of such severe complication, perform routine radiographs, and pay close attention to the presence of constant pain or loss of motion after arthroscopic shoulder surgery.

Pancoast Syndrome Accompanied by Rotator Cuff Tear

  • Nam, Seung Oh;Shin, Dongju;Park, Kihong;Kim, Tae Kyun;Kim, Han Sang
    • Clinics in Shoulder and Elbow
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    • 제18권1호
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    • pp.43-46
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    • 2015
  • Pancoast syndrome (PS) is characterized by a malignant neoplasm of the superior sulcus of the lung with destructive lesions of the thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves. The most common initial symptom of PS is shoulder pain; however, cough, dyspnea, and hemoptysis, signs often associated with lung cancer, are not as common. Investigation of PS can be difficult even with plain radiographs of the chest because it is surrounded by osseous structures such as the ribs, vertebral bodies, and manubrium. Due to these characteristics, orthopedic surgeons tend to make a misdiagnosis resulting in delay of appropriate treatment. Here we report on a patient who was supposed to undergo rotator cuff repair for his shoulder pain and weakness, and was eventually diagnosed with PS.

The Shoulder Pain due to Metastatic Breast Cancer -A Case Report-

  • Kim, Sae-Young;Jung, Min-Woo;Kim, Jin-Mo
    • The Korean Journal of Pain
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    • 제24권2호
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    • pp.119-122
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    • 2011
  • A rotator cuff tear causes shoulder pain and limits movement of the shoulder joint. A chronic degenerative change or impingement is the reason for a rotator cuff tear. Diagnosis is made based on medical history and, physical and radiological examinations. Other causes of shoulder pain include calcific tendinitis, degenerative arthropathy, joint dislocation, fracture, and primary or metastatic neoplasm. However, metastatic cancer in the shoulder joint is difficult to diagnosis. We experienced a case in which a 46-year-old female patient complained of left shoulder pain and limited joint mobility, and these symptoms were due to metastatic breast cancer in the shoulder.

Massive Rotator Cuff Tear (RCT) treated by McLaughlin Procedure

  • Fujita Kenji;Iwasaki Yasunobu;Sakai Yoshitada;Sakai Hiroshige;Nakaji Noriyoshi;Kurosaka Masahiro;Mizuno Kosaku
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2002년도 아시아견관절학술대회
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    • pp.159-161
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    • 2002
  • 1. Direct repair of massive rotator cuff tear is doable. 2. Clinical results of direct repair of massive rotator cuff tear was satisfactory. 3. Function of the deltoid is one of the most important factors to get good clinical results.

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Pulmonary Embolism after Arthroscopic Rotator Cuff Repair - A Case Report

  • Gwark, Ji Yong;Koh, Jin-Sin;Park, Hyung Bin
    • Clinics in Shoulder and Elbow
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    • 제17권1호
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    • pp.31-35
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    • 2014
  • Pulmonary embolism (PE) is a serious complication that can occur after orthopedic surgery. Most instances of PE in the orthopedic field have occurred after hip or knee arthroplasties or after fracture surgeries. The occurrence of PE related to arthroscopic shoulder surgery is very rare. We report a case of PE that developed after arthroscopic rotator cuff repair, in which the patient did not show preoperatively any remarkable risk factors for PE. We also review the current literature related to this topic.

Displaced Scapula Fracture (Ideberg Type IIb) Combined with a Large Rotator Cuff Tear in Anterior Shoulder Dislocation: A Case Report

  • Noh, Young-Min;Kim, Chul-Hong;Lee, Seung-Hyun;Im, Chul-Soon
    • Clinics in Shoulder and Elbow
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    • 제20권3호
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    • pp.162-166
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    • 2017
  • Traumatic anterior shoulder dislocation combined with scapular fracture in elderly patients is relatively rare. In this case, a patient visited Emergency Room of Dong-A University Hospital for shoulder pain after falling off a ladder. Radiographs demonstrated anterior shoulder dislocation with displaced Ideberg type IIb scapula (glenoid fossa) fracture combined with a large rotator cuff tear on magnetic resonance imaging. We performed arthroscopic rotator cuff repair, but a large fragment in the inferior glenoid was left untreated. At the 1 year follow-up visit, the pain visual analogue scale of the patient was 2, the American Shoulder and Elbow Society score was 88 and the patient had gained nearly full range of motion without any apprehension.

When should reverse total shoulder arthroplasty be considered in glenohumeral joint arthritis?

  • Jo, Young-Hoon;Kim, Dong-Hong;Lee, Bong Gun
    • Clinics in Shoulder and Elbow
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    • 제24권4호
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    • pp.272-278
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    • 2021
  • Anatomical total shoulder arthroplasty (TSA) has been used widely in treatment of glenohumeral osteoarthritis and provides excellent pain relief and functional results. Reverse total shoulder arthroplasty (RSA) was created to treat the complex problem of rotator cuff tear arthropathy. RSA also has been performed for glenohumeral osteoarthritis even in cases where the rotator cuff is preserved and has shown good results comparable with TSA. The indications for RSA are expanding to include tumors of the proximal humerus, revision of hemiarthroplasty to RSA, and revision of failed TSA to RSA. The purposes of this article were to describe comprehensively the conditions under which RSA should be considered in glenohumeral osteoarthritis, to explain its theoretical background, and to review the literature.