• 제목/요약/키워드: shoulder arthroscopy

검색결과 248건 처리시간 0.02초

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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    • 제17권1호
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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
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2004년도 연수강좌
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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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Intraoperative pulmonary embolism in shoulder arthroscopy in a patient with previous SARS-CoV-2 infection: a case report

  • de Lizana, Alejandro Holgado-Rodriguez;Izquierdo-Fernandez, Alberto;Mendez-Sanchez, Jesus Manuel;Diaz-Minarro, Jose Carlos
    • Clinics in Shoulder and Elbow
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    • 제25권3호
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    • pp.236-239
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    • 2022
  • The objective of this article is to describe intraoperative pulmonary embolism during shoulder arthroscopy in a patient with previous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Further, we describe how the pandemic has influenced the population by increasing the rate of embolisms. Awareness of such cases will help to increase knowledge regarding SARS-Cov-2 and to determine if such patients should receive routine antithrombotic prophylaxis.

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

  • 공규민;이수원;김성환;이은하
    • 대한관절경학회지
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    • 제15권1호
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    • pp.28-31
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    • 2011
  • 영아에서 견관절의 화농성 관절염은 매우 드문 질환으로, 조기 진단 및 그에 따른 적절한 치료가 예후를 결정하는데 매우 중요하다. 저자들은 생후 10개월 된 영아의 화농성 견관절염의 치료에 있어 관절경적 세척술 및 활액막 제거술로 관절 내를 직접 확인하면서 충분한 관절 세척을 시행하여 반흔을 적게 남기고, 후유증 없이 만족할 만한 임상 결과를 얻을 수 있었다.

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양측성 상완이두장건 결손과 견관절 불안정성 - 증례 보고 - (Shoulder instability with congenital absence of bilateral long head of biceps tendon - A Case Report -)

  • 나중호;정회정;김두섭
    • 대한관절경학회지
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    • 제14권3호
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    • pp.188-191
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    • 2010
  • 상완이두장건의 결손은 매우 드문 이상이다. 본원에 내원한 19세 남환은 우측 견관절 아탈구 증상을 주소로 내원하였다. MRI 상 상완골의 얕은 결절사이고랑이 관찰되었으며 상완이두장건의 결손이 관찰되었다. 견관절 내시경술을 시행하였으며 관절와순 파열과 함께 상완이두장건의 결손이 관찰되었다. 5개월 뒤 좌측 견관절에도 우측 견관절과 같은 증상이 발생하였고 MRI 및 견관절 내시경 소견 상 상완이두장건의 결손 소견 및 관절와순 파열 소견이 관찰되었다. 양측 견관절 모두 내시경적 관절와순 봉합술을 시행하였으며 수술 후 위팔 외전 보조기를 이용하여 고정하였다. 상완이두장건의 결손이 견관절의 불안정성을 유발할 수 있을 것이라고 생각한다.

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사각근간 차단을 이용한 어깨 관절경수술에서 좌위에 따른 Bezold-parish 반사 (Bezold-Jarish Reflex during Shoulder Arthroscopy (in the Sitting Position) under Interscalene Block)

  • 이두익;원시권;김동우;김동옥;최영규;신광일
    • The Korean Journal of Pain
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    • 제10권2호
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    • pp.166-169
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    • 1997
  • Background: We have noted a high incidence of vasovagal episodes associated with use of interscalene block(ISB) for shoulder arthroscopy in the sitting position. The purpose of this retrospective study is to alert the possibility of potentially dangerous vasovagal events, describe the characteristics of this problem, and propose therapeutic devices. Methods: Results 62 patients who underwent shoulder arthroscopy in the sitting position with ISB were retrospectively analyzed. Group 1, 10 patients experienced vasovagal events characterized by sudden hypotension and bradycardia. Remaining 52 patients, Group 2, did not experience these symptoms. All patient charts were reviewed for age, sex, side of surgery, premedication, preoperative fluid and intraoperative medications. Perioperative hemodynamic changes were also compared between the two groups. Results: Vasovagal events experienced in 16% of patients(10/62) and occurred $39{\pm}18$ min after sitting position and $22{\pm}18$ min after start of operation. Number of patients who receiving anticholinergics for premedication were significantly lower in Group 1 than Group 2(2/10 vs. 28/52, p<0.05). Conclusions: Bezold-parish reflex is a potential mechanism for sudden hypotension and bradycardia which can occur during shoulder arthroscopy in sitting position. Therefore anticholinergic pretreatment and meticulous monitoring during operation are recommended to prevent B-J reflex.

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

  • 이병일;최형석;김광섭
    • Clinics in Shoulder and Elbow
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    • 제4권1호
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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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