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Jin Young PARK ; Sang Hoon LHEE ; Jeong Hwan OH ; Hong Kyum KIM

Journal of the Korean Shoulder and Elbow Society.2009;12(2):271-277.

PURPOSE: Scapular dyskinesis is an alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. Vast majority of shoulder pathologies are known to be related with scapular motion abnormalities. Because there being enthusiasm about scapular pathology in recent literatures, understanding scapular dyskinesis seems to be an important subject. The authors describe the importance of scapular abnormality in terms of shoulder pathology. MATERIALS AND METHODS: Usually the inhibition or disorganization of activation patterns in scapular stabilizing muscles lead to scapular dyskinesis. This motion abnormality has more important values in Elite Athletes because it might be the sign of future shoulder pathology; for example, SLAP and internal impingement. Treatment of scapular dyskinesis is directed at managing underlying causes and restoring normal scapular muscle activation patterns by kinetic chain-based rehabilitation protocols. Treatment is also important to prevent secondary shoulder injuries. RESULTS AND CONCLUSION: Understanding scapular pathology may be the main key to approach to the shoulder pathology. Also treating scapular pathology might be important in preventing secondary shoulder injuries.
Athletes ; Dyskinesias ; Humans ; Muscles ; Scapula ; Shoulder

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Complications after Trauma Around the Elbow Joint.

In Ho JEON ; Ju Eun KIM ; Poong Taek KIM

Journal of the Korean Shoulder and Elbow Society.2009;12(2):264-270.

PURPOSE: The elbow joint is one of the most stable joints. Dislocation and fracture can occur in elbow joint most commonly next to shoulder joint. Various injuries can occur according to generated mechanism, age of patient and impact. Despite proper treatment, various complications can occur. MATERIALS AND METHODS: We describe etiology and treatment of these complications after elbow trauma such as stiffness, instability and heterotopic ossification. RESULTS AND CONCLUSION: Malunion, nonunion and traumatic arthritis are addressed as a possible complication after fracture around elbow joint.
Arthritis ; Dislocations ; Elbow ; Elbow Joint ; Humans ; Joints ; Shoulder Joint

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Total Elbow Arthroplasty for the Fracture of Elbow Arthrodesis Site: A Case Report.

Myung Ho KIM ; Joong Bae SEO ; Sung Su HWANG

Journal of the Korean Shoulder and Elbow Society.2007;10(2):246-250.

Total elbow arthroplasty is a relatively rare procedure compared with total knee or total hip arthroplasty. Total elbow arthroplasty for bony ankylosis is even rarer, and the results are often unsatisfactory. We report a patient who gained good mobility of the elbow after total elbow arthroplasty for the treatment of fractured arthrodesis site with which the patient had lived with for 12 years.
Ankylosis ; Arthrodesis* ; Arthroplasty* ; Arthroplasty, Replacement, Hip ; Elbow* ; Humans ; Knee

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Bilateral Elastofibroma Dorsi of the Shoulder: Case Report.

Woo Seung LEE ; Taik Seon KIM ; Young Bae KIM ; Jong Woo KANG

Journal of the Korean Shoulder and Elbow Society.2007;10(2):241-245.

We report a case of an 86-year-old man diagnosed with bilateral elastofibroma dorsi who was managed conservatively after a two year follow-up. An elastofibroma dorsi is a benign, slow-growing tumor that is most often located in the inferior periscapular area in elderly patients. It should be considered to differentiate them from other soft tissue tumors located at the inferior periscapular region. Increased awareness of these characteristics will decrease the incidence of a misdiagnosis of elastofibroma dorsi as a malignancy and avoid unnecessary surgery.
Aged ; Aged, 80 and over ; Diagnostic Errors ; Follow-Up Studies ; Humans ; Incidence ; Shoulder* ; Unnecessary Procedures

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Congenital Pseudoarthrosis of the Clavicle Related with Neurofibromatosis: A Case Report.

Ho Hyun YUN ; Gil Yeong AHN ; Il Hyun NAM ; Gi Huk MOON ; Jung Ik LEE ; Yon sik YOO

Journal of the Korean Shoulder and Elbow Society.2007;10(2):236-240.

Reports of bowing and pseudarthrosis of the humerus and clavicle are rare. Most patients with congenital pseudoarthrosis of the clavicle involving the right side and midportion of clavicle tended to heal better than congenital pseudoarthrosis of the tibia. We experienced a patient who had special features in terms of location, pseudoarthrosis pattern, and neurofibromatosis, and report on this case here.
Clavicle* ; Humans ; Humerus ; Neurofibromatoses* ; Pseudarthrosis* ; Tibia

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Multiple Rice Bodies in Subacromial Space: A Case Report.

Kyoung Dae MIN ; Ki Hoon RYU ; Jae Sang LEE ; Byung Ill LEE

Journal of the Korean Shoulder and Elbow Society.2007;10(2):232-235.

Multiple rice bodies are a rare disorder that is most commonly observed in chronic rheumatoid arthritis patients and as a complication of chronic inflammation in the bursa. However, it can occur in the absence of an underlying systemic disorder. Although it resembles synovial chondromatosis clinically and on imaging, the condition can be discriminated by an analysis of the radiographic and MR appearances. We encountered a case of multiple rice body formation with subacromial bursitis on the shoulder of a 37-year old man suffering from pain and motion limitation. The patient was treated by arthroscopic removal of the multiple rice bodies and a subacromial bursectomy. We present this case with a review of the relevant literature.
Adult ; Arthritis, Rheumatoid ; Arthroscopy ; Bursitis ; Chondromatosis, Synovial ; Humans ; Inflammation ; Shoulder

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Posterior Shoulder Dislocation with a Greater Tuberosity Fracture and Total Rupture of Rotator Cuff: A Case Report.

Sung Ryong SHIN ; Do Young KIM ; Sang Soo LEE ; Yun Sik RYU ; Un Seob JUNG ; Hyun Seok CHOI

Journal of the Korean Shoulder and Elbow Society.2007;10(2):227-231.

A posterior shoulder dislocation with a fracture is rare. Most fractures are impression fractures of the humeral head or lesser tuberosity fractures. However, there are no reports of a complete rupture of the rotator cuff with a combined posterior glenohumeral dislocation. We report a unique case of a posterior shoulder dislocation with an avulsion fracture of the greater tuberosity and a complete rupture of infraspinatus, teres minor and subscapularis tendons, which were treated surgically.
Humeral Head ; Rotator Cuff* ; Rupture* ; Shoulder Dislocation* ; Shoulder* ; Tendons

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Operative Treatment of Distal Clavicle Fracture Nonunion.

Ho Jung KANG ; Hang Seob YOON ; Soo Bong HAHN ; Sung Jae KIM

Journal of the Korean Shoulder and Elbow Society.2007;10(2):220-226.

PURPOSE: The distal clavicle has a biomechanical structure different from that of the proximal or middle 1/3 clavicle, and delayed union or nonunion occurs frequently in a distal clavicle fracture. The authors obtained favorable results from an open reduction and bone grafting of the distal clavicle nonunion. We report the results together with review of the relevant literature. MATERIALS AND METHODS: The subjects were 8 patients (average age, 38.9) who had undergone surgery for distal clavicle nonunion from August 2003 to May 2006. Nonunion occurred after surgical treatment in 4 cases, and after conservative treatment in the other 4. In all cases, the patients complained of pain. RESULTS: The mean follow-up duration was 14 months, and radiological union was observed in 8 weeks on average. In all cases, the range of shoulder joint motion was normal at the end of the follow-up observation. In the functional evaluation, 7 cases showed excellent results and 1 case showed good results. CONCLUSION: Surgical treatment is a safe and reliable treatment for distal clavicle fracture nonunion because it can achieve early rehabilitation and union.
Bone Transplantation ; Clavicle* ; Follow-Up Studies ; Humans ; Rehabilitation ; Shoulder Joint

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The Operative Treatment of Scapular Glenoid Fracture.

Ho Jung KANG ; Sung Hoon JUNG ; Min JUNG ; Soo Bong HAHN ; Sung Jae KIM ; Jong Min KIM

Journal of the Korean Shoulder and Elbow Society.2007;10(2):212-219.

PURPOSE: To determine the causes of the surgical treatment results in glenoid fracture by a retrospective analysis. MATERIALS AND METHODS: From March 1999 to February 2004, 9 patients who underwent an open reduction due to a glenoid fracture were reviewed. The modified Ideberg classification was used. There were 1, 3, 2, 1 and 2 cases of modified Ideberg type I, II, III, V, and VI, respectively. The internal fixators were a reconstruction plate, a small plate, a one-third tubular plate, a small screw, and a cannulated screw in 6, 1, 3, 3 and 1 case, respectively. The constant score and Adam's functional assessment method were used to evaluate the postoperative shoulder function. RESULTS: The average time for fracture union was 7 weeks. The functional assessment was excellent in 4 cases, good in 3 cases, and fair in 2 cases. There were two complications related to surgery; articular screw encroachment, and inferior glenoid bone resorption without instability. CONCLUSION: A glenoid fracture with glenohumeral instability or displaced that was treated by open surgery showed good clinical results. Moreover, the more comminuted fracture had a lower functional score.
Bone Resorption ; Classification ; Fractures, Comminuted ; Humans ; Internal Fixators ; Retrospective Studies ; Scapula ; Shoulder

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Treatment of Two- and Three-Part Fracture of Proximal Humerus using LCP.

Sung Il SHIN ; Kyung Won SONG ; Jin Young LEE ; Seung Yong LEE ; Gab Rae KIM ; Yoon Suk HYUN ; Deok Yong PARK

Journal of the Korean Shoulder and Elbow Society.2007;10(2):204-211.

PURPOSE: To evaluate the result and complication of treatment using Locking Compression Plate (LCP) for fracture of proximal humerus. MATERIALS AND METHODS: Between 2004 and 2006, 21 patients with two-part and three-part fractures of the proximal humerus were treated by LCP fixation. Their average age was 54.9 years. Postoperative mean follow-up period was 22.9 months. The reduction was qualified and complication were assessed with final radiographs. The functional outcome was evaluated by Neer's rating system. RESULTS: By Neer's functional evaluation, mean score of shoulder function was 86.3 and 18 case (86%) had excellent or satisfactory results. There was one case of nonunion but no infection or avascular necrosis of the humeral head. No correlation was found between the final result and the type of fracture, age, gender or quality of reduction. CONCLUSION: We obtained satisfactory result of LCP fixation for fracture of proximal humerus in this study. LCP fixation for proximal humerus fracture is a reliable method to obtain satisfactory reduction, rigid fixation and early exercise.
Follow-Up Studies ; Humans ; Humeral Head ; Humerus* ; Necrosis ; Shoulder

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