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Massive Rotator Cuff Tears: Arthroplasty.

Journal of the Korean Shoulder and Elbow Society.2010;13(1):132-140.

PURPOSE: Surgical treatment of massive rotator cuff tear is challenging and there are various surgical options. The purpose of this article is to describe arthroplasty for the treatment of massive rotator cuff tear. MATERIALS AND METHODS: We reviewed all publications that focused on and/or mentioned arthroplasty as a treatment option for massive rotator cuff tear. RESULTS: Arthroplasty can be used as primary treatment and represents a salvage option for irreparable rotator cuff tear. Hemi-arthroplasty can provide satisfactory results by Neer's limited goals criteria in patients with intact coracoacromial arch. In addition, reverse total shoulder arthroplasty can be a salvage option for pain relief and restoration of active flexion in elderly patients with pseudoparalysis. CONCLUSION: In patients with massive rotator cuff tear, proper selection of arthroplasty can provide pain relief and restoration of functional range of motion in shoulder joints.
Aged ; Arthroplasty ; Hemiarthroplasty ; Humans ; Range of Motion, Articular ; Rotator Cuff ; Shoulder ; Shoulder Joint

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Arthroscopy Assisted Percutaneous Reduction and Screw Fixation of a Displaced Intra-articular Glenoid Fracture: A Case Report.

Sang Hun KO ; Hyung Min JEON ; Seung Myeong SHIN

Journal of the Korean Shoulder and Elbow Society.2010;13(1):127-131.

PURPOSE: The authors used arthroscopy-assisted percutaneous reduction and cannulated screw fixation rather? than conventional arthrotomy for displaced glenoid fracture. MATERIALS AND METHODS: We used arthroscopy assisted reduction and screw fixation for a 66 year old man who had a clavicle fracture, a displaced glenoid fracture and a scapula fracture. RESULTS: At 9 months postoperatively, the patient had recovered full range of motion and was not inconvenienced by the surgery. Removal of the implant was done 12 months post-operatively under general anesthesia. CONCLUSION: The advantages of arthroscopy-assisted percutaneous screw fixation are less pain and less bleeding, shorter hospital stay and earlier rehabilitation. Arthroscopic percutaneous screw fixation for a displaced glenoid fracture seems to be a good alternative treatment method.
Anesthesia, General ; Arthroscopy ; Clavicle ; Hemorrhage ; Humans ; Length of Stay ; Range of Motion, Articular ; Scapula

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Poland Syndrome: A Case Report.

Soon Taek JEONG ; Dong Kyu MOON ; Chang Meen SUNG ; Hyung Bin PARK

Journal of the Korean Shoulder and Elbow Society.2010;13(1):123-126.

PURPOSE: Poland syndrome is rare disease which is characterized by absence of unilateral pertoralis major muscle accompanied by ipsilateral syndactyly or brachydactyly, which was described first by Alfred Poland in 1841. MATERIALS AND METHODS: We performed the physical examination, laboratory test and radiologic evaluation to 18 year old male, who complaint asymmetry of right anterior chest. RESULTS: We diagnosed the Poland syndrome due to absence of right pectoralis major muscle and brachydactyly of right hand. CONCLUSION: Current authors report a patient who had hypopalsia of pectoralis muscles, which needed differential diagnosis with pectoralis major rupture.
Brachydactyly ; Diagnosis, Differential ; Hand ; Humans ; Male ; Muscles ; Pectoralis Muscles ; Physical Examination ; Poland ; Poland Syndrome ; Rare Diseases ; Rupture ; Syndactyly ; Thorax

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Reconstruction of the Glenoid Using Iliac Bone Graft for Recurrent Anterior Shoulder Instability with Severe Glenoid Bone Defect: A Report of Two Cases.

Seong Man LEE ; Won Ju JUNG ; Hyun Joo LEE ; In Ho JEON

Journal of the Korean Shoulder and Elbow Society.2010;13(1):117-122.

PURPOSE: The purpose of this report was to assess a surgical technique-using an autogenous tricortical iliac crest bone graft in patients with epilepsy-for anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency. MATERIALS AND METHODS: We studied two cases of recurrent anterior dislocation of the shoulder due to epilepsy. These cases were treated with anatomical glenoid reconstruction using an autogenous tricortical iliac crest bone graft. RESULTS: Both cases achieved bone union in 5 months. There was no recurrence of instability and pain. Both cases had normal range of motion. CONCLUSION: Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency using an autogenous tricortical iliac crest bone graft is a successful surgical technique for achieving shoulder stability.
Dislocations ; Epilepsy ; Humans ; Recurrence ; Reference Values ; Seizures ; Shoulder ; Transplants

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The Follow Up Results of Residual Spinoglenoid Ganglion Cyst after Arthroscopic Decompression and Superior Labral Repair: Cases Report.

Chang Meen SUNG ; Sang hyuk LEE ; Hyung Bin PARK

Journal of the Korean Shoulder and Elbow Society.2010;13(1):111-116.

PURPOSE: There are many known treatment modalities for spinoglenoid ganglion cyst accompanied by suprascapular nerve palsy. However, to the author's knowledge, there is no report on the follow-up outcomes focused on remnant cysts. MATERIALS AND METHODS: Six (n=6) patients with spinoglenoid ganglion cyst accompanied by suprascapular nerve palsy, with a mean follow-up of 15 months (12-23months) following arthroscopic cyst decompression and superior labral repair, were enrolled. Residual cyst was investigated by ultrasonography and MRI. RESULTS: Immediate postoperative ultrasonography revealed complete remission of ganglion cyst in one patient and reduced ganglion cyst size in five patients. Three-month follow-up ultrasonography showed spontaneous complete remission of the residual cysts in all patients. No recurrence on MRI was seen at one-year follow-up. CONCLUSION: Residual spinoglenoid ganglion cyst remaining after arthroscopic decompression and superior labral repair tends to resolve spontaneously within 3 months of surgery.
Decompression ; Follow-Up Studies ; Ganglion Cysts ; Humans ; Paralysis ; Recurrence

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Pyogenic Arthritis of the Shoulder in Patient with Infective Endocarditis: A Case Report.

Dong Ju SHIN ; Ki Tae KWON ; Dong Myeong HUH ; Ji Hwan KIM ; Jae young PARK ; Chung Yeol LEE

Journal of the Korean Shoulder and Elbow Society.2010;13(1):106-110.

PURPOSE: We report a case of pyogenic arthritis of the shoulder secondary to infective endocarditis. MATERIALS AND METHODS: A 70 year-old male who had suffered from pyogenic arthritis of the left shoulder secondary to infective endocarditis was treated with artificial valvuloplasty, arthroscopic synovectomy and drainage. RESULTS: Infection was cured and the patient achieved a good functional outcome. CONCLUSION: Pyogenic arthritis of the shoulder is rarely associated with infective endocarditis. However, if the symptoms are misdiagnosed as musculoskeletal symptoms associated with infective endocarditis, serious complications may arise. As such, musculoskeletal symptoms associated with infective endocarditis should be paid careful attention.
Arthritis ; Arthritis, Infectious ; Drainage ; Endocarditis ; Humans ; Male ; Shoulder

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The Surgical Treatment of Pyogenic and Tubercular Infection in the Sternoclavicular Joint: Case Report.

Young Yul KIM ; Jong Beum KWON ; Yeon Soo LEE ; Sang Il KIM ; Jong Hun JI

Journal of the Korean Shoulder and Elbow Society.2010;13(1):99-105.

PURPOSE: Here we report clinical results for surgical treatment of 2 cases of pyogenic arthritis and 1 case of tubercular arthritis, which only rarely develops in the sternoclavicular joint. MATERIALS AND METHODS: From September 2003 to September 2008, we did early marginal resection and thorough debridement of osteomyelitis of the sternum and distal clavicle in 3 patients and evaluated clinical results after short-term follow up. RESULTS: All 3 patients were satisfied with their clinical results and none had any recurrences according to follow up X-rays and laboratory datas. The follow up MRI showed bone edema in the distal clavicle and proximal sternum and a little fluid retention around the sternoclavicular joint. CONCLUSION: Even though diagnosis of these diseases are made earlier, infection of the adjacent bone and osteomyelitis could already have developed. We did early marginal resection and thorough debridement of osteomyelitis of the sternum and distal clavicle and achieved satisfactory results.
Arthritis ; Clavicle ; Debridement ; Edema ; Follow-Up Studies ; Humans ; Osteomyelitis ; Recurrence ; Retention (Psychology) ; Sternoclavicular Joint ; Sternum

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Treatment of Acromioclavicular Joint Injuries Using Clavicle Hook Plates.

Myung Ho KIM ; Joong Bae SEO ; Sang Young MOON

Journal of the Korean Shoulder and Elbow Society.2010;13(1):92-98.

PURPOSE: To analyze results of treating acromioclavicular injuries using clavicle hook plates. MATERIALS AND METHODS: Between February 2008 and April 2010, 18 patients with acromioclavicular joint injury treated by clavicle hook plates were reviewed. Using the Rockwood classification, 7 dislocations were classified as type III injuries and 11 as type V injuries. Implant removal was done at least 3 months from initial fixation. Simple X-rays were taken for comparing the state of reduction, and clinical outcomes were evaluated by the Korean Shoulder Scoring System and the American Shoulder Elbow Society score. The average follow-up period was 9 months. RESULTS: On weight bearing X-rays, the average coracoclavicular distance showed a 114% increase compared to the contralateral side at the time of injury. It decreased to 23% by the last follow-up. The mean Korean Shoulder Scoring System and the American Shoulder Elbow Society score were 80 and 74 at the last follow-up. CONCLUSION: The immediate stability these plates provide allows rapid rehabilitation. Clavicle hook plate fixation for acromioclavicular joint dislocation is considered an effective method for ensuring satisfactory results both radiologically and clinically.
Acromioclavicular Joint ; Clavicle ; Dislocations ; Elbow ; Follow-Up Studies ; Humans ; Shoulder ; Weight-Bearing

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Mini-open Rotator Cuff Repair Using Anterolateral Approach.

Chul Hyun CHO ; Kyung Ki YEO ; Sung Yoon LEE ; Gu Hee JUNG

Journal of the Korean Shoulder and Elbow Society.2010;13(1):86-91.

PURPOSE: To introduce mini-open rotator cuff repair using the anterolateral approach and evaluate its clinical outcomes and effectiveness. MATERIALS AND METHODS: 59 consecutive cases of rotator cuff tearing which were treated with mini-open repair utilizing the anterolateral approach were evaluated. The population comprised 39 men and 20 women, with an average age of 56.6 years. An average follow-up time period was 26 months. Clinical outcomes were analyzed based on VAS, ADL, and ASES scores. RESULTS: The average respective VAS, ADL, and ASES scores improved from 7.04, 12.37, and 35.32 preoperatively to 1.02, 27.20, and 90.08 postoperatively (p=0.000). There were 41 excellent, 11 good, 2 fair, and 5 poor results. There were satisfactory results in 52 cases (88.1%). There were no statistically significant differences between the final ASES scores and age, sex, duration of symptoms, tear size, and preoperative stiffness (p>0.05). CONCLUSION: Mini-open rotator cuff repair using the anterolateral approach effective in providing better visualization.
Activities of Daily Living ; Female ; Follow-Up Studies ; Humans ; Male ; Rotator Cuff

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Prospective Comparative Study of Arthroscopic Repair Versus Debridement for the Full-Thickness Tear of Upper Subscapularis.

Sang Hun KO ; Jae Ryong CHA ; Chae Chil LEE ; Han Chang PARK ; Seung Myeong SHIN

Journal of the Korean Shoulder and Elbow Society.2010;13(1):79-85.

PURPOSE: To evaluate the results from arthroscopic repair versus debridement for full-thickness tears of the upper subscapularis tendon. MATERIALS AND METHODS: Ninety-nine patient outcomes were evaluated and compared prospectively. Sixty-nine patients with full-thickness tears of the upper subscapularis tendon underwent arthroscopic repair (group I) and thirty patients underwent simple debridement (group II) between May 2003 and October 2007. In all patients, the tear was localized to the superior one third of the upper subscapularis tendon. The results of the treatment were assessed by evaluating the UCLA, ASES, and VAS for pain and internal rotation strength scores before and after the operation. RESULTS: In groups I and II, UCLA, ASES, VAS, and internal rotation muscle power (perfect score = 5) scores were improved after surgery. In comparing group I and group II, the UCLA and VAS scores were not significantly different (p>0.05), while the ASES and internal rotation strength scores were significantly different (p<0.05). CONCLUSION: The arthroscopic repair of full-thickness tears of the upper subscapularis tendon was a better surgical method than simple debridement.
Debridement ; Humans ; Muscles ; Prospective Studies ; Shoulder ; Tendons

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