지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.12
- 수록면
- 248 - 253 (6page)
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Background: Scapular notching can happen at diverse location depending on implant design or operative technique, therefore, it is easily misdiagnosed. Thus, this study purposed to suggest a method helpful to assess scapular notching.
Methods: The subjects were 73 cases of reverse shoulder arthroplasty (RSA) for cuff tear arthropathy during the period from May 2009 to April 2014 and followed-up for over a year. There was medialized RSA in 22 cases, bone increased offset RSA (BIO-RSA) in 36 cases, and metal increased offset RSA (metal-RSA) in 15 cases. Scapular notching was not determined by bone defect at the inferior of glenosphere as Sirveaux’s classification, but scapular notching at the site where the rotational route of the polyethylene of humeral implant met the scapular neck were examined. The results were compared with conventional method.
Results: By conventional method, scapular notching was observed in 10 cases (45.5%) in medialized RSA, 12 cases (33.3%) in BIO-RSA, and none in metal-RSA. By new method, it was observed in 9 cases (40.9%) in medialized RSA, 10 cases (27.8%) in BIO-RSA, and none of metal-RSA. The site of scapular notching was apart from glenoshpere in 18 cases, and at inferior of glenosphere in 1 case. Absorption of bone graft was observed in 4 (11.1%) out of 36 cases of BIO-RSA.
Conclusions: It is hard to distinguish scapular notching from absorption of bone graft in BIO-RSA, and bone absorption at the lateral lower end of glenoid in medialized RSA. Thus, it is considered useful to assess scapular notching at the site where the rotational route of the polyethylene insert meets scapular neck.
Methods: The subjects were 73 cases of reverse shoulder arthroplasty (RSA) for cuff tear arthropathy during the period from May 2009 to April 2014 and followed-up for over a year. There was medialized RSA in 22 cases, bone increased offset RSA (BIO-RSA) in 36 cases, and metal increased offset RSA (metal-RSA) in 15 cases. Scapular notching was not determined by bone defect at the inferior of glenosphere as Sirveaux’s classification, but scapular notching at the site where the rotational route of the polyethylene of humeral implant met the scapular neck were examined. The results were compared with conventional method.
Results: By conventional method, scapular notching was observed in 10 cases (45.5%) in medialized RSA, 12 cases (33.3%) in BIO-RSA, and none in metal-RSA. By new method, it was observed in 9 cases (40.9%) in medialized RSA, 10 cases (27.8%) in BIO-RSA, and none of metal-RSA. The site of scapular notching was apart from glenoshpere in 18 cases, and at inferior of glenosphere in 1 case. Absorption of bone graft was observed in 4 (11.1%) out of 36 cases of BIO-RSA.
Conclusions: It is hard to distinguish scapular notching from absorption of bone graft in BIO-RSA, and bone absorption at the lateral lower end of glenoid in medialized RSA. Thus, it is considered useful to assess scapular notching at the site where the rotational route of the polyethylene insert meets scapular neck.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (22)
참고문헌 신청
[학술지(정기간행물)] - Simovitch RW / 2007 / Predictors of scapular notching in patients managed with the Delta III reverse total shoulder replacement / J Bone Joint Surg Am 89 (3) : 588 ~ 600
[학술지(정기간행물)] - Werner CM / 2005 / Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis / J Bone Joint Surg Am 87 (7) : 1476 ~ 1486
[학술지(정기간행물)] - Florie EE / 2013 / Scapular notching: danger ahead? / Semi Arthroplast 24 (1) : 24 ~ 27
[학술지(정기간행물)] - Zumstein MA / 2011 / Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review / J Shoulder Elbow Surg 20 (1) : 146 ~ 157
[학술지(정기간행물)] - Valenti P / 2011 / Do less medialized reverse shoulder prostheses increase motion and reduce notching? / Clin Orthop Relat Res 469 (9) : 2550 ~ 2557
[학술지(정기간행물)] - Werner CM / 2005 / Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis / J Bone Joint Surg Am 87 (7) : 1476 ~ 1486
[학술지(정기간행물)] - Florie EE / 2013 / Scapular notching: danger ahead? / Semi Arthroplast 24 (1) : 24 ~ 27
[학술지(정기간행물)] - Zumstein MA / 2011 / Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review / J Shoulder Elbow Surg 20 (1) : 146 ~ 157
[학술지(정기간행물)] - Valenti P / 2011 / Do less medialized reverse shoulder prostheses increase motion and reduce notching? / Clin Orthop Relat Res 469 (9) : 2550 ~ 2557
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UCI(KEPA) : I410-ECN-0101-2016-514-002319633