Kim's lesion: an incomplete and concealed avulsion of the posteroinferior labrum in posterior or multidirectional posteroinferior instability of the shoulder

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Seung-Ho KimKyu-Cheol Noh

Abstract

The purpose of this article is to report a new clinical entity of posterior instability of the shoulder and the results of its treatment. Case series. The Kim's lesion, which is an incomplete and concealed avulsion of the posteroinferior labrum, was arthroscopically identified in 15 patients who presented with posterior or multidirectional posteroinferior instability. Patients were treated by arthroscopic labroplasty and capsular shift. At a minimum follow-up of 2 years, the outcome was evaluated using subjective (pain and function visual analogue scale) and objective (UCLA, ASES, and Rowe scores) measurements. When visualized under an arthroscope, Kim's lesion apparently had an intact labral attachment and appeared to have a superficial crack at the junction between the articular cartilage of the glenoid and the posteroinferior labrum. However, probing of the lesion revealed detachment of the deep portion of the posteroinferior labrum. The posteroinferior labrum was flat with loss of normal height, which resulted in the retroversion of the chondrolabral glenoid. Incision of the superficial portion of the lesion exposed a loose deep portion of the labrum. Labroplasty was performed to restore the labral height, as well as capsul...Continue Reading

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Citations

Oct 19, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alexander Van TongelLieven De Wilde
May 13, 2008·Skeletal Radiology·Srinivasan HarishJohn O'Neill
Jun 26, 2009·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Seung-Ho Kim
Dec 26, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoshiaki Itoigawa, Eiji Itoi
Oct 2, 2013·Clinics in Sports Medicine·Iain R MurrayC Michael Robinson
Mar 8, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·G NourissatS Lacoste
Apr 4, 2012·Magnetic Resonance Imaging Clinics of North America·Peter J Macmahon, William E Palmer
Jul 10, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·William T PenningtonJonathan Klinger
Aug 30, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Fotios P Tjoumakaris, James P Bradley
Oct 12, 2016·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Tineke De ConinckChristine B Chung
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Nov 28, 2018·World Journal of Orthopedics·Henrik Constantin BäckerMelvin Paul Rosenwasser

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