대한정형외과스포츠의학회지 (Journal of Korean Orthopaedic Sports Medicine)
- 제2권1호
- /
- Pages.71-76
- /
- 2003
- /
- 1598-5695(pISSN)
이두박건 활차의 충돌 징후 - 증례보고 -
Biceps Pulley Impingement - Case Report -
- Choi Chang-Hyuk (Department of Orthopaedic Surgery, Catholic University of Daegu College of Medicine) ;
- Kim Shin-Kun (Department of Orthopaedic Surgery, Catholic University of Daegu College of Medicine) ;
- Kang Byung-Kyu (Department of Orthopaedic Surgery, Catholic University of Daegu College of Medicine) ;
- Jang Woo-Chang (Semyung Orthopaedic Clinic)
- 발행 : 2003.03.01
초록
견관절증에 대한 관절경검사중분리된이두박건활차(detached biceps pulley)를발견하였으며 그임상적의의를고찰하고자한다. 견관절의병변에 대한관절경 치료 시3예의분리된 이두박건활차의 양상을확인하였으며, 그유발원인은 각각 반복적인투구, 전방견관절불안정성및외상등으로생각되었다. 분리된이두박건활차가상완운동에따른관절내활주를통해후상방관절순에충돌을유발하는것을관찰하였다. 불안정성예에대해서는전방관절순수복술후충돌징후가감소하였으며, 나머지2예에서는충돌징후를유발하는이두박건활차를절제후증상의호전을볼수있었다.
We evaluated biceps pulley as a stabilizing sling for the long head of biceps tendon in the rotator interval. We present 3 cases of detached biceps pulley which impinges on posterosuperior glenoid labrum in the position of late cocking. Pulley impingement related to anterior shoulder instability was relieved after Bankart repair. In another two cases, impingement symptoms were disappeared after resection of the detached biceps pulley.