Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Rotator Interval Lesion: Instability & Stiffness

회전근 간 병변: 불안정증과 강직

  • Oh Jeong-Hwan (Shoulder, Elbow and Sports Service, Department of Orthopaedic Surgery, Konkuk University School of Medicine Seoul) ;
  • Park Jin-Young (Shoulder, Elbow and Sports Service, Department of Orthopaedic Surgery, Konkuk University School of Medicine Seoul)
  • 오정환 (건국대학교 의과대학 정형외과학교실, 견주관절 및 스포츠 크리닉) ;
  • 박진영 (건국대학교 의과대학 정형외과학교실, 견주관절 및 스포츠 크리닉)
  • Published : 2005.06.01
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Abstract

Rotator interval should be as loose as possible, though not so loose as to break the shoulder mechanism. This region is a source of significant shoulder pathology resulting in patient discomfort and dysfunction. The clinical features fall into two categories. Rotator interval tightness is associated with impingement, contracture with adhesive capsulitis, and widening with anteroinferior, posterior or multidirectional instability. Coracoid impingement can cause damage to the structures of the rotator interval, Injury of the interval are associated with subscapularis tears as well as biceps tendinitis, fraying, subluxation, and dislocation. An understanding of the normal and pathologic anatomy can lead to successful diagnosis and treatment of lesions in the rotator interval.

회전근 간의 질환은 과거 강직과 불안정성에 대한 연구가 주종을 이루었다. 동결견에 대한 치료로 회전근 간을 절제하는 것도 치료의 한 방법으로 사용되어 왔다. 불안정성에 대한 치료 중 회전근 간의 봉합술은 아직은 다른 치료 방법을 시행하고 추가적인 관절 운동 범위의 감소가 필요할 때 사용할 수 있는 보조적인 방법으로 사용하는 것이 좋을 것으로 보인다. 그 외의 회전근 간 자체 파열 등의 병변이 발생할 수 있으므로 수술시 반드시 확인해야 하는 구조물로 사료된다.

Keywords

References

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