Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Physical Examinations of Rotator Cuff Tear

회전근 개 파열의 이학적 검사

  • Kim, Kyung-Cheon (Department of Orthopedic surgery, Chung-Nam University Hospital) ;
  • Rhee, Kwang-Jin (Department of Orthopedic surgery, Hankook Hospital) ;
  • Shin, Hyun-Dae (Department of Orthopedic surgery, Chung-Nam University Hospital) ;
  • Byun, Ki-Yong (Department of Orthopedic surgery, Join Hospital)
  • 김경천 (충남대학교 의과대학 정형외과학교실) ;
  • 이광진 (대전한국병원 정형외과) ;
  • 신현대 (충남대학교 의과대학 정형외과학교실) ;
  • 변기용 (조인병원 정형외과)
  • Published : 2008.06.15
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Abstract

Successful treatment of any pathological condition of the shoulder requires an accurate diagnosis. Physical examination represents an integral part of the assessment of shoulder disorders. Pain, loss of strength, decreased range of motion, and instability are the most common symptoms caused by a great variety of different shoulder pathologies. Therefore, a sophisticated clinical approach to the patient with shoulder pathology is essential. A standardized evaluation including a variety of diagnostic tests and clinical assessments improves the diagnostic accuracy by specifically examining one component of the shoulder complex. In most cases a careful physical examination will establish or suggest a diagnosis and special investigative techniques such as imaging procedures can be applied more selectively for confirmation or further evaluation of the pathological entity.

견관절의 모든 병적 상황의 성공적인 치료에는 정확한 진단이 요구된다. 이학적 검사는 견관절 질환의 검사에 필수적인 요소이다. 통증, 근력의 저하, 운동범위의 감소, 그리고 불안정성은 다양한 견관절 병태생리에 의해 발생하는 가장 흔한 증상들이다. 따라서, 견관절 질환을 가진 환자에게 정교한 임상적 접근이 필수적이다. 다양한 진단적 검사와 임상적 측정을 포함한 표준화된 평가가 견관절 복합체에서 한 구성요소를 특정하게 검사함으로써 진단적 정확도를 향상시킨다. 대부분의 경우, 신중한 이학적 검사가 진단과 확진 및 추가적 조사를 위해 선택적으로 시도될 수 있는 영상학적 시술과 같은 특정 진단 기술을 계획하거나 제공하게 된다.

Keywords

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