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Scapular Dyskinesis

견갑골 운동장애

  • Park, Jin-Young (Shoulder, Elbow and Sports Service, Department of Orthopaedic Surgery, Konkuk Medical School) ;
  • Lhee, Sang-Hoon (Shoulder, Elbow and Sports Service, Department of Orthopaedic Surgery, Konkuk Medical School) ;
  • Oh, Jeong-Hwan (Shoulder, Elbow and Sports Service, Department of Orthopaedic Surgery, Konkuk Medical School) ;
  • Kim, Hong-Kyum (Shoulder, Elbow and Sports Service, Department of Orthopaedic Surgery, Konkuk Medical School)
  • 박진영 (건국대학교 의학전문대학원 정형외과학교실 견.주관절 및 스포츠 크리닉) ;
  • 이상훈 (건국대학교 의학전문대학원 정형외과학교실 견.주관절 및 스포츠 크리닉) ;
  • 오정환 (건국대학교 의학전문대학원 정형외과학교실 견.주관절 및 스포츠 크리닉) ;
  • 김홍겸 (건국대학교 의학전문대학원 정형외과학교실 견.주관절 및 스포츠 크리닉)
  • Published : 2009.12.15

Abstract

Purpose: Scapular dyskinesis is an alteration in the normal position or motion of the scapula during coupled scapulohumeral movements. Vast majority of shoulder pathologies are known to be related with scapular motion abnormalities. Because there being enthusiasm about scapular pathology in recent literatures, understanding scapular dyskinesis seems to be an important subject. The authors describe the importance of scapular abnormality in terms of shoulder pathology. Materials and Methods: Usually the inhibition or disorganization of activation patterns in scapular stabilizing muscles lead to scapular dyskinesis. This motion abnormality has more important values in Elite Athletes because it might be the sign of future shoulder pathology; for example, SLAP and internal impingement. Treatment of scapular dyskinesis is directed at managing underlying causes and restoring normal scapular muscle activation patterns by kinetic chain-based rehabilitation protocols. Treatment is also important to prevent secondary shoulder injuries. Results and Conclusion: Understanding scapular pathology may be the main key to approach to the shoulder pathology. Also treating scapular pathology might be important in preventing secondary shoulder injuries.

목적: 그동안 견관절과 견봉하 관절에 대한 연구는 전세계적으로 매우 많은 연구가 이루어져 왔고 많은 의사들의 관심분야로 각광받아왔다. 그러나 그에 비해서 견갑골과 그 주위근육들은 상대적으로 관심의 대상이 되어오지 못한 것이 사실이다. 이에 저자들은 견갑골의 운동장애에 대하여 기술해 보고자 하는 것이 목적이다. 대상 및 방법: 기본적으로 견관절의 움직임은 언제나 견갑골의 운동을 동반하게 되어있고, 견관절의 운동에 이상이 발생하면 이는 직접적으로 견관절 움직임에도 영향을 미칠 수 밖에 없다는 것은 이미 널리 알려진 사실이다. 결과 및 결론: 특히 운동선수에 있어서는 견갑골의 움직임과 견고한 고정이 매우 중요한 역할을 차지하게 된다. 이에 저자들은 견갑골의 움직임과 중요성에 대해서 조명해보고자 한다.

Keywords

References

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