Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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전완부 총 신근 건 기시부의 석회화 건염 - 2예 보고 -

Calcific Tendinits at the Origin of Common Extensor Tendons of the Forearm - A Report of Two Cases -

  • 김영규 (가천대학교 의과대학 길병원 정형외과학교실) ;
  • 조승현 (가천대학교 의과대학 길병원 정형외과학교실) ;
  • 문성훈 (가천대학교 의과대학 길병원 정형외과학교실) ;
  • 김남기 (가천대학교 의과대학 길병원 정형외과학교실)
  • Kim, Young-Kyu (Sports Medicine & Shoulder and Elbow Service, Department of Orthopaedic Surgery, Gachon University, Gil Hospital) ;
  • Cho, Seung-Hyun (Sports Medicine & Shoulder and Elbow Service, Department of Orthopaedic Surgery, Gachon University, Gil Hospital) ;
  • Moon, Sung-Hoon (Sports Medicine & Shoulder and Elbow Service, Department of Orthopaedic Surgery, Gachon University, Gil Hospital) ;
  • Kim, Nam-Ki (Sports Medicine & Shoulder and Elbow Service, Department of Orthopaedic Surgery, Gachon University, Gil Hospital)
  • 투고 : 2011.05.06
  • 심사 : 2011.05.31
  • 발행 : 2011.06.30
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초록

목적: 전완부 총 신근 건 기시부 생긴 석회화 건염 2예를 보고하고자 한다. 대상 및 방법: 좌측 주관절 굴곡 구축과 통증을 주소로 내원한 42세 여자 환자로 단순 방사선 및 자기공명영상 촬영 후 전완부 총 신근 건 기시부의 석회화 건염 진단 하에 수술적 제거술을 시행하였다. 우측 주관절의 급성 통증 및 운동 제한을 주소로 내원한 25세 여자 환자로 단순 방사선 사진상 전완부 총 신근 건 기시부에 석회화 건염 보여 체외충격파 치료를 시행하였다. 결과: 2예 모두 치료 후 통증의 소실과 운동 범위의 완전 회복을 보였다. 결론: 주관절 외측부에 통증 및 운동 범위 제한을 유발하는 질환의 감별진단에 총 신근 건 기시부의 석회화 건염이 고려되어야 한다.

Purpose: We report here on two cases of calcific tendinitis at the origin of the common extensor tendons of the forearm. Materials and Methods: A 42 year-old female complained of left elbow pain and flexion contracture. After obtaining the simple radiographs and MRI, surgical excision of the calcific deposits was done under the diagnosis of calcific tendinitis. A 25 year-old female complained of right elbow pain and a limited range of motion. Simple radiographs showed a calcific deposit just distal to the lateral epicondyle, and then she was managed with extracorporeal shock wave therapy. Results: The pain disappeared completely and both patients regained a full range of motion after treatments. Conclusion: Calcific tendinitis at the origin of the common extensor tendons of the forearm should be included in the differential diagnosis of the lateral elbow diseases that cause pain and a limited range of motion.

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참고문헌

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