Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Diagnosis of Partial Thickness Tear of Supraspinatus Tendon Using Dynamic Ultrasonography Under Resisted Scaption Position

저항 Scaption 동적 초음파를 이용한 극상건 부분 파열의 진단

  • Song, Jae Hwang (Department of Orthopedic Surgery, College of Medicine, Konyang University) ;
  • Ko, Kwang Pyo (Hanmaeum Orthopaedic Clinic) ;
  • Cha, Hyun Jae (Department of Orthopedic Surgery, College of Medicine, Konyang University)
  • 송재황 (건양대학교 의과대학 정형외과학교실) ;
  • 고광표 (한마음정형외과의원) ;
  • 차현재 (건양대학교 의과대학 정형외과학교실)
  • Received : 2019.08.08
  • Accepted : 2019.11.21
  • Published : 2020.10.30
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Abstract

Magnetic resonance imaging and static ultrasound imaging do not indicate some cases of partial thickness tears of the supraspinatus tendon. The authors observed a partial thickness tear of the supraspinatus tendon that was not found using other imaging tools but was observed by resisted scaption in shoulder extension position dynamic ultrasound in several cases. This paper outlines this technique is reported by describing two cases.

극상건의 부분 파열(partial thickness tear)이 자기공명영상이나 Middleton, Crass position하의 정적초음파영상에서는 관찰되지 않는 경우가 있다. 저자들은 견관절의 extension position에서 저항 scaption (resisted scaption 또는 scapular plane abduction)을 이용한 동적초음파 검사를 이용하면 다른 영상의학적 도구나 자세에서 진단을 놓칠 수 있는 극상건의 부분 파열도 효과적으로 관찰할 수 있음을 여러 증례를 통하여 경험하였다. 현재까지 극상건 부분 파열을 진단하기 위한 동적 검사 방법은 문헌으로 보고된 적이 없었던 바, 이에 두 증례를 통하여 저항 scaption을 이용한 동적 초음파에 대한 저자들의 술기를 보고하고자 한다.

Keywords

References

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