대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제82권6호
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  • Pages.1388-1401
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  • 2021
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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회전근개 파열의 수술 후 영상

Postoperative Imaging of Rotator Cuff Tear

  • 이민희 (성균관대학교 의과대학 강북삼성병원 영상의학과) ;
  • 박희진 (성균관대학교 의과대학 강북삼성병원 영상의학과) ;
  • 김지나 (성균관대학교 의과대학 강북삼성병원 영상의학과)
  • Min Hee Lee (Department of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital) ;
  • Hee Jin Park (Department of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital) ;
  • Ji Na Kim (Department of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital)
  • 투고 : 2021.07.26
  • 심사 : 2021.11.25
  • 발행 : 2021.11.01
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초록

회전근개(rotator cuff) 수술 후 영상은 통증이나 장애가 수술 후 새로 발생하거나 혹은 증상이 없어도 일상적으로 시행된다. 수술 후 영상은 MRI나 초음파 등을 통해 얻으며 일반적으로 복구된 힘줄(건)의 완전성을 확인하고자 하는 것이 목적이다. MRI는 술 후 해부학적 구조 변경을 전반적으로 확인할 수 있고 수술 후 합병증 등을 객관적으로 확인할 수 있지만 여러가지 수술에 사용된 물질들이 화질을 나쁘게 하여 술 전 영상에 비하여 진단 정확도가 떨어진다. 초음파는 복구된 회전근개의 상태를 역동적으로 확인할 수 있고 회복에 사용되는 수술기구들로부터 생기는 인공물도 피할 수 있다. 영상 소견이 항상 임상 증상이나 예후와 일치하지는 않으나 재건된 건의 두께보다는 삼각근하 액체 저류가 통증과 기능 회복에 있어 중요하다. 긴장 탄성도 검사도 예후를 예측하는데 유용한 방법이 될 수 있다.

Postoperative imaging of the rotator cuff may be performed routinely, even if pain or disability develops after surgery or if there are no symptoms. Postoperative images are obtained through MRI or US, and the purpose is to confirm the integrity of the restored tendon in general. Postoperative MRI has a relatively poor diagnostic accuracy compared to that of preoperative images because various materials used in surgeries deteriorate the image quality. US can dynamically check the condition of the restored tendon and avoid artifacts from the surgical instruments used for recovery. Although imaging findings are not always consistent with the clinical symptoms or prognosis, sub-deltoid fluid retention is more important for pain and functional recovery than the thickness of the reconstructed tendon. Strain elastography can also be a useful method for predicting the prognosis.

키워드

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