• Title/Summary/Keyword: 극상

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Lesions of the Long Head Biceps Pulley (상완 이두근 장두 활차 병변)

  • Kim, Chul Hong;Lee, Myung Jin;Kang, Min Soo
    • Clinics in Shoulder and Elbow
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    • v.16 no.1
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    • pp.47-52
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    • 2013
  • Lesions of the long head biceps tendon pulley are frequent causes of shoulder dysfunction and pain. These lesions cause instability of the long head of the biceps tendon (LHB), and intra-articular tear of the subscapularis and the supraspinatus tendon might result from them. The arthroscopic repair of these lesions has not gained widespread acceptance as an effective procedure. Predictable results can be obtained by treating these lesions more definitively with tenotomy or tenodesis. The purpose of this article is to review the anatomy and properties of the LHB pulley and to provide treatment strategies for alleviating pulley lesions.

A Case Report of Patients with Calcific Tendinitis Located at Supraspinatus Treated by Oriental Therapy Including Sweet Bee Venom (봉약침을 포함한 한방치료로 호전된 극상근 석회화 건염 3례)

  • Lee, Yeon-Hee;Kim, Chae-Won;Lee, Kwang-Ho
    • Journal of Acupuncture Research
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    • v.29 no.2
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    • pp.89-97
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    • 2012
  • Objectives : The purpose of this report is to show that oriental medical treatments, chiefly using Sweet bee venom (SBV) are effective on symptom improvements and calcium removal in the patients diagnosed with calcific tendinitis in supraspinatus. Methods : We applied 0.3~0.6cc of SBV on $LI_{15}$ ($Gyeonu$) at a time and 0.1~0.2cc on each surrounding pressure point. In addition, we treated $Hwangryeonhaedok-tang$ pharmacopuncture on both acupoints of $GB_{21}$ ($Gyeonjeong$) with large intestine tonification of $Sa-Am$. Results : The symptoms improved within 3 weeks in case 1, 4 days in case 2, 5 weeks in case 3. The removal of calcium was detected by radiology at all cases. Conclusions : From the above results, it is considered that the oriental medical therapy including SBV is effective on the removal of calcium.

난온대 상록수림지역의 식생구조와 천이계열

  • 오구균;최송현
    • The Korean Journal of Ecology
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    • v.16 no.4
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    • pp.459-476
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    • 1993
  • Vegetational structure and successional sere were investigated for the evergreen and nearby deciduous broad-leaved forests in inland areas (Turyunsan, Pulgapsan) and south- western island areas (Hongdo, Chindo). The evergreen broad-leaved forests of the four areas showed a sera1 stage with an age structure mostly under fifty years old. Dominant evergreen broad-leaved species in canopy layer were Castanopsis cuspidata var. sieboldii, Machilus thunbergii, Quercus acuta, Q. stenophylla, Q. glauca, and Ncolitsea serzceu. Succession of the forest vegetation in the surveyed areas was proceeding from deciduous broad-leaved trees to evergreen broad-leaved trees. The species of climax stage were assumed to be Machilus thunbergii, iVeolitseu sericea and Dendropanax morbifera in canopy layer, Aucuba japonica and Machilus japonica in subtree and shrub layer.

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Disturbance and Regeneration Process of the Pinus densiflora Forest in Mt. Worak (월악산에 분포하는 소나무(Pinus densiflora)림에서의 교란체제와 천이 과정)

  • 김홍은;권기철;정택상
    • Journal of Korea Foresty Energy
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    • v.19 no.2
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    • pp.79-85
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    • 2000
  • Mortality patterns ad changes of vegetation in newly formed gaps were investigated to examine the succession process of Pinus densiflora forest located at Mt. Worak. The main findings from this study were as follows: ⑴ The forest was dominated by P. densiflora and Quercus variabilis in the oversotry, while Q. mongolica, Q. serrata and Fraxinus sieboldiana in the mid-story. ⑵ In all study areas, the standing dead type was the most common factor influencing gap-forming mortality. ⑶ DBH analysis showed that Pinus densiflora community was replaced by Quercus variabilis community first, and then by quercus mongolica and quercus serrata community. ⑷ Seedlings of P. densiflora were discovered only at dry sites of the gap.

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Injection Therapy for Calcific Tendinitis of Shoulder Under the Sonographic Guidance (초음파하 극상근 석회화 건염 주사 요법)

  • Nam, Ki Young;Moon, Young Lae;Yang, Kyung Ho
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.10-13
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    • 2008
  • Purpose: To evaluate the efficiency of needling and injection technique without steroid for symptomatic calcific tendinitis of the shoulder. Material and Methods: We chose 12 symptomatic calcific tendinitis patients, whose ages ranged from 35 to 64. Procedure ware dry needling and injection of prolotherapic agent near the lesion. Results: All the case revealed prominent improvement without limitation of shoulder function, especially in active painful stage. Conclusion: Sonographic injection technique for calcific tendinitis would be one of the good modality not only for symptomatic relieve but also good functional recovery.

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Calcific Tendinitis Occurred within Conjoined Tendon in a Patient with Rheumatoid Arthritis - A Case Report - (류마티스 관절염 환자에서 발생한 연합건의 석회성 건염 - 증례보고 -)

  • Lee, Chang-Hun;Kim, Sung-Jae;Lee, Seung-Hun;Koo, Min-Hoi;Lee, Bong-Gun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.31-35
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    • 2012
  • Calcific tendinitis usually occurs within the area where tendon inserts to bone. In the shoulder joints, most cases occur within the supraspinatus tendon just proximal to the greater tuberosity. We report a rare case of calcific tendinitis occurred within the conjoined tendon of coracobrachialis and short head of biceps brachii in a patient with rheumatoid arthritis, diagnosed by means of ultrasonographic evaluation.

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Case Report of Shoulder Impingement Syndrome with Acute Bursitis and Supraspinatus Tendinopathy (급성 점액낭염 및 극상근건염을 동반한 어깨충돌증후군 환자에 대한 증례보고)

  • Kim, Hyee-Kwon;Kim, Jeung-Shin;Nam, Sang-Soo;Kim, Yong-Suk;Bae, Ki-Tae
    • Journal of Acupuncture Research
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    • v.22 no.5
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    • pp.175-182
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    • 2005
  • Objectives : There are little reports on treatment of shoulder impingement syndrome with acute bursitis and supraspinatus tendinopathy in traditional Korean Medicine. We suggest oriental treatment for pain relief and better movement of shoulder impingement. Methods : A -Shi Point, Sa-am acupuncture, ohjuksan-gamipang, seokyongtang-gamipang were used to treat shoulder pain. we evaluated the patient through VAS(Visual Analogue Scale) daily and Physical Examinations. Results : After 5 days of treatment, shoulder pain was decreased from VAS 7.5 to VAS 2 and After 3 weeks, the patient showed nearly full ROM(range of movement). Conclusion : In shoulder impingement syndrome, oriental treatment is good method for pain relief and better movement.

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Empty Can Test for Diagnosis of Supraspinatus Tear - Compare with Arthroscopic Finding - (극상근 파열에 대한 Empty Can Test의 진단적 가치 - 관절경 소견과 비교 -)

  • Moon Young Lae;You Jea Won;Kim Dong Hui
    • Clinics in Shoulder and Elbow
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    • v.4 no.1
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    • pp.13-16
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    • 2001
  • Object: To determine the sensitivity, specificity, and positive and negative predictive values of an empty can test for diagnosing supraspinatus tendon tear. Methods: We reviewed 146 patients who have shoulder pain with limited active range of motion. We evaluated patients according to empty can test. Sensitivity, specificity, and positive and negative predictive values for supraspinatus test was estimated using arthroscopic evaluation. Results: A hundred and twenty-four of 127 cases with positive empty can test had supraspinatus tendon tear. Of 19 samples with negative empty can test, 15 had no supraspinatus tear. Sensitivity, specificity, and positive and negative predictive values for the empty can test were 97.6%, 83.3%, 97.6%, and 78.9%, respectively. Conclusions: Empty can test was found to have a high sensitivity and good positive predictive value in identifying the tear of rotator cuff tendon. We concluded that empty can test of the shoulder is a reliable diagnostic method which could be used for the diagnosis of rotator cuff tear.

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Calcific Tendinitis in Posterosuperior Labrum of Shoulder - Case Report - (견관절의 후상방 관절와 순에서 발생한 석회화 건염 - 증례보고 1례-)

  • Ji Jong-hun;Kim Weon-Yoo;Kim Jin-Young;Nam Won-Sik;Lee Yun-Su
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.2
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    • pp.226-229
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    • 2003
  • Most of the caicific tendinitis have been reported to be found on the rotator cuff, in particularly on supraspinatus. We reported a case of calcific tendinitis on the posterosuperior glenoid labrum. The location of the lesion was diagnosed accurately by the MRI and easily removed the lesion with arthroscopic surgery and got satisfactory results.

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Interrelationship research between difference of VAS and lesion area in Sono-Graphic after physical therapy of tendinitis. - Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis - (건염의 물리치료 후 VAS의 변화와 초음파 영상소견상의 면적 변화에 대한 상관성 연구 - 극상근 건염, 외측상과염, 아킬레스건염을 중심으로 -)

  • Kim, Jeong-Seon;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.1
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    • pp.24-30
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    • 2008
  • Purpose : The patients who have Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis are our targets, so we want to know their opinions in order to take Sono-graphic tests and to study utility value of Sono-graphic. Object and Methods : The case of 30 patients with Tendinitis results, we classified with three categories, Supraspinatus tendinitis, Lateral epicondylitis and Achilles tendinitis. Case by case, before medical treatment, we executed the inspections which are Sound side and Affected side. After 4 weeks of medical treatment, we executed the inspection which is Sono-graphic. Objectively comparing with Sono-graphic, we measured VAS(Visual Analog Scale) before and after physical therapy. Results : We could learn that VAS (Visual Analog Scale) and Sono-graphic wore decreased about changing the lesion area of each disease. For example, Supraspinatus tendinitis is from case 1 and case 2, Lateral epicondylitis is from case 8, case 9 and case 10, Achilles tendinitis is from case 16, case 17 and case 18. Conclusion : About organization of complicated anatomy, we could learn general ideas about Supraspinatus tendinitis, Lateral epicondylitis, Achilles tendinitis. And finally the results which appeared between the decrements of VAS and Sono-graphic are similar.

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