• Title/Summary/Keyword: 유착성 관절 낭염

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Bursoscopic Finding in Primary Adhesive Capsulitis of the Shoulder (견관절 일차성 유착성 관절낭염 환자의 견봉하 관절경 소견)

  • Nam, Ki-Young;Moon, Young-Lae;Kim, Dong-Hui
    • Clinics in Shoulder and Elbow
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    • v.11 no.1
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    • pp.19-23
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    • 2008
  • Purpose: To evaluate the bursoscopic findings of refractory primary adhesive capsulitis of the shoulder and to determine the clinical correlation. Materials and Methods: Arthroscopic capsular release was performed in 21 refractory adhesive capsulitis patients who had not responded to conservative treatment. The VAS for pain, range of motion, UCLA score was checked before and after surgery, and at the last follow up. Results: Bursitis, mild friction and impingement on coracoacromial ligament, as well as adhesion were observed. The function and pain improved earlier than after simple acromiohumeral joint capsular release. Conclusion: Subacromial bursoscopy helps rule out a hidden secondary frozen shoulder or secondary changes with primary adhesion. In addition, it has the advantage of being both a treatment and procedure for making a prognosis.

Adhesive Capsulitis of the Shoulder (견관절의 유착성 관절낭염)

  • Soo-Jung Choi
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1355-1365
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    • 2021
  • Adhesive capsulitis, the so-called 'frozen shoulder', is one of the common causes of pain with a limited range of motion in the shoulder joint. The condition is usually diagnosed through the clinical course and physical examinations; however, several studies on imaging findings of adhesive capsulitis using sonography, MRI, and MR angiography have been reported. In this article, various imaging findings for the diagnosis of adhesive capsulitis-related anatomy are reviewed.

The ultrasound-guided injection of prolotherapy and steroid mixture in patients with adhesive capsulitis (견관절 유착성 관절낭염 환자에서 시행한 초음파 관찰 하에 증식제제와 스테로이드제 병합주사요법)

  • Moon, Young-Lae;An, Ki-Yong;Park, Sung-Min;Bae, Byung-Jo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.109-113
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    • 2010
  • Purpose: To evaluate the efficacy of ultrasound guided injection of prolotherapy and steroid mixture injection in patients with adhesive capsulitis. Materials and Methods: 53 patients with adhesive capsulitis were included in the study and in all the patients a mixture of steroid and prolotherapy agent was injected into the coracohumeral ligament under the sonographic guidance. The patients were evaluated using the VAS and ROM of the shoulder before the injection and at 8 weeks and at 1 year after the injection. Results: Forward flexion was 93.4 degrees before the injection and was 142, 153 degrees at 8weeks and 1 year after injection. Abduction was 79.2 degrees before the injection and was 125.4, 152.6 degrees at 8 weeks and 1 year after the injection. The VAS score was 6.7 before the injection and was 3.5, 3.7 at 8 weeks and 1 year after the injection. Conclusion: The ultrasound guided injection of prolotherapy and steroid mixture into the coracohumeral ligament in patients with adhesive capsulitis is allowing both tissue distension and inflammatory process controlling procedure. It is effective in improving the range of shoulder motion significantly and is also effective in decreasing the pain.

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The Effects of the Range of Motion of Joint with Vibratory Stimulation of the Patients of Adhesive Capsulitis of the Shoulder (진동적용이 견관절 유착성관절낭염 환자의 관절가동범위에 미치는 영향)

  • Choi, Woohyuk;Lee, Jinhwan;Min, Dongki;Choi, Junhhee;Shin, Sohong
    • The Journal of the Convergence on Culture Technology
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    • v.1 no.2
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    • pp.77-83
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    • 2015
  • The purpose of this study is to prove the increase of range of motion of shoulder joint in the patients with shoulder adhesive capsulitis by applying the vibratory stimulation. In terms of subjects of the study, the experimental group 15(4 male, 11 female)and the control group 15(5 male, 10 female) were divided. The measurement of the shoulder range of motion was taken by measuring the degrees of flexion, abduction, and external rotation with a goniometer from pre treatment to one to four weeks. The results were as follows : In the experimental group and control group, there was the statistical significance in the range of motion of the shoulder flexion, abduction, and external rotation during four weeks. In summary, the vibratory stimulation are effective interventions for improving shoulder adhesive capsulitis, patient's range of motion of shoulder joint.

Pathology of the Rotator Cuff in Adhesive Capsulitis Patients (견관절 유착성 관절 낭염 환자에 동반된 회전근 개 병변)

  • Yoo, Jae-Chul;Ahn, Jin-Hwan;Kim, Jae-Hoon;Chang, Moon-Jong;Seo, Hee-Soo;Sul, Eun-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.1
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    • pp.24-31
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    • 2007
  • Purpose: To evaluate any combined rotator cuff pathologies in adhesive capsulitis patients with magnetic resonance arthrography (MRA) or ultrasonography (USG), and to see any differences in findings between MRA and USG. Materials and Methods: From June to December 2005, 80 consecutive patients with adhesive capsulitis were prospectively evaluated with either MRA or USG. Two groups were randomly assigned for examination. Evaluation were focused on any combined rotator cuff pathologies especially supraspinatus tendon. Results: Small (less than 1 cm) full-thickness SSP tendon tear were seen in 6 patients (MRA 4, USG 2, 8%) and partial-thickness SSP tendon tears in 21 (MRA 12, USG 9, 26%). In addition, supraspinatus tendinopathy were seen in 15 patients (MRA 7, USG 8, 19%). Overall, various SSP pathologies were reported in 42 patients (53%) of the study objects (MRA 23, 68% and USG 19, 41%). Subscapularis tendon partial tears were reported in 9 patients (MRA 6, USG 3, 11%). There were no statistical differences of the findings between MRA and USG in detecting rotator cuff pathologies (p>0.5). Conclusion: Nearly one half of the adhesive capsulitis patients showed various supraspinatus tendon pathology in MRA or USG. Although MRA group showed slight higher percentage of associated rotator cuff pathology than USG group (without statistical significance), this could be attributed to better resolution capacity of MRA than USG.

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