• Clinics in Shoulder and Elbow
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• 제11권1호
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• pp.53-56
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• 2008

견관절 주위 낭종 중 상견갑 신경 포착 증후군을 일으킬 수 있는 상부 관절순 주위 낭종과 회전근 개 파열과 동반된 견봉 쇄골 관절 낭종이 여러 저자들에 의해 보고된 바 있다. 이 두 가지 낭종에 비해 상대적으로 드물고 덜 알려진 형태로 회전근 개 근육 내 낭종이 있으며, 저자들이 한 예를 경험하였기에 보고하고자 한다.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 1995년도 학술대회
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• pp.13-13
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• 1995

The authors performed the arthroscopic decompression and cuff debridement on 47 cases in 45 consecutive patients with either stage II or stage III impingement syndrome from July 1990 to January 1994. The summarized results are as follows. 1. 47 cases in 45 consecutive patients had arthroscopic decompression for the subacromial impingement syndrome. 2. There were 31 males and 14 females and the mean age was 40 years for men and 46years for women. 3. The follow up duration was from 3 years 9 months to 1 year (average 2 years 1month). 4. Among 47 cases, 19 cases were found to have no cuff tear (stageII) 13 cases partial thickness cuff tear (stage IIIa) 10 cases complete tear on cuff less than 3 cm long (stage IIIb) and 5 cases complete tear on cuff more than 3 em in length (stage IIIc). 5. The arthroscopic subacromial decompression and rotator cuff debridement was a good treatment method in stage II and stage IIIa and stage IIIb. in the case of stage IIIc rotator cuff tear, it was useful for pain relief and improvement of shoulder function.

• Clinics in Shoulder and Elbow
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• 제9권1호
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• pp.27-33
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• 2006

Purpose: To investigate early complications after repair of massive rotator cuff tears and to find out factors that compromise the results. Materials and Methods: Fourteen patients who had two or more cuff tendons involved were included. All patients were operated by open acromioplasty and rotator cuff repair. At 3 months after operation, we investigated whether there were any early complications or not. We used ASES scoring system for preoperative and follow up evaluation. In addition, various preoperative factors, such as duration of symptom, degree of tendon retraction, degree of fatty degeneration, and acromio-humeral distance, were compared between the complicated patients and non-complicated patients. Results: At 3 months after operation, the ASES score and pain were improved in any degree in all patients. But 5 patients complained persisting pain, and three of them showed major complications such as re-rupture of rotator cuff or deltoid rupture. But no preoperative factors in complicated patients were significantly different from those in non-complicated patients. Conclusion: None of the preoperative factors were related to the complications. There was a tendency of overestimation of fatty degeneration in MRI. Some factors in surgical technique and rehabilitation were highly suspected to be related to the complications.

• 한국응급구조학회지
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• 제21권2호
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• pp.7-15
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• 2017

Purpose: This study investigated the effectiveness of education regarding cuff pressure following endotracheal tube intubation using a quasi-experimental design with a pre- and posttest non-equivalent control group. Methods: A total of 78 students from two universities participated in an education intervention on the importance of cuff pressure after endotracheal tube intubation between October and December, 2016. The intervention lasted 40 minutes. Data were collected from each student before the intervention and one week following the intervention. Analyses were conducted using chi-square tests, Fisher's exact tests, and analysis of covariance. Results: A total of 38 students were assigned to the experimental group and 40 to the control group. The educational intervention of cuff pressure following endotracheal tube intubation was associated with prevention of possible complications from excessive cuff pressure (F=121.02, p<.001). Conclusion: Training with a pressure gauge and an intubation manikin is necessary to determine the appropriate cuff pressure in the intubation protocol of the practical examination in the emergency medical technology.

• Tuberculosis and Respiratory Diseases
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• 제57권5호
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• pp.434-438
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• 2004

배 경 : 기관 내관 풍선(cuff)의 압력은 과도하게 높으면 기관에 손상을 일으키고, 낮으면 압력 누출이 초래되므로 적절한 압력 유지가 필요하다. 적절한 cuff의 압력을 유지하기 위해서 시행하는 최소 밀폐압 (minimal occlusion pressure) 방법에서 cuff의 압력은 최고 흡기압(peak inspiratory pressure)의 영향을 받는다고 알려져 있다. 그러나 최고 흡기압 이외의 다른 요소, 특히 환기 용적과의 관련성은 잘 알려져 있지 않다. 이에 저자들은 인공호흡기 치료를 받는 환자들에서 동일한 최고 흡기압을 유지하면서 상시량을 변화시키는 것이 기관 내관 cuff의 최소 밀폐압에 영향을 주는지 보고자 하였다. 방 법 : 인공 호흡기 치료 중인 환자 10명을 대상으로 cuff 압력 측정계를 이용하여 공기 누출이 일어나지 않는 cuff의 최소 압력(최소 밀폐압)을 구하였다. 최고 흡기압을 일정하게 유지하도록 인공호흡기의 설정을 조절하면서 1회 호흡량을 10% 증가시킨 용적과 10% 감소시킨 용적을 각각 적용하면서 최소 밀폐압을 측정하여 비교하였다. 결 과 : 초기 설정에서 최고 흡기압은 $32.6{\pm}4.72cmH_2O$ 였고, 최소 밀폐압은 $19.0{\pm}2.26$ mmHg 였다. 각 환자의 최고 흡기압과 최소 밀폐압 사이에는 의미 있는 상관관계가 있었다(r=0.77, p<0.01). 상시량을 10% 증가시킨 경우(high volume state)의 최소 밀폐압은 $20.3{\pm}2.41$ mmHg로 증가하였고(p<0.05), 상시량을 감소시킨 경우(low volume state)의 최소 밀폐압은 $16.8{\pm}3.01$ mmHg로 감소하였다(p<0.001). 결 론 : 최고 흡기압 뿐만 아니라 1회 호흡량도 기관 내관 cuff의 최소 밀폐압에 영향을 미칠 수 있다.

• Clinics in Shoulder and Elbow
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• 제1권1호
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• pp.1-5
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• 1998

회전근개는 견관절의 생역학적 기능에서 매우 중요한 구조물로 파열의 크기, 위치, 양상, 환자의 나이, 활동 정도에 따라 적절한 치료가 요구되며 가능한 한 삼각근의 기능을 저하시키지 않는 방법으로 봉합술을 실시하는 것이 바람직하다.

• Clinics in Shoulder and Elbow
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• 제17권2호
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• pp.84-90
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• 2014

In conducting animal studies using rotator cuff, researchers should select the appropriate types of animals and experimental models. This should also be followed by complete understanding of the selected experimental animals as well as the methods for evaluating the results. Thus, researchers could minimize errors and failure in conducting animal experimental studies. Further, this will provide a basis of establishing new idea and theory about rotator cuff diseases.

• Clinics in Shoulder and Elbow
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• 제6권1호
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• pp.72-79
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• 2003

Purpose: To compare the results of arthroscopic rotator cuff repair and subacromial decompression in partial thickness rotator cuff tear (PTRCT) with those in full thickness rotator cuff tear (FTRCT). Subjects and method: Of the 46 patients who were rested of the rotator cuff tear based on the operational findings, 42 patients who were able to receive a serial follow-up for 2 years were selected as the study subjects. The average age of the patients at the time of the operation was 55 years, and the mean duration of the follow-up was 34 months. The subjects included 22 cases of PTRCT and 20 cases of FTRCT. In terms of rotator cuff repair, the average number of tendon to tendon repair (TTR) was 1 in both PTRCT and FTRCT, and that of tendon to bone repair (TBR) was 1 and 3 in PTRCT and FTRCT, respectively. The average number of use of suture anchor was 1 and 2 in PTRCT and FTRCT, respectively. The level of shoulder pain and function of the subjects were measured using shoulder functional evaluation score of American shoulder and elbow society (ASES score) at before and 2 years following the operation. Results: At the final follow-up following the operation, PTRCT group showed changes in scores from 7.2 to 0.9 on average pain score and 34 to 91 on ASES score, whereas FTRCT group showed changes in scores from 7.6 to 1.2 on pain score and 29 to 88 on ASES score. There were no significant differences between the two groups (P > 0.05). The average range of motion of shoulder significantly increased in both groups at the final follow-up in comparison with the pre-operative time point. The evaluation at the final follow-up showed that 93% of the total subjects showed good or excellent results, and 95％ showed satisfactory results from the procedure with regard to pain reduction and functional outcomes. Two cases of the 3 fair results were caused by acromioclavicular arthritis. Conclusion: It may be anticipated that arthroscopic rotator cuff repair and subacromial decompression may bring satisfactory post-operative outcomes in both PTRCT and FTRCT on pain relief and functional recovery. However, careful preoperative examination of the acromioclavicular joint is critical to avoid failures of these procedures.

• 대한관절경학회지
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• 제16권1호
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• pp.92-97
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• 2012

목적: 회전근 개 파열의 봉합 가능성은 수술적 치료의 적응증을 정립하는데 매우 중요하다. 저자는 회전근 개의 봉합 가능성 및 치유에 영향을 주는 요소들과 회전근 개 파열의 수술적 치료의 적응증에 대해서 고찰하였다. 대상 및 방법: 회전근 개 파열의 봉합 가능성은 수술적 봉합 가능성과 술 후 회전근 개 파열의 치유 가능성의 측면에서 고려되어야 한다. 회전근 개 파열의 자연 경과에 대한 이해 역시 수술적 치료를 할 것인지 보존적 치료를 할 것인지를 결정하는데 큰 도움을 준다. 결과: 회전근 개의 치유 가능성을 예측하는 세가지 일반적인 범주가 있는데 첫째로 수술적 요소, 생물학적 요소, 환경적 요소이다. 수술의는 수술적 기법을 스스로 선택함으로써 수술적 요소를 제어할 수 있으며, 생물학적 요소는 나이와 급성 외상의 유무, 만성화 정도, 파열의 정도 등을 고려하여 주의 깊게 수술 적응 대상을 선택함으로써, 환경적 요소는 흡연 및 비스테로이드성 소염진통제(nonsteroidal anti-inflammatory drug, NSAID) 사용을 피함으로써 더 좋은 임상 결과를 기대할 수 있다. 결론: 회전근 개 파열의 자연 경과와 봉합 가능성에 대한 정확한 이해는 회전근 개 파열의 수술적 치료의 적응증을 정립하고 만족스러운 임상결과를 얻는데 큰 도움을 줄 수 있다.

• Clinics in Shoulder and Elbow
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• 제7권1호
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• pp.23-29
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• 2004

It has been reported that rotator cuff tear have good response to arthroscopic or open repair even if the range being so wide. However, the majority of this literature regarding the diagnosis and treatment of tear focused on lesion of the supraspinatus and infraspinatus tendons. But involvement of the subscapularis tendon with rotator cuff tear should be thought to be less common and poorer to open operative repair. Furthermore, some europian author have stated that the rotator cuff tear including the subscapularis tendon are sufficiently distinct in their clinical presentation and prognosis as to merit separate consideration of their diagnosis and treatment. The purpose of this study is to evaluate result of arthroscopic or open repair in patient with rotator cuff tear that include the subscapularis tendon. Of the 128 rotator cuff repairs performed from 1998 through 2003, 12 had a tear that include the subscapularis tendon in combination with the supraspinatus (8 cases) and infraspinatus (4 cases). Mean duration of symptoms before surgical treatment was 6 months (range 3 to 12 months). All 12 patient demonstrated a positive lift off sign. Shoulder function was assessed using the Constant- Murley score, which ranges from 30 to 58. Pain was assessed using a linear visual analogue scale range from 0 to 10. Postoperative Constant score range from 40 to 64 (average 47.8). Pain score improved from 5.5 to 8.5, but there are postoperative pain improvement on nothing in 5 patient. The overall result for 12 patient were satisfy in 2, fair in 5 and dissatisfy in 5: Therefore satisfactory result were noted only in 16 % of this overall group. In conclusion, we have failed to make good result in patient with rotator cuff tear that included the subscapularis tendon. At the result, outcome after surgical repair of this type of rotator tear is comparatively inferior to the result of operative repair of rotator cuff not involved the subscapularis tendon.