• 제목/요약/키워드: Supraspinatus tendon partial tear

검색결과 14건 처리시간 0.018초

도침치료를 병행한 극상근건 부분파열 환자 한방 치험 4례 (Four Case of Partial Tear of Supraspinatus Tendon Treated by Acupotomy Combined Oriental Medical Treatments)

  • 김효섭;허우영;현민경;김종수;강일아
    • Journal of Acupuncture Research
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    • 제31권1호
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    • pp.167-176
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    • 2014
  • Objectives : The purpose of this study is to report the improvement of acupotomy in patients with partial tear of supraspinatus tendon. Methods : We treated 4 patients having shoulder pain due to partial tear of supraspinatus tendon with acupotomy combined with oriental medical treatments. We checked visual analog scale(VAS) and range of movement(ROM). Results : There are remarkable improvement in VAS and ROM. Conclusions : This report shows acupotomy has a effectiveness on partial tear of supraspinatus tendon. Follow-up study is needed.

MRI상 극상근건 부분파열로 진단받은 견비통 환자의 치험 2례 보고 (Report of Two Cases of Shoulder Pain Diagnosed through MRI as Partial Tear of Supraspinatus Tendon Treated by Oriental Medical Treatment)

  • 정다운;송수철;여경찬;김기역;이현주;문성일
    • 대한한의학회지
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    • 제30권1호
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    • pp.163-172
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    • 2009
  • Objectives: The purpose of this study is to report the improvement after oriental medical treatment of partial tear of supraspinatus tendon. Method: We treated 2 patients having shoulder pain due to partial tear of supraspinatus tendon with Oriental medical treatment, including Sa-am acupuncture DaeJang-Jeonggyeok, A-shi point(阿是穴) and herbal medicine. We checked visual analog scale (VAS) score and range of movement (ROM). Results: We treated shoulder pain. Thereafter ROM improved and V AS score dropped to the level of 2 to 4 points from 10 points at onset. Conclusion: This report shows Oriental medical treatment has effectiveness on partial tear of supraspinatus tendon. Follow-up study is needed.

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극상근건 부분파열 환자에 매선과 한의치료를 시행한 증례 보고 (Effect of Needle-embedding Therapy on Supraspinatus Tendon Partial Tear Combined with Oriental Medical Treatment : Case Report)

  • 차은혜;정다운;양무학;김병한;신희라;권영달
    • 동의생리병리학회지
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    • 제32권4호
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    • pp.277-282
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    • 2018
  • The purpose of this study was to investigate the clinical effects of Korean medical treatments combined with Embedding acupuncture on patients with supraspinatus tendon partial tear. We reviewed the medical records of 1 patients with supraspinatus tendon partial tear at Pureunsan oriental medical clinic from Oct, 2017 to November, 2017. The patient received embedding acupuncture therapy and oriental medical therapy. To evaluate the efficacy of the treatments, the patient was asked to complete a Visual analogue scale(VAS) and the Shoulder pain and disability index during treatment period. The VAS of the patient decreased more than the screening period. The SPADI change of the embedding acupuncture group were greater than non treatment period. Embedding therapy combined with Korean medical treatment might be effective in reducing pain and improving the life quality of patients with supraspinatus tendon partial tear. We hope that further studies will be done to produce more clinical data and ensure effective application of these results.

능동이완기법(active release technique)을 병행한 한방치료로 호전된 극상근건 부분 파열 호전 2례 (Two Clinical Cases of Active Release Technique with Koeran Medicine Treatment for Supraspinatus Tendon Partial Tear)

  • 이성준;박재현;남수현;강준혁
    • 척추신경추나의학회지
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    • 제9권1호
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    • pp.89-101
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    • 2014
  • 상기 증례에서 저자는 극상근건 부분 파열 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS 평가를 통해 다음과 같은 결론을 얻었다. 1. 극상근건 부분 파열로 견통 및 견관절 ROM 제한 발생한 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS에서 현저한 개선 보인 것을 확인할 수 있었다. 2. 비교적 증례가 많지 않고 한방적 치료 과정이 정립되어 있지 않은 극상근건 부분 파열에 한방 치료와 ART 치료를 병행하는 것이 효과가 있음 을 알 수 있었다.

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저항 Scaption 동적 초음파를 이용한 극상건 부분 파열의 진단 (Diagnosis of Partial Thickness Tear of Supraspinatus Tendon Using Dynamic Ultrasonography Under Resisted Scaption Position)

  • 송재황;고광표;차현재
    • 대한정형외과학회지
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    • 제55권5호
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    • pp.426-430
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    • 2020
  • 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.

극상건과 극하건 부분 파열의 재고찰: MR 소견을 바탕으로 (Partial-Thickness Tear of Supraspinatus and Infraspinatus Tendon Revisited: Based on MR Findings)

  • 송신혜;이슬기;김지영
    • 대한영상의학회지
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    • 제82권6호
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    • pp.1366-1387
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    • 2021
  • 회전근개 부분 파열의 자기공명영상 해석은 종종 애매한 경우가 있다. 이 종설에서는 회전근개 중 극상건과 극하건에 초점을 맞춰, 회전근개 부분 파열의 진단을 위한 해부학적 고려 사항을 설명하고, 회전근개 부분 파열의 분류를 요약하며, 박리(delamination)가 포함된 회전근개 부분 파열의 최신 개념을 개략적으로 설명하였다.

견관절 극상건 전층 파열의 관절경적 복원술; 임상적 결과 및 술후 회전근개 상태의 평가 (Arthroscopic Repair of Full Thickness Tear of The Supraspinatus; Evaluation of the Clinical Outcome and the Postoperative Rotator Cuff Integrity)

  • 노규철;정국진;김성우;유정한
    • 대한정형외과스포츠의학회지
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    • 제5권1호
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    • pp.50-57
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    • 2006
  • 목적: 견관절 회전근 개 전층 파열시 관절경적 복원술 후 대결절에 부착되어진 회전근 개의 건이 상완골에 어느 정도의 비율로 건-골(tendon to bone)에 치유되는지에 대하여 알아보고자 하였다. 또한 저자들은 극상건 전층 파열된 례에서 관절경적 복원술 후의 기능적 평가를 시행하였다. 대상 및 방법: 연속적 인 30례의 극상건 전층 파열을 19례에서 one row of anchor를, 11례에서는 two rows of anchor를 사용해 관절경적 복원술을 시행하였다. 환자들의 연령은 51세부터 79세로 평균 63세였으며, 평균 추시 기간은 술후 12개월부터 28개월로 평균 16개월이었다. 술전과 마지막 추시에 주관적 및 객관적인 기능적인 평가를 위해 Constant, ASES와 HCLA score를 측정하였다. 해부학적인 건 치유를 확인하기 위해 30례 전례에서 술후 6개월에서 20개월, 평균 10개월째 자기 공명 관절 조영술(25례)이나 자기 공명 술(5례)을 시행하였다. 결과: 관절경적 복원술후 회전근 개의 대결절에 대한 완전 치유는 30례중 21례(70.0%)였고, 부분적인 파열은 3례(10%)였으며, 극상건이 전혀 치유되지 않아 대결절에 부착되지 못한 경우는 6례 (20%)였으나, 그 중 5례에서는 술후 남아있는 결손의 크기가 처음 술전 보다는 작았다. 객관적인 평가로 Constant score는 술전에 평균 $55.7{\pm}7.1$점에서 술후 마지막 추시 관찰시에 $77.7{\pm}9.7$점으로 향상되었고(p<0.001), ASES xcore는 술전 $39.2{\pm}7.4$점에서 $72.4{\pm}12.6$점으로 향상되었고(p<0.001), UCLA score는 술전 $17.9{\pm}2.2$점에서 $26.5{\pm}5.0$점으로 향상되었다(p<0.001). 견관절의 전방 거상시 근력 이 대결절에 치유된 례 $(7.1kgs{\pm}2.4)$에서 전혀 치유되지 않아 완전히 재 파열되었거나, 부분 파열을 보인 례 $(4.5kgs{\pm}1.0)$에서 보다 통계학적으로 의미 있는 향상을 보였다(p<0.05). 건 치유에 결정적인 영향을 미치는 인자는 환자의 나이였다. 65세 이상의 환자에서는 단지 41.7%만이 대결절에 극상건의 완전한 치유율을 보였다(p<0.05). 결론: 회전근 개 중 극상건 전층 파열된 례에서 관절경적 복원술 후 약 70%에서 완전한 치 유를 보였다. 술후 극상건의 부분 파열 및 재파열은 근력 저하와 직접적인 연관을 가졌다. 특히, 노령 환자에서의 회전근 개 상태가 술후 재파열과 밀접한 관련이 있다.

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Analysis of Greater Tuberosity from the Center of the Humeral Head: Progression to Femoralization

  • Lee, Jun-Seok;Song, Hyun Seok;Kim, Hyungsuk;Yoon, Hyung Moon;Han, Sung Bin
    • Clinics in Shoulder and Elbow
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    • 제22권4호
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    • pp.216-219
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    • 2019
  • Background: Progression of the tear size and erosion of the greater tuberosity (femoralization) in the supraspinatus tear makes it difficult to repair or increases the risk of a re-tear. This study examined the proximal articular surface and greater tuberosity of the humeral head in plain radiography. Methods: Two-hundred forty-seven cases, whose anteroposterior (AP) radiographs were taken correctly, were included from 288 cases, in whom the status of the supraspinatus had been confirmed by surgery. After downloading the plain AP radiograph as DICOM, the radius of the circle apposed at the superior half of the articular surface of the head, and the distance between the circle and the farthest point of the greater tuberosity ('height' of the greater tuberosity) were calculated using the software (TechHime, Korea). MRI checked the number of torn tendons and degree of muscular atrophy. Results: The following were encountered: 93 intact supraspinatus, 50 partial-thickness tears, and 104 full-thickness tears. In the analysis using the 93 intact cases, the average radius of the rotation center was 25.3 mm in male and 22.3 mm in female. The average height of the greater tuberosity from the circle with the same rotation center was 4.3 mm in male and 4.2 mm in female with no statistical significance. The correlation between the reparability of supraspinatus and height of the greater tuberosity, fatty infiltration, and muscular atrophy was confirmed. Conclusions: The height of the greater tuberosity from the circle with the same rotation center was 4.3 mm in male and 4.2 mm in female. This height was strongly correlated with muscular atrophy and fatty infiltration of the supraspinatus tendon.

Risk factors of chronic subscapularis tendon tear

  • Hyung Bin Park;Ji Yong Gwark;Jae-Boem Na
    • Clinics in Shoulder and Elbow
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    • 제25권4호
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    • pp.257-264
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    • 2022
  • Background: Chronic subscapularis tendon tear (SBT) is a degenerative disease and a common pathologic cause of shoulder pain. Several potential risk factors for chronic SBT have been reported. Although metabolic abnormalities are common risk factors for degenerative disease, their potential etiological roles in chronic SBT remains unclear. The purpose of this study was to investigate potential risk factors for chronic SBT, with particular attention to metabolic factors. Methods: This study evaluated single shoulders of 939 rural residents. Each subject undertook a questionnaire, physical examinations, blood tests, and simple radiographs and magnetic resonance imaging (MRI) evaluations of bilateral shoulders. Subscapularis tendon integrity was determined by MRI findings based on the thickness of the involved tendons. The association strengths of demographic, physical, social, and radiologic factors, comorbidities, severity of rotator cuff tear (RCT), and serologic parameters for SBT were evaluated using logistic regression analyses. The significance of those analyses was set at p<0.05. Results: The prevalence of SBT was 32.2% (302/939). The prevalence of partial- and full-thickness tears was 23.5% (221/939) and 8.6% (81/939), respectively. The prevalence of isolated SBT was 20.2% (190/939), SBT combined with supraspinatus or infraspinatus tendon tear was 11.9% (112/939). In multivariable logistic regression analysis, dominant side involvement (p<0.001), manual labor (p=0.002), diabetes (p<0.001), metabolic syndrome (p<0.001), retraction degree of Patte tendon (p<0.001), posterosuperior RCT (p=0.010), and biceps tendon injury (p<0.001) were significantly associated with SBT. Conclusions: Metabolic syndrome is a potential risk factor for SBT, as are these factors: overuse activity, diabetes, posterosuperior RCT, increased retraction of posterosuperior rotator cuff tendon, and biceps tendon injury.