• 척추신경추나의학회지
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• 제7권1호
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• pp.85-94
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• 2012

금출도담탕(芩朮導痰湯)을 처방하여 어깨 충돌증후군으로 인한 극심한 통증 및 가동범위의 제한이 호전된 3례를 통하여 금출도담탕(芩朮導痰湯)이 어깨 충돌증후군에 대해 환자의 자각적인 증세 및 NRS, 견관절 이학적 검사상 유효한 효과가 있었음을 확인하였다. 이에 저자는 어깨충돌증후군으로 입원하여 금출도담탕(芩朮導痰湯)을 복용한 후 호전된 3케이스를 보고하는 바이다.

• Clinics in Shoulder and Elbow
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• 제2권2호
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• pp.99-105
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• 1999

We investigated the effectiveness of arthroscopic decompression in stage Ⅱ subacromial impingement after long term follow up. Arthroscopic subacromial decompression was done in 104 consecutive patients who had stage Ⅱ sub­acromial impingement. After average of 8.4 years follow up, the final results were as following; 57 shoulders(55%) in excellent, 25(24%) in good, 16(15%) in fair and 6(6%) in poor. All parameters-pain, function, muscle strength and motion-were improved significantly(p<0.00l). Rotator cuff tear was developed in 10 shoulders after decompression. Among them, 8 shoulders had unfavorable results including two poor. In 6 failures, two had rotator cuff tear, three had recurrence of impingement with degenerative change and reflex sympathetic dystrophy was developed in one. Reoperations were done in 4 shoulders. Improvement of impingement symptoms was maintained in the most of patients(79%) after long term follow up. Arthroscopic decompression surgery was very effective means for stage Ⅱ impingement syndrome.

• Archives of Plastic Surgery
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• 제38권6호
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• pp.879-882
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• 2011

Purpose: Superior orbital fissure syndrome is a rare neurological complex. Superior orbital fissure syndrome may result from a variety of inflammatory, infectious, neoplastic, iatrogenic, traumatic, vascular cause. The author report a patient who suffered from superior orbital fissure syndrome after inferior orbital wall reduction. Methods: A 26-year-old female suffered from inferior orbital wall fracture with inferior gaze limitation and orbital soft tissue herniation. On posttrauma 10 day, inferior orbital wall was reduced using endoscope and porous polyethylene ($Medpor^{(R)}$) was inserted. On immediate postoperation, she reported that extraocular movement was limited in almost any directions. She underwent exploration surgery to release the presence of extraocular muscle impingement. But, there was no observation of extraocular muscle impingement. On postoperative one day, high-dose steroid therapy was started to release superior orbital fissure syndrome which was defined in postoperative computed tomography. Results: After one month of high-dose steroid therapy, extraocular movement limitations improved progressively in all directions. In four months, extraocular movement recovered completely. Conclusion: Superior orbital fissure syndrome may occur after surgical procedure of orbital wall reduction. Prompt diagnosis and treatment with mega-dose corticosteroid is an effective option for avoiding disaster from compressive syndrome.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.38-44
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• 2020

Background: Posterior shoulder tightness, which is a problem mainly seen in patients with shoulder impingement syndrome, disrupts the scapulohumeral rhythm between the humerus and scapulae. Objects: The aim of this study was to compare the effects of joint mobilization and stretching on shoulder muscle activity and internal rotation range of motion (ROM) of the glenohumeral joint in patients with impingement syndrome with posterior shoulder tightness. Methods: The research subjects included 22 in-patients with impingement syndrome with posterior shoulder tightness. They were randomly divided into two groups: one group (12 patients) was treated with joint mobilization and the other group (10 patients) was treated with stretching for the posterior shoulder tightness. Each treatment was performed five times a week for two weeks, and there were 15 sessions for each treatment. The ROM of the internal rotation and muscle activities of shoulder joint were evaluated pretest and posttest in each group. Electromyography data were collected from the upper, middle, and lower trapezius and serratus anterior during shoulder abduction of 90°, 120°, and 150°. Results: Both the joint mobilization and stretching groups showed significant decreases in muscle activity in the upper, middle, and lower trapezius on the posttest (p < 0.05). There was a significant difference in serratus anterior at 150° (p < 0.05), but there was no significant difference between group in post-hoc analysis (p > 0.025). The internal rotation ROM was significantly increased in the stretching group compared to that in the joint mobilization group (p < 0.025). Conclusion: This study found that both joint mobilization and stretching for posterior shoulder tightness were effective in muscle activity during arm abduction, also in order to increase internal rotation ROM of shoulder joint, stretching was effective in patients with impingement syndrome with posterior tightness.

• 대한족부족관절학회지
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• 제10권2호
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• pp.267-270
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• 2006

Os trigonum syndrome is a clinical disorder characterized by posterior ankle pain which occurs in excessive plantar flexion. The pain is elicited by the impingement of os trigonum between the calcaneus and the posterior edge of tibial plafond. Mostly, symptoms can be improved with nonsurgical management, however surgery is required for refractory cases. We report of a case of os trigonum syndrome in a female ballet dancer, which was successfully treated with subtalar arthroscopic excision of os trigonum.

• 대한관절경학회지
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• 제17권1호
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• pp.61-65
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• 2013

결절성 통풍은 활액, 점액낭, 연골 혹은 기타 연부조직에도 발생할 수 있으며, 회전근개 또는 점액낭 내의 결정성 통풍이 발생한 경우 비-출구 충돌(non-outlet impingement)을 일으킬 수 있다. 그러므로 만성 결절성 통풍을 앓고 있는 환자가 견관절 통증을 호소하는 경우, 회전근개 및 그 주위 조직에 발생한 결절성 통풍에 의한 충돌증후군의 가능성을 고려하여야 한다. 저자들은 50세 남자 환자의 충돌증후군을 동반하는 회전근개에 발생한 결절성 통풍을 경험하였고, 이에 대하여 관절경하 변연 절제술 및 견봉하 감압술을 시행한 결과를 보고하고자 한다.

• 대한관절경학회:학술대회논문집
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• 대한관절경학회 제21차 추계 학술대회
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• pp.104-107
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• 2009

• Clinics in Shoulder and Elbow
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• 제2권2호
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• pp.93-98
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• 1999

Purpose: The purpose of this study was to analyze the prognostic factors for arthroscopic subacromial decompres­sion and rotator cuff debridement in impingement syndrome. Materials and Methods : Arthroscopic subacromial decompression with or without rotator cuff debridement was performed in 46 cases of 44 consecutive patients with either stage n or stage ill impingement syndrome. The patients were classified by Neer's stage and size of tear according to the criteria of Cofield. The results were assessed with UCLA rating scale. We used repeated measures ANOVA and Chi-square test to assess correlation between the results and six variables including stage, rotator cuff tear size, age at the operation, duration of symptom, throwing sports activity, and trauma history. The follow-up period averaged 53 months(range, 27 to 92 months). Results: Lower stage by Neer's stage was correlated with higher postoperative scores and with significant difference between preoperative and postoperative scores of UCLA rating scale. However, other factors did not show significant influence upon the results. The patients with complete rotator cuff who showed satisfactory results after procedures were older and had shorter symptom duration, small cuff size. Conclusions : In patients with impingement syndrome treated by arthroscopic debridement and subacromial decompression, superior results were obtained when belonged to a lower Neer stage and when the rotator cuff was only partially tom. In cases with complete rotator cuff tear, higher success rates were obtained with smaller tear sizes. Age at operation, duration of symptoms, throwing athlete, traumatic tear did not affect the results.

• 대한방사선기술학회지:방사선기술과학
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• 제35권2호
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• pp.103-107
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• 2012

본 연구는 어깨 통증을 호소하는 환자들 중 어깨충돌 증후군(SIS : Shoulder Impingement Syndrome)이 의심되어 진단을 위해 Y-view 검사가 필요하지만 몸이 불편하여 자세를 취하기 힘든 환자들을 위하여 편안하게 누운 자세에서 검사할 수 있는 modified Y-View를 고안하기 위해 연구를 실시하였다. 환자는 바로 누운 자세를 취하고 X선관(tube)의 각도를 내측으로 35도, 40도, 45도로 변화를 주어 검사한 영상을 비교 분석해 본 결과 X선관(tube)의 각도를 내측방향으로 40도를 주는 것이 견봉(acromion)과 쇄골(clavicle)의 공간(space), 오훼견봉궁(coracoacromial arch)의 모양을 잘 묘출 할 수 있어 진단에 가장 유용한 영상을 얻을 수 있었다. 따라서 환자가 Y-View 검사를 할 수 없을 경우, 이를 대체하기 위한 유용한 수단으로 modified Y-View를 활용할 수 있음을 알 수 있었다. 이 연구를 통하여 어깨충돌 증후군뿐만 아니라 견관절 질환에서의 다양한 적용을 기대해 본다.

• 근관절건강학회지
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• 제29권3호
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• pp.141-150
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• 2022

Purpose: This study aimed to investigate the effects of rehabilitation programs with coaching exercise (CE) or home exercise (HE) on shoulder pain, muscle strength, and daily living functions (DLF) in patients with shoulder impingement syndrome. Methods: With quasi-experimental design, thirty patients (15 CE and 15 HE) participated in rehabilitation programs for 12 weeks. At first, data were collected for pain and DLF using questionnaires with testing muscle strength and range of motion. Then, subjects were allowed to receive training on rehabilitation with structured training materials. CE group visited sports center three times a week at P hospital and HE group did self-exercise at home. Data were analyzed using SPSS program. Results: After 12 weeks, both groups showed statistically significant changes in improving pain, muscle strength, and DLF. Compare to HE group, CE group showed a statistically significant improvement in shoulder pain (p=.021), muscle strength in internal rotation (p=.001) and abduction (p=.013) and DLF (p=.012). Conclusion: Rehabilitation programs for patients with shoulder impingement syndrome were effective to improve pain, muscle strength, and DLF. Although CE would bring the better effects, it is possible to apply HE through structured education to patients who are difficult to visit hospitals.