Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Physical Examination in SLAP Lesion

SLAP 병변의 이학적 검사법

  • Yoo, Jae-Chul (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kang, Hong-Je (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Koo, Kyung-Hawn (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 유재철 (성균관대학교 의과대학 삼성서울병원 정형외과학교실) ;
  • 강홍제 (성균관대학교 의과대학 삼성서울병원 정형외과학교실) ;
  • 고경환 (성균관대학교 의과대학 삼성서울병원 정형외과학교실)
  • Published : 2008.06.15
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Abstract

With the increasing use of arthroscopy and MRI for the diagnosis of shoulder problems, SLAP (superior labrum from anterior to posterior) lesions are more commonly diagnosed, and the incidence of SLAP repair surgery is increasing. Clinical diagnosis of SLAP is difficult to achieve, and many specific physical exam maneuvers have been described. However, neither these exam maneuvers nor history can provide a definitive diagnosis of a SLAP lesion. Despite this limitation, it is helpful to establish a more precise and accurate examination and to construct a preoperative plan. The purpose of this article is to review the original descriptions for specific physical exam maneuvers in SLAP, along with statistical analysis where available. This will help clinicians in deciding which tests are useful, how they should be implemented, and how to interpret the results.

관절경 수술 및 MRI가 보편적으로 쓰이면서 SLAP (superior labrum from anterior to posterior) 병변은 최근 많이 진단되고 있으며 수술 역시 널리 시행되고 있다. 그러나 임상적으로 SLAP 병변을 진단 내리기는 힘들어 이를 진단하기 위한 다양한 이학적 검사법이 소개되고 있으나 그 민감도와 특이도에 이견이 많아 확진 검사로 쓰이기는 힘들다. 하지만 임상적으로 SLAP 병변이 의심되는 경우 이학적 검사가 SLAP 진단 과정에 도움이 되는 것은 사실이며, 다른 정밀검사를 하도록 도와줄 수 있고 수술 전 계획을 수립하는데도 도움을 준다. 따라서 자세한 병력과 함께 정확한 이학적 검사법을 알고 시행하는 것이 SLAP 병변의 진단과 치료에 중요하다고 할 수 있다. 이 종설에서는 현재 보고된 SLAP 병변의 이학적 검사법들을 나열하여 원문 기술(original descriptions)과 통계학적 분석에 기술하여 어떠한 검사법이 있으며 어떻게 검사를 시행 해야 되며 그 검사 결과를 어떻게 판정해야 되는지를 알아보고자 한다.

Keywords

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