• Title/Summary/Keyword: 이두박건활차

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Biceps Pulley Impingement - Case Report - (이두박건 활차의 충돌 징후 - 증례보고 -)

  • Choi Chang-Hyuk;Kim Shin-Kun;Kang Byung-Kyu;Jang Woo-Chang
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.71-76
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    • 2003
  • We evaluated biceps pulley as a stabilizing sling for the long head of biceps tendon in the rotator interval. We present 3 cases of detached biceps pulley which impinges on posterosuperior glenoid labrum in the position of late cocking. Pulley impingement related to anterior shoulder instability was relieved after Bankart repair. In another two cases, impingement symptoms were disappeared after resection of the detached biceps pulley.

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Instability of Biceps Tendon

  • 최창혁
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2004.03a
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    • pp.55-58
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    • 2004
  • 이두박건 활차의 역할은 견관절 운동 시 이두박건 장두에 가해지는 전상방 전단응력을 막아주며, 관절내에서 이두박건의 운동을 인도해줌으로써, 이두박건 장두의 관절내 유효거리를 유지해 주게 된다. 견관절의 외전 및 외회전 운동시 이두박건 장두의 내측으로 가해지는 응력은 이두박건 활차 및 견갑하건의 손상과 함께 이두박건 장두의 내측 탈구를 유발할 수 있으며, 회전건개 파열과 동반될 경우 증상을 더욱 악화시킬 수 있으므로 진단 및 치료에 주의를 요한다.

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Arthroscopic Findings of Biceps pulley in Shoulder Pathology (견관절 병변과 관련된 이두박건 활차의 관절경적 소견)

  • Choi Chang-Hyuk;Kim Shin-Kun;Jang Woo-Chang;Lee Sung-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.136-141
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    • 2002
  • Purpose : The role of biceps pulley is stabilizing sling for the long head of the biceps tendon against anterior shearing stress in the rotator interval. The purpose of this study was to classify arthroscopic findings of biceps pulley and to evaluate the relationship with shoulder pathology. Materials and Methods : From January 2002 through July 2002, we observed biceps pulley in 49 cases of shoulder pathology treated with arthroscopically. There were 22 cases of anterior instability, 12 cases of rotator cuff tear, 5 of impingement syndrome, 6 of frozen shoulder, 2 of superior labral injury and 1 of each scapulothoracic bursitis and biceps dislocation. We classified biceps pulley as four types according to the arthroscopic appearance. Type I its stretched type. type II as sling type, type III at detached sling type, and type IV as concealed type. Results : We observed stretched type in 24 cases $(49\%)$, sling type in 5 cases $(10\%)$, detached sling type in 2 cases, concealed type in 1 case, and unidentified cases in 17 cases $(35\%)$. Conclusion : Development and variation of biceps pulley may have symptomatic correlation according to the degree of shoulder motion or pathologic status.

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