• Clinics in Shoulder and Elbow
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• v.11 no.1
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• pp.1-5
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• 2008

Shoulder instability is generally diagnosed from a detailed history, physical examination and various radiological studies. Although, a physical examination is essential for making a diagnosis, it is quite difficult. For a precise physical examination, a thorough anatomical knowledge and a great deal of experience is needed. In addition, normal translation and pathologic laxity should be differentiated. An anatomical and biomechanical understanding of a stable and unstable shoulder joint and a precise physical examination are needed to determine the direction and extent of the instability as well as to diagnose the associated lesions and improve the surgical results.

• Clinics in Shoulder and Elbow
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• v.11 no.1
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• pp.6-12
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• 2008

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.

• Journal of Korea Entertainment Industry Association
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• v.13 no.8
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• pp.583-593
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• 2019

The purpose of this study was to investigate the relation between and subjective instability pain behavior (SIPB) and physical instability test(PIT) according to the presence of characteristic past histories(CPH) in people with chronic low back pain(CLBP). Forty CLBP subjects participated in this study. The presence of four characteristics past histories(long term history, traumatic experience, sports activities, neurologic sign) were examined. According to presence number(PN) of CPH, subjects were divided into 5 groups[group 1(PN:0): n=8, group 2(PN:1): n=8, group 3(PN:2): n=8, group 4(PN:3): n=8, group 5(PN:4): n=8]. After 16 items were examined for the SIPBs, then Seven PITs were conducted, and the results were scored. The SIPBs and PITs were compared according to the presence numbers of CPH, and the relation between them was analyzed. There was a significant difference(p<.05) in both SIPB scores and PIT scores in the comparison of groups according to the presence number of CPH. There was high positive correlation between the presence numbers of CPH and SIPB score(r=.819, p=.000) and PIT score(r=.606, p=.000). Also, there was a correlation between SIPB score and PIT score(r=.571, p=.000). Based on the findings in the present study, the presence of three or more CPH in people with CLBP may be a useful variable in the diagnosis of lumbar instability. The combined findings of the three variables such as CPH, SIPB, and PIT can improve the accuracy of lumbar instability diagnosis.

• Clinics in Shoulder and Elbow
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• v.11 no.1
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• pp.13-18
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• 2008

Successful treatment of any pathological condition of the shoulder requires an accurate diagnosis. Physical examination represents an integral part of the assessment of shoulder disorders. Pain, loss of strength, decreased range of motion, and instability are the most common symptoms caused by a great variety of different shoulder pathologies. Therefore, a sophisticated clinical approach to the patient with shoulder pathology is essential. A standardized evaluation including a variety of diagnostic tests and clinical assessments improves the diagnostic accuracy by specifically examining one component of the shoulder complex. In most cases a careful physical examination will establish or suggest a diagnosis and special investigative techniques such as imaging procedures can be applied more selectively for confirmation or further evaluation of the pathological entity.

• Journal of Korean Foot and Ankle Society
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• v.5 no.1
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• pp.91-101
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• 2001

편평족은 내측 세로궁이 소실되어 족저부가 편평하게 되는 변형의 총칭으로, 소아에서 흔하 고 보호자들의 관심이 많은 질환이다. 이학적 검사상 후족부의 외반과 전족부의 외전소견을 보이며, 감별질환을 위해 정확한 이학적 검사와 방사선학적 검사를 필요로 한다. 원인으로는 유연성 편평족, 종골 외반, 선천성 수직 거골, 부주상골, 족근골 결합등이 있으며 정상적 유 아의 경우 시간경과에 따라 저절로 호전되는 유연성 편평족이 대부분이다. 따라서 병적 편평족이 아닌 경우 편평족의 원인과 양호한 자연경과를 보호자에게 설명하는 것이 중요하다. 본 논문에서는 소아 편평족의 감별질환을 위한 각 질환에 있어서의 이학적 소견과 검사소견 그리고 이들의 치료에 대해 살펴 보고자 한다.

• Journal of Korean Orthopaedic Sports Medicine
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• v.5 no.2
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• pp.89-93
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• 2006

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.4 no.1
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• pp.33-37
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• 2011

Spinoglenoid cyst have been reported in small series in the orthopaedic literature in association with SLAP lesion, which is one of less common causes of shoulder pain. Authors experienced one case of spinoglenoid cyst with SLAP lesion initially missed with ultrasonographic examination and physical examination. This case was confirmed by MRI, EMG and arthroscopic surgery was done. When clinicians cannot find a definite cause of shoulder pain and decreased power of rotator cuff tendon with ultrasonographic examination, they need further study such as MRI and EMG with careful physical examination. Clinicians need to aware of the limitation of ultrasonography for spinoglenoid cyst especially, (1) cyst size is small, (2) location of cyst is too deep to detect and along the scapula spine from SLAP lesion.

• 대한관절경학회:학술대회논문집
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• 2008.04a
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• pp.98-111
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• 2008

슬개대퇴 불안정성의 진단은 정확한 해부학적 지식을 바탕으로 역동적인(dynamic) 기전을 이해하여야 한다. 슬개골의 저명한 탈구는 쉽게 진단되지만, 경미한 외상으로 슬개골이 탈구되어 정복된 후에는 올바른 진찰(dynamic study)없이 방사선 검사(static study)으로 진단을 놓치는 경우가 많다. 그러므로 병력, 이학적 진찰, 방사선 검사, CT, MRI 그리고 관절경 검사까지 다양하게 필요할 수 있다.

• Proceedings of the KSLP Conference
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• 1993.12a
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• pp.14-14
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• 1993

성대 운동 장애는 신경, 근육 병변 및 추두 관절 고정 등의 원인으로 발생한다. 후두 근전도 검사는 후두 및 음성 생리, 언어 과학의 운동 기능학적 연구, 그리고 임상적으로는 신경, 근육 병변의 진단 및 예후 판정에 이용된다. 특히 양측 성대운동 장애시 이학적 검사만으로는 신경 병변 및 관절 고정의 감별 진단에 어려움이 많아 근전도 및 신경 전도 검사를 이용한 객관적 검사가 필수적으로 요구된다. (중략)

• 대한관절경학회:학술대회논문집
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• 2007.04a
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• pp.52-56
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• 2007