• Clinics in Shoulder and Elbow
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• 제13권1호
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• pp.175-179
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• 2010

목적: 회전근 개의 질환은 견관절 질환 중 가장 흔하며, 퇴행성 변화와 관련한 회전근 개 파열은 임상에서 가장 흔히 경험하는 질환이다. 대상 및 방법: 회전근 개의 정상적인 생물학적 특성을 이해하는 것은 회전근 개의 퇴행성 변화를 이해하고, 병태생리를 이해하는 것에 도움이 되며 나아가서 새로운 치료방법이나 예방법을 발전시키는 기초 지식으로 중요하다 하겠다. 결과 및 결론: 이에 저자들은 회전근 개의 생물학적 정상소견과, 회전근 개 파열의 병리를 설명하는 이론에 대한 문헌 고찰과 최근 활발히 연구되고 있는 회전근 개 건섬유모세포의 세포자멸 기전등에 관한 문헌고찰 내용을 보고하고자 한다.

• 대한정형외과 초음파학회지
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• 제2권2호
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• pp.107-112
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• 2009

회전근 개 질환에 대한 초음파 검사는 비침습적이며 동적인 검사이며, 최근의 발달을 통해 MRI에 비견할 만한 결과를 보여주고 있다. 또한 초음파 유도하의 주사 치료뿐 만 아니라 회전근 개 복원술 등의 수술적 치료 후 추적 검사로도 유용하게 사용될 수 있다. 초음파 장비의 발전, 검사자의 숙련도 및 병증에 대한 사전 지식은 초음파를 이용한 회전근 개 질환의 진단과 치료에 있어 무엇보다 중요한 요소로 알려지고 있다.

• Clinics in Shoulder and Elbow
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• 제27권1호
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• pp.79-87
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• 2024

Rotator cuff disease is a common cause of shoulder pain for which partial-thickness rotator cuff tears occupy a significant proportion. Such tears are often difficult to diagnose and manage in the general clinic setting. A review of the available literature from well-known databases was performed in this study to provide a concise overview of partial-thickness rotator cuff tears to aid physicians in their understanding and management.

• Clinics in Shoulder and Elbow
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• 제1권2호
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• pp.250-255
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• 1998

Purpose of the study was to analyze the supraspinatus outlet image of sagittal MRI in rotator cuff disease. We analyzed the sagittal views of the shoulder MRI of 78 cases without cuff tear. The cases were divided into 51 cases of rotator cuff disease group and 27 cases of control group. Six parameters of acromial tilt, coracoacromial ligament angle, length and height of coracoacromial triangle, length of acromial side of the baseline and distance of intrusion of the humeral head were compared for each group. The distance of intrusion of the humeral head was the most significantly different one, 0.52cm for rotator cuff disease group and 0.15cm for control group. Intrusion of the humeral head to the supraspinatus outlet space from the bottom may be a contributing factor developing rotator cuff disease. The intrusion may precede to tearing of the rotator cuff.

• Clinics in Shoulder and Elbow
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• 제2권2호
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• pp.110-114
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• 1999

We reviewed the results of arthroscopic surgery in patients with rotator cuff disease. Arthroscopic subacromial decompression(ASD) was performed on 22 patients with rotator cuff disease who had not responded to nonoperative measures. In the patients who had a complete tear of the rotator cuff(four of ten Neer's stage III patients), mini-open repair also was performed. Results were determined by questioning patients about their satisfaction with the outcome of surgery and by functional assessment of the shoulder with the parameters of pain, function, and range of motion according to the UCLA shoulder rating scale. The average follow-up was 21 months. The results were sixteen(72%) excellent, three(14%) good, two(9%) fair, and one(5%) poor. The following variables were analyzed to assess their influence on final outcome; duration of preoperative symptoms, Neer's stage(extent of damage to the cuff), type of acromion. Satisfactory results were achieved in thirteen of fourteen patients(93%) who had duration of preoperative symptoms below one year, and in four of six(67%) above 2 years. And satisfactory results were achieved in eleven of twelve patients(92%) who had Neer's stage II and in eight of ten(80%) stage III and achieved in six of seven patients(86%) who had Bigliani's acromion type I, in nine of eleven(82%) type II, and in four of four(100%) type III. There are multiple factors that may influence the recovery after ASD or the eventual outcome. However, although there is still a controversy about the pathogenesis of rotator cuff disease, We found that arthroscopic subacromial decompression and mini-open repair in patients with rotator cuff disease were well enough documented to be considered a standard treatment.

• 한국방사선학회논문지
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• 제7권3호
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• pp.191-198
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• 2013

결관절 초음파 검사를 이용하여 회전근개 질환에 의한 통증의 원인을 확인하고, 초음파 소견의 분류에 따른 통증의 상관관계와 초음파검사에서 관찰되는 소견의 결과를 예측하여 보고, 견관절 통증에 따른 스트레스와의 상관성을 확인하고자 하였다. 2012년 1월부터 10월까지 서울 S병원에서 견관절 동통 및 운동 장애를 주소로 하여 회전근개 파열과 유착성관절낭염과 견관절 충돌증후군으로 임상적 진단이 되는 환자 184명을 대상으로 설문조사를 실시하였다. 연구 대상자 중 어깨를 많이 사용하는 직업군과 50~60세 여성에서 144명(78.3%)으로 가장 많은 회전근개 질환이 유발되었으며, 회전근개 질환과 통증과의 상관관계와 초음파 진단 소견과 통증과의 상관관계는 서로 유의한 상관관계가 있음을 확인하였다(p<.05). 또한 회전근개 질환으로 인한 통증과 스트레스와의 상관성을 BEPSI-K로 조사한 결과 견관절 통증과 일상생활에서 받는 스트레스에는 서로 유의성이 있음을 확인하였다(p<.05).

• Clinics in Shoulder and Elbow
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• 제26권2호
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• pp.169-174
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• 2023

Background: Sleep quality, quantity, and efficiency have all been demonstrated to be adversely affected by rotator cuff pathology. Previous measures of assessing the impact of rotator cuff pathology on sleep have been largely subjective in nature. This study was undertaken to objectively analyze this relationship through the use of activity monitors. Methods: Patients with full-thickness rotator cuff tears at a single institution were prospectively enrolled between 2018 and 2020. Waist-worn accelerometers were provided for the patients to use each night for 14 days. Sleep efficiency was calculated using the ratio of the time spent sleeping to the total amount of time that was spent in bed. Retraction of the rotator cuff tear was classified using the Patte staging system. Results: This study included 36 patients: 18 with Patte stage 1 disease, 14 with Patte stage 2 disease, and 4 patients with Patte stage 3 disease. During the study, 25 participants wore the monitor on multiple nights, and ultimately their data was used for the analysis. No difference in the median sleep efficiency was appreciated amongst these groups (P>0.1), with each cohort of patients demonstrating a generally high sleep efficiency. Conclusions: The severity of retraction of the rotator cuff tear did not appear to correlate with changes in sleep efficiency for patients (P>0.1). These findings can better inform providers on how to counsel their patients who present with complaints of poor sleep in the setting of full-thickness rotator cuff tears.

• 대한정형외과스포츠의학회지
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• 제10권1호
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• pp.8-12
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• 2011

회전근 개 질환은 임상에서 접하는 가장 흔한 견관절 질환이다. 증상을 호소하는 회전근 개 파열 환자를 접하게 되면 수술을 시행할 것인지, 아니면 비수술적 치료를 시행할 것인지의 결정은 진료실에서 당면하는 가장 흔한 과제이다. 그리고 수술적 치료를 선택한다면, 언제 할 것인지, 어떤 수술방법을 선택할 것인지의 결정도 중요하며, 수술을 시행하지 않는 경우는 어떤 치료를 해야 할 것인지 또한 흔히 겪는 문제이다. 본 종설에서는 회전근 개 파열의 경우 언제 수술하나에 해당하는 수술의 적응증과, 수술하지 않는 경우는 어떻게 치료할 것인가? 라고 하는 비수술적 치료의 적응증에 관하여 기술하고자 한다.

• Investigative Magnetic Resonance Imaging
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• 제23권3호
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• pp.228-240
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• 2019

Purpose: The aim of this study is to evaluate the T2 value of the articular cartilage of the glenohumeral joint in rotator cuff disease displayed on 3.0T MRI and to apply it in clinical practice. Materials and Methods: This study involved sixty-two patients who underwent shoulder MRI containing T2 mapping. The mean T2 value was measured by placing a free hand ROI over the glenoid or humeral cartilage from the bone-cartilage interface to the articular surface on three consecutive, oblique coronal images. The drawn ROI was subsequently divided into superior and inferior segments. The assessed mean T2 values of the articular cartilage of the glenohumeral joint were compared and evaluated based on the degree of rotator cuff tear, the degree of fatty atrophy of the rotator cuff, and the acromiohumeral distance. Results: ICC values between two readers indicated moderate or good reproducibility. The mean T2 value for the articular cartilage of the glenoid and humeral head cartilage failed to show any significant difference based on the degree of rotator cuff tear. However, the mean T2 values of articular cartilage, based on fatty atrophy, tended to be higher in fatty atrophy 3 or fatty atrophy 4 groups while some subregions displayed significantly higher mean T2 values. There was no correlation between the acromiohumeral distance and the mean T2 values of the articular cartilage of the glenoid and humeral head. Conclusion: T2 mapping of the glenohumeral joint failed to show any significant difference in quantitative analysis of the degenerative change of the articular cartilage based on the degree of rotator cuff tear. However, it also offers quantitative information on the degenerative change of cartilage of the glenohumeral joint in patients with rotator cuff tear and severe fatty atrophy of the rotator cuff.

• 대한정형외과 초음파학회지
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• 제1권2호
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• pp.122-127
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• 2008

초음파 검사는 다양한 견관절 질환을 검사하는 강력하고 유용한 방법이다. 최근 들어 고해상도 변환기의 사용과 술기의 발전으로 회전근 개 질환을 진단하는 정확성이 향상되고 있다. 하지만, 시술자의 숙련도에 따라 다양한 결과를 나타내는 단점이 있어 주의를 요한다. 본 강좌에서는 회전근 개 질환의 초음파 소견을 자기 공명 영상, 관절경 소견과 비교하여 초음파 영상의 해석에 도움을 주고자 하였다.