• 제목/요약/키워드: scapula

검색결과 238건 처리시간 0.023초

동측에 발생한 쇄골 골절과 견갑골 골절의 수술적 치료 (Operative Treatment of Ipsilateral Fractures of Clavicle and Scapula)

  • 박정호;서승우;박상원;이광석
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.46-50
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    • 1998
  • The superior shoulder suspensory complex is composed of glenoid fossa, coracoid process, coracoclavicular ligament, distal clavicle, acromioclavicular ligament, acromion. Traumatic double disruptions of this complex lose its suspensory action on the shoulder joint and result in functional loss and deformity. Careful radiologic evaluation and appropriate management are required for injuries to this complex. Ipsilateral fractures of clavicle and scapula create unstable anatomic situation on shoulder joint. Conservative treatment usually fails to achieve good functional recovery due to rotator cuff weakness, nonunion, delayed union, malunion and neurovascular injury. Authors studied the result of operative treatment of ipsilateral clavicle and scapular fractures to prevent such complications. Seven cases were treated with open reduction and internal fixations of clavicle alone or clavicle and scapula simultaneously and followed up for nineteen months(twelve months - thirty-eight months). All but one patient showed good or excellent functional result according to the scoring system of Rowe. Poor result was developed in the case which had brain injury. Rigid fixations of clavicle alone or clavicle and scapular fractures both can achieve stable reduction of the fractures and prevent sequelae. We concluded that operative treatment of ipsilateral fractures of clavicle and scapula is safe and yields predictable good results.

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Electrodermal Activity at Palms according to Pressure Stimuli applied to the Scapula

  • Kim, Jae-Hyung;Park, Gun-Cheol;Baik, Sung-Wan;Jeon, Gye-Rok
    • 한국멀티미디어학회논문지
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    • 제19권7호
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    • pp.1137-1145
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    • 2016
  • The system for measuring the electrodermal activity (EDA) signal occurring at the sweet glands in the human body was implemented in this study. The EDA measurement system (EDAMS) consisted of an algometer and the bio-potential measurement system (BPMS). Three experiments were performed using EDAMS. First, the linearity of the output voltage corresponding to the pressure being applied to an algometer was evaluated. The linearity of output voltage according to the pressure was 0.956. Second, the amplitude and the latency of the EDA signal at the left palm was obtained while applying the pressure stimuli to the left and right scapula. The latency of EDA signal was shorter whereas the amplitude of EDA signal was higher when the pressure applied was applied to the left scapula. Third, the amplitude and latency of the EDA was measured at left and right palm while increasing the pressure stimuli to the left scapula. The latency of EDA signal at left and right palm was decreased according to the intensity of pressure stimulus applied to the left scapula. However, the latency of the EDA signals did not show the linearity with respect to the pressure stimuli.

탄발음 견갑골의 한 요인으로서 탄성섬유종 - 1예 보고 - (Elastofibroma Dorsi as a Cause of Snapping Scapula - A Case Report -)

  • 황인환;김종우;오성균;박형빈
    • Clinics in Shoulder and Elbow
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    • 제8권2호
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    • pp.154-157
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    • 2005
  • Elastofibroma dorsi is a benign soft tissue mass, not well-known because of its low incidence, and usually located between the chest wall and the inferomedial aspect of the scapula. This lesion is not true neoplasm but rather reactive hyperplasia of elastic fibers. It is mostly nontender mass, but occasionally causes snapping symptom. This tumor should be considered as a differential diagnosis of snapping scapula. The clinical diagnosis is made by magnetic resonance imaging and confirmed by pathologic findings. We present a case report of a female with elastofibroma dorsi, who had that the chief complaint was snapping scapula and palpable mass. We emphasize that snapping lesions located deep beneath the inferior tip of the scapula on the chest wall should arouse suspicion of an elastofibroma dorsi.

PNF의 어깨뼈 골반 대칭 상호 패턴이 노인의 호흡기능과 삶의 질에 미치는 효과 (The Effects of Scapula and Pelvis Symmetrical Reciprocal Pattern of PNF Concept on Respiratory Function and Quality of Life in the Elderly)

  • 문병현;김지원
    • 대한통합의학회지
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    • 제12권2호
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    • pp.55-63
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    • 2024
  • Purpose : The purpose of this study is to determine the effects of scapula and pelvis symmetrical reciprocal pattern exercise of PNF concept on respiratory function and quality of life in elderly subjects. Methods : Nineteen elderly subjects with healthy were recruited. Subjects performed scapula and pelvis symmetrical reciprocal pattern exercise of PNF concept. Exercise was appied 30 minutes three times per week for four weeks. The respiratory function and quality of life (QOL) test three times (before, two weeks, and four weeks). Respiratory function includes forced vital capacity (FVC), forced expiratory volume at one second (FEV1), Peak Expiratory Flow (PEF) and chest cage expansion test (CCET). The QOL test was measured Korean WHOQOL-BRIEF. The analysis method was analyzed through the one-way ANOVA repeated methods, and the statistical significance is α=.05. It was analyzed through the post test Bonferroni test. Results : After the 4 week scapula and pelvis symmetrical reciprocal pattern exercise of PNF concept showed statistically significant differences in the respiratory function (FVC, FEV1, PEF, and CCET), and QOL (p<.05). As a result of the post-hoc test, FVC showed a significant increase in the mid test and post test compared to the pre test (p<.05), FEV1 showed a significant increase in the post test compared to the pre test (p<.05). PEF showed a significant increase in all pre-test, mid-test, and post-test sections (p<.05), CCET showed a significant increase in all pre-test, mid-test, and post-test sections (p<.05). QOL showed a significant increase in all pre-test, mid-test, and post-test sections (p<.05). Conclusion : In this study, the scapula and pelvis symmetrical reciprocal pattern exercise of PNF concept improved respiratory function and QOL. The findings suggest that this intervention could be beneficial in improving respiratory function and QOL in the elderly.

견갑골 두께의 전산화 단층 촬영을 이용한 기하학적 모델 (Geometric Assessment of Scapular Thickness by Computed Tomography)

  • 유정현;정수태;박상준;장준희;백두진
    • Clinics in Shoulder and Elbow
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    • 제15권2호
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    • pp.73-78
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    • 2012
  • 목적: 견갑골의 수술적 치료에 있어서 해부학적 및 형태학적인 이해는 매우 중요하다고 할 수 있다. 전산화 단층촬영을 이용하여 견갑골의 정확한 두께를 측정하고, 기하학적인 형태를 재구성함으로써 견갑골의 정확한 해부학적 및 형태학적인 정보를 제공하고자 하였다. 대상 및 방법: 총 51개의 해부용 시체에서 적출한 102개의 견갑골을 대상으로 하였으며, 일반적인 견갑골의 형태를 얻기 위해 8개의 평균적인 길이와 2개의 각을 측정하였다. 또한 견갑골의 두께를 측정하기 위해 각각의 견갑골에서 동일한 위치의 시상면을 얻고, 각각의 시상면에서 견갑골의 두께를 전산화 단층 촬영을 이용하여 측정하였다. 견갑골의 두께에 대한 실측치를 토대로 평균값을 계산하였으며, 성별에 따른 견갑골 두께의 차이를 Student t-test 를 이용하여 비교하였다. 결과: 견갑골 관절와의 평균 두께는 22.4 mm, 외측연의 평균 두께는 13.83 mm, 내측연의 평균 두께는 4.44 mm, 견갑골 체부의 중간 1/3 위치의 평균 두께는 2.06 mm 로 측정되었으며, 남성의 견갑골이 여성의 견갑골 보다 더 두껍게 측정되었다. 측정된 실측치를 참고로 하여 견갑골들의 두께에 대한 3차원적인 기하학적인 모델을 재구성하였다. 결론: 측정 수치의 분석 결과 견갑골의 두께가 가장 두꺼운 부분은 관절와 부위 및 외측연 부위이며, 반대로 두께가 가장 얇은 부분은 견갑골 체부의 중간 1/3 지점이 견갑골에서 가장 얇은 부위로 나타났다.

한우 태자의 견갑골 발생에 관한 조직학적 연구 (A histological study on the development of scapula in the Korean native cattle)

  • 박문억;양홍현;백영기;이한경
    • 대한수의학회지
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    • 제32권3호
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    • pp.309-319
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    • 1992
  • This study was undertaken to establish the sequence of development of ages and its time of the fetal endochondral ossification in the scapula of the Korean native cattle. This study was also designed to confirm through histological observation the earliest stages of both chondrification and ossification. Thirty eight scapulae, a series of embryos and fetuses from the pregnant Korean native cattle ranging from 11 to 110mm in crown-rump (C-R) length, were used. The following results were obtained. The ossification center was observed in the supra- and infra- spinous fossa in the 5th group (CRL 51-60mm), that was markedly ossified in the 6th group (CRL 61~70mm) by Alizarin red S stain. The chondrogenic center of scapula was observed in the 1st group (CRL 11~20mm). The primary ossification center was presented in the 4th group (CRL 41~50mm). In the 5th group(CRL 51~60mm), the endochondral ossification progressed actively. Alcianophility was markedly increased in the interterritorial matrix in the 3rd group (CRL 31~40mm. However this reaction was markedly decreased in the interterritorial matrix the adjacent portion to the marrow cavity and trabecula in the 5th group (CRL 51~60mm).

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The Impact of Functional Electrical Stimulus and Proprioceptive Neuromuscular Facilitation to Scapula Adductor on Upper Limb Functions and Gait of the Patients with Stroke

  • Moon, Sang-Hyun;Hong, Wan-Sung;Kim, Sang-Soo;An, Ho-Jung;Song, Young-Hwa;Kim, Yong-Kwon;Choi, Jung-Hyun;Kim, Bo-Kyoung;Kim, Sung-Ho;Choi, Wan-Suk;Min, Kyoung-Ok
    • 국제물리치료학회지
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    • 제1권2호
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    • pp.143-148
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    • 2010
  • The present study examined the effects of functional electrical stimulus(group 1), proprioceptive neuromuscular facilitation(group 2) and combined training of functional electrical stimulus and proprioceptive neuromuscular facilitation(group 3) with scapula adductor muscles on scapula movement, upper limb function and gait in fifteen subjects stroke patients. The training was thirty minutes a day, five times a week for six weeks, obtained result as follow, upper limb function was significant difference in the group 2(p<.05) but no significant difference in other groups. The change of weight bearing were significant difference in all the groups(p<.05), and increase of gait velocity were significant difference in all the group(p<.05). In conclusion, when applied with functional electrical stimulus, proprioceptive neuromuscular facilitation and combined training to the scapular adductor muscles, it was oberved in the course of the experiment that proprioceptive neuromuscular facilitation was the most effective treatment among the three methods applied to the scapula adductors.

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어깨뼈 아래쪽돌림 증후군이 있는 대상자에게서 둥근어깨각, 어깨뼈 아래 돌림비율과 아래등세모근 근력과의 상관관계 (The Correlation between Rounded Shoulder Angle, Scapular Downward Rotation Ratio and Lower Trapezius Muscle Strength in Subjects with Scapular Downward Rotation Syndrome)

  • 고은경
    • 대한물리치료과학회지
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    • 제30권3호
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    • pp.14-22
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    • 2023
  • Background: This study was to investigate the relationship between scapular downward rotation ratio (SDRR), lower trapezius (LT) muscle, and rounded shoulder angle (RSA) on each side in subjects with scapular downward rotation syndrome (SDRS). Design: Cross-sectional Study Methods: Fifteen subjects have participated in this study. The RSA and SDRR were assessed using a tape measure in standing posture. The RSA was computed by the angle made by two lines: one was the distance between the root of the scapula and the acromion, and the other was the distance between the acromion and the horizontal line in the root of the scapula. The SDRR was computed by two horizontal lines: one was the distance between the mid-line and root of the scapula, and the other was the distance between the mid-line and inferior angle of the scapula. LT muscle strength was performed in a prone position by the hand-held dynamometer. Results: There was a positive correlation between SDRR and LT strength in the less affected sides (r=.59; p=.02), however, there was no correlation between RSA and LT strength in the more affected sides (p>.05).

말티즈 견의 견갑부에서 발생한 섬유육종 (Fibrosarcoma in the Scapula of a Maltese Dog)

  • 이재훈;정다정;강은희;장화석;최치봉;유치호;서정향;김휘율
    • 한국임상수의학회지
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    • 제25권2호
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    • pp.126-130
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    • 2008
  • 6연령의 말티즈 견이 오른쪽 견갑부의 종괴로 내원하였다. 신체검사와 자기공명영상(MRI)의 평가, 전체혈구 계산 (CBC), 혈청화학검사, 미세흡인 생검(FNA), 조직학적인 평가가 이루어졌다. 전체혈구계산 검사에서는 정상범위를 나타내었으며, 혈청화학 검사상에서는 ALP의 증가를 보였다. 방사선 소견에서 견갑골의 완전한 골 융해 소견을 보였으며, 자기공명영상에서는 혼재된 신호강도를 보였다. 면역조직화학(염색과 Masson's trichrome 염색) 소견에 근거하여, 섬유육종으로 최종진단 되었다.