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회전근개 손상의 특징에 따른 유착성 관절낭염 이환 시기와의 상관관계
허광호 ( Kwang Ho Heo ),이창형 ( Chang Hyung Lee ),민지홍 ( Ji Hong Min ),김수연 ( Soo Yeon Kim ),박예진 ( Yeo Jin Park ),구본일 ( Bon Il Koo ),김상훈 ( Sang Hoon Kim ),신용일 ( Yong Il Shin ),황의형 ( Eui Hyoung Hwang ) 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.1
ObjectivesAdhesive capsulitis (AC) is a restricted shoulder range of motion. Rotator cuff disease (RCD) has been believed to be a major etiologic factor of AC, however, how soon is the development time from RCD to AC (DTRA) has not been elucidated. The purpose of our study was to evaluate the correlation between the ultrasonographic characteristics of RCD and the DTRA. MethodsTotal 40 patients who were diagnosed as AC were recruited. The clinical char-acteristics of RCD were diagnosed by ultrasonography and classified with the Southern California Orthopedic Institute for Rotator Cuff Classification. The correlation was analyzed with Mann-Whitney U test and one-way analysis of variance.Results60% of full thickness tear and 40% of partial thickness tear patients (10 male and 30 female, mean age of 54.0±8.4 years) and 38% of bursitis and 21% of neo-vascularization were observed. The mean value of DTRA was 74.8±131.3 days. There were no correlation between DTRA and gender (p=0.63), location of the partial tear (p=0.63), the severity of the partial thickness tear (p=0.63), full thickness tear (p=0.66) and completeness of the tear (p=0.16). The presence of bursitis or neovascularization was not associated with DTRA (p=0.60, p=0.61).ConclusionsAlthough RCD is a major etiologic factor of AC, the severity, the type of RCD and the presence of bursitis and neovascularization were not statistically correlated with the DTRA in our study. Comprehensive consideration about etiologic factor analysis of AC will be needed with prospective study design for future study. (J Korean Med Rehab 2014;24(1):77-82)