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- W2024253215 abstract "서론견갑-상완관절은구형의상완골두와접시모양의견갑골관절와가만드는관절로서같은구-와관절인고관절에비해골성구속이작아서운동범위는큰반면에안정성은낮은관절이다. 따라서안정성의유지에관절낭과인대및회전근개와같은연부조직이큰역할을한다. 그와같은구조적인문제점에의하여외상성탈구가빈발하며급성탈구가재발성불안정성으로진행하는비율이사지의관절중에서가장높다. 견갑골의안정성을좌우하는요소는상완골두와관절와사이의요철과염전에의한조화, 관절와순, 관절낭-인대복합체, 제한된관절용적,관절간격에서의접착및응집기전, 관절내의음압등과같은정적요소와회전근개와상완이두근, 견갑골회전전근등과같은동적요소들로나눌수있다. 또한가장중요한동적요소인회전근개는종지부근처에서정적 안정요소인관절낭과인대들에섞임으로써동적인대의역할을한다.견갑-상완운동의중간범위에서관절와상완인대는이완된상태이며회전근개와상완이두근건의동적작용에의한요형압박이대부분의안정성을좌우한다. 반면에탈구가발생하는위치인운동범위의최종호부근에서는인대가팽팽하게되어상완골두의과도한전위를방지할뿐아니라, 관절와상완인대와상완이두근장두건의부착점을제공함으로써관절의안정성에중요한역할을담당한다. 외상성견관절전방탈구의필수병변으로알려져있던 Bankart 병변은전하방관절하순의파열로서이는관절와상완관절의외전-외회전상태에서관절안정성에가장중요한역할을하는하관절와상완인대의기능상실을의미한다. 그러나 전형적인Bankart 병변뿐아니라관절낭의파열, 소성변형또는비정상적이완에의하여도견관절의탈구또는아탈구가발생할수있다. 상완골두급성전방탈구의후유증으로발생하는이상성전방불안정증은견관절의불안정증중에서가장많은유형으로서 2,30대의젊은연령" @default.
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- W2024253215 date "2007-06-15" @default.
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- W2024253215 title "Glenoid lesion in Traumatic Anterior Instability of Shoulder" @default.
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