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T280. Shoulder pain

A. Shoulder Exam

A1. Empty beer can test

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Supraspinatus tendon 검사
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캔을 λΉ„μš°λŠ” λ“―ν•œ μžμ„Έλ‘œ κ²€μ‚¬μžμ˜ 저항에 λŒ€ν•­ν•˜μ—¬ νŒ”μ„ λ“€μ–΄μ˜¬λ¦΄ λ•Œ ν†΅μ¦μ΄λ‚˜ μ•½ν™”κ°€ μžˆμ„ λ•Œ μ–‘μ„±

A2. Hawkins impingement test

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Impingement syndrome 검사
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90도 abduction, 90도 elbow flexion μƒνƒœμ—μ„œ internal rotation

(1) Impingement syndrome

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Subacromial bursitis
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Rotator cuff tendinitis
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Supraspinatus tendinitis
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Painful arc syndrome

A3. Neer test

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톡증 λ°œμƒ μ‹œ positive Hawkins impingement test처럼 shoulder impingement SD μ‹œμ‚¬

A4. Lift-off test

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Subscapularis tendon 검사
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κ²€μ‚¬μžκ°€ μžμ„Έ μž‘μ•„μ£Όκ³ , 이 μžμ„Έλ₯Ό μœ μ§€ λͺ»ν•˜λ©΄, Subscapularis tendon injury μ‹œμ‚¬

A5. Lateral rotation lag sign

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Infraspinatus and the teres minor
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κ²€μ‚¬μžκ°€ μžμ„Έ μž‘μ•„μ£Όκ³ , 이 μžμ„Έλ₯Ό μœ μ§€ λͺ»ν•˜λ©΄, infraspinatus and the teres minor injury μ‹œμ‚¬

A6. Rotator cuff tears

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κ²€μ‚¬μžκ°€ νŒ”μ„ λ“€μ—ˆλ‹€κ°€ λ†“μ•˜μ„ 경우 ν™˜μžκ°€ μžμ„Έλ₯Ό μœ μ§€ λͺ»ν•˜κ±°λ‚˜ μ•„λž˜λ‘œ νŒ”μ„ λ–¨κ΅΄ 경우 β†’ Supraspinatus muscle tear μ‹œμ‚¬
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Supraspinatus : m/c affected tendon of the rotator cuff

A7. Speed's test

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Tear or tendinitis of the long head of the biceps 확인
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Forearm을 μ™ΈνšŒμ „μ‹œν‚€κ³  elbowλ₯Ό μ™„μ „νžˆ 편 μƒνƒœμ—μ„œ νŒ”μ„ μ•žμͺ½μœΌλ‘œ λ“€μ–΄μ˜¬λ¦°λ‹€. β†’ Long head of the biceps에 톡증 λ°œμƒ μ‹œ μ–‘μ„±μœΌλ‘œ νŒμ •.

A8. Active compression test (O'brien test)

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νŒ”μ„ μ•žμœΌλ‘œ λ»—κ³  손을 λ‚΄νšŒμ „μ‹œν‚¨ μƒνƒœμ—μ„œ (첫번째 사진) νŒ”μ„ μ•„λž˜λ‘œ λˆ„λ₯Ό μ‹œ 톡증이 λ°œμƒν•˜λ‚˜ 손을 μ™ΈνšŒμ „ μ‹œν‚¨ ν›„ (2번째 사진) νŒ”μ„ μ•„λž˜λ‘œ λˆ„λ₯Ό μ‹œμ—λŠ” 톡증이 μ—†μŒ. β†’ SLAP (superior labrum anterior to posterior) lesions μ‹œμ‚¬

B. 각 μ§ˆν™˜λ³„ 치료