( )
30 17 Neer 3part 58 2 90 40 1st 15 0 20 1 pull-out 10 229 165 160 60 Th10JOA 95 7 proximal amplitude( ) distal excursion( )
3 Ideberg Type 150 1st 0 L4
Bankart KEY WORDS Bankart IGHL 1 1 1 1 1 1 1 1 1 (MD) 1 (MD) 1 1 Bankart IGHL Bankart 30 23 26 1 SLAP 2 6 3 3 5 3 1 3 3 Stooping ex. 6 MMT 3 ROM Active 8 1 st. 12 2nd. 13 P ROM 150 110 551st. 352nd. 35G-H 75 MMT 4 Bankart cuff-ex. G-H IGHL C-H lig. C-H lig. C-H lig.
Impingement Impingement Impingement 54 Mclaughlin 75 85 80120 Drop arm test Neer sign Speeds test Matsen1990 Impingement 2004. 2006 Cyriax2005 Stage Impingement
MD ROM Rockwood 3 Rockwood Type ROM 40 90 140 3 3 2 100 90 feedback
Key words OA OA ADL OA73 3 ADL THA VAS10/10 ROM(/) 110/135 90 /100 90/130 1st 15/15 2nd 35/25 2nd 5/10 3rd 45/45 3rd -15/-20 L5 MMTinner muscle 3JOA45 ADL deltopectral 130mm 10mm Zimmer Bigliani/Flatow stem 1 ROMex 2 stooping ex outer muscle ex3 ROMexcuff Y ex ex4 ROMexinner muscle 5 VAS3/10ROM 135/145 110/110 90/105 1st 30 /30 2nd 50/45 2nd 10/50 3rd 40/55 3rd 0/0 120/130-10/-20 L3 L2MMTinner outer muscle 4JOA75 ADL 3 ADL ROMex imbalance ex lag ADL
3 1) 2) 3) 60 18 2 7 2 10 2 13 CRP 34.59 4 2.079 0.24 3 4 80 GH 50 20 8 150 GH 75 65 5 170 GH 120 75 5 JOA score 92 4 30 7~8
60 80 18 4 11 18 180 40 180 30 Passive ROM Drop arm sign()impingement sign() Cuff exercise 5 Active 90 180 8 4 Active 180 80
) 2 10 H18.3 1 2 Quadrilateral space QLS QLS MMT 2 MMT 4, MMT 4 QLS QLSS
MD MD MD key words TKA RA 60 RA30 15 TKAZimmer NexGen H13.10.19 X-P AO A2 + 7.8 7.11 PT PT + knee brace 7.25 knee brace off ROMex 90 0 extension lag( lag) 15 8.25 1 1/4 3/4PWB 9.14 FWB 8.31 110 lag-9.22 PT 110 MMT5 T PT patella settingquick strech semi CKC CKC RA lag T
1,,,.,,. 40, H18112,,. (Ficat Type, Hohl spilit depression type) (-), 19,. -TPC, (+)., (+), VAS3/10, (+), (+). ROM, 15 20., 4.X FTA170,FTD2-0-3-5mm. 1 PT. PT RICE,,, P-F jt.mobilization,, excursion,,. 6 1/3PWB, 1 1/2PWB, 2/3PWB,4/17 FWB. 2/3PWB, ROM kg20 2,. ROM, 0 155,lag. 5, FTA175,FTD 5-3-3-5., Patella.Hole anatomic grade :excellent, functional grade :excellent.,, PT., ROM. ROM,,,. PT ROM, 8, ROM ROM.
30 18 1 20 Hohl type 18 1 30 Osferion 2 2 patella setting reverse leg raise ROM Georgiadis 3 6 8 CKC full range
(MD) (MD) key words 16 16 2. 2004 4 2006 3 23 23,, 16 16 (:6,:10 )., 8 8, 54.1, ; 9 3 3 1. (Houl ),Local compression-6,split compression-3,bicondylar-7,,plate-13,screw-3. :8.9, :10.8, :35.9, :101.9, :51.6,Houl :excellent-9 (56.3%) good-5 (31.3%) fair-2 (12.5%),JOA:87.8, :11 (68.8) ( A ) ( B ),. ;,,,, JOAJOA.,,.,,. 5%. Statcel2. A 11,B 5.2,..A 48.4, 66.6 B. B.JOA A.JOA A 4, 7,B,5., A,B A.,., A. JOA,.,.
1) 1) 1) 1) MD 2) 1) 2) 710 10 20 18 4 9 Lauge-Hansen SER stage 4 18 4 20 4 21 4 24 off (4 24 ) 20( 25) 30( 50) 4 1/3 100 6 10
1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) ( ) 1) ( ) 1) 2) 1) 2) keywords 80 Weber and Danis typec Gustilo type 2005.10.9 78cm 2005.10.9 ( CCS )BK 10.11 11.4 ( ) -10 30 ( ) 11.10 1/3 2 1/3 12.7 12.22 1-5 40 ( )T ( ) H18.3.23 ( / ) 0/-5 40/40 T PT
MD MD MD KEY WORDS entrapment neuropathy entrapment neuropathy 30 X-P 2 2005 12 7 12 9 CCS2 alignment stability 12 12 NWB ROMex 12 19 12 20 off 12 26 active ROMex 12 29 23 / 2006 1 6 passive ROMex toe touch 1 1/41/23/4PWBFWB ROM / 10/40 5/25 60/70 MMT2 3 Tinel 2 8 Tinel 2 21 3 entrapment neuropathy compartment compartment biomechanical entrapment neuropathy
(MD) (MD) key words 60 Hawkins type 50 164cm 58kg H17.9.23 2 Hawkins type acceptable stability B-Kcast 9.26 10.21 3 10.31 ROM 11.16 off 1/4PWB 2W 12.28 FWB ROM H18.1. 2 3 5 Hawkins Excellent ( ) 8cm 1cm rotation FDL/FHL (R/L)20/-20 50/30 2-2 ROMex ROMex mobilization CKC 13 ADL :Excellent 34 44 10
1) 2) 3) 4),.,.. 60 X-p AO typeb1,gustilo type. Waber type C.,.. 12, K-wire. 4 1/3PWB, 6 1/2PWB, 8 2/3PWB, 11 FWB. 12,. 4 (SAFHS). 7. 8 (pain). 1 (pain, T-cane). 6 (Lt),,24,.. ROM 15 15 55 45 0. MMT 2, 4, 3, 2, 4, 4. ( ), 105,. toe-out,,,....,,., ROMex. X-p,Lauge-Hansen pronation-external rotationper.,.,.,.,(,, 4,5 ).ROM.,. 7,,,..
1 1 1 2 1 2 50 H18525 50cm H18531 6 H1861 70 10 70 5 70 10
No man s Land 50 18 2 2 400 DIP Ope Pinning Pinning 2 ROMex 5 7 4 OT ++ + + MP 20 MP PIP DIP tenodesis action 8 TAM 38 MP PIP DIP Blocking ex HomeEx 1 9 12 15 MP 10 20 TAM 128 TAM Poor 14.1 49.3 3.5cm OT No Man Land HomeEx ROM MP ROM MP PIPDIP HomeEx HomeEx
(zone) PIP 1) 1) 1) 1) 1) 1) 1) 1) 1) MD 1) MD 1) MD 2) 1) 2) KEY WORDS PIP zone Bunnell no man s land zone 3 zone 3 PIP 70 H18.12.4 FDP 1/2 FDS A2 Pulley FDPFDS FDP A2 Pulley DIP MP IP H18.4. 15 OT H18.12.4 PO3W Active Passive ROMPO4W Passive ROMPO8W Passive H18.4. 15 ActivePassive ROM H18.7.28 Active-ROM( / ) -MP (15/65)PIP (60/85)DIP (15/45) -MP (15/70)PIP (60/80)DIP (15/50) TAM 54.5. 54.3 Passive-ROM(PIP ) -(60) -(60) PIP PIP PO4W PIPDIP Passive PIPDIP Passive A2 Pulley PO6W PIP PO4W IP Passive PO8W PIP 2 A2 Pulley Pulley
2 50 1846 18 4 10 IPjt MPjtDIPjt 1846 3 MPjtPIPjt 18427 18613 18613 2 MPjtPIPjtDIPjt 18627 18512 ROM 45 65 TAM 21 28 35 67 H18 ROM 60 75 TAM 28 35 38 70,0
AS AS AS AS ROM ROM AS
(MD) KeyWord 19 9 9 20 5 knee in-toe out malalignment dynamic alignment 5 10 XP malalignment dynamic alignment
¹) (MD)¹) (MD)¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) ¹) (MD)²) Key words 1) 2) 10 14 2004.12.13 8 3.30. 2005.11.8 2006.6.5 / 2/2 Knee-in Patella X-P Q-angle(/)30/20sulcus angle 160/160 Tilting angle49/52wiberg Type 2004.12.13 ROM 0/120 MMT2pain- (2005.11.9) ROM0/75 MMT2pain- MMT 4apprehension test ober test Looseness test / 25 30 2006.6.5 ROM160/0 lag0 MMT5pain. apprehension test ober test 15 63%
MD MD MD key words ACL 1 ACL LCL POP ITT 2006 1 22 31 intactacl ACL 10cm POPLCL ITT Gardy 60 POPLCL glove suture ITT glove suture PT 2006 1 26 PT 3 cylinder cast 30 4 0 120 ROM 14 120 ROM 1/2PWB 11 3/4PWB 14 FWB cast off patella patella LCL ROM / 45/10 MMT 2 + Lag10 3 1/2PWB patella ROM / 150/0 MMT 5 Lag0 5 0 30 ADT() Lachman() PTcast SLR ITT cast off patella CKC infra patella tissue ROM LCLITTACLPOP cast cast off supra patella tissueinfra patella tissue
AO typea ROM 30 Gustilo AO A H17.7.14 cm screw3 screw6 H17.7.14 7.20.28 7.29 1)Quad setting2) 21 3) ROM MCL 4SLR5) 23 90 15 32 120 10 43 1/4PWB 1/2PWB 2/3PWB 3/4PWB FWB 50 150 9.10 1 PT H17.8.4 () 75 35 H17.9.9 () () 150 5 ROM ROM ROM ROM 150 0
50 H17 6 30 2-4 7 12 OPE 15 AO Locking Plate7 Plate 1/2 MP Gyps 7 15 ActivePassive 7 21 Gyps ROM-ex 7 30 8 1 4w 4 30 20 35 30 Passive 9 12 55 45 40 35 9 21 65 60 60 35 Dynamic 12 19 85 80 70 50 PT Stretching Joint Play Mobilization Colello-Abraham 60 Colello-Abraham 2 ROM ROM
key words Gustilo type typea 56 18 19 20 2 15 4 12 14 18 18 13 MP jt IP jt MP jt 40/80 10/30 10/50 MP jt 40/80 MP jt PIP jt DID jt 50/60 20/80 20/30 40/40 30/85 15/25 45/40 25/75 10/30 40/60 15/75 15/30 MP jt MP jt 40/70 40/60 60 75 kg [ ] 18 ROM-ex 15 ROM-ex 14 [ ] STEF
1 22 4 7 2 1 push-up 18 5 12 ROM 0-15-130 0-0-145 Tinel sign 18 5 17 stretching SS 5 19 6 2 6 9 check LCL SS 6 15 7 20 OA changerom spasm friction stress
T 1) T Y 20 18 2 19 snow board T AO C2 3 3 kwire 11 3 3 self exercise 4 10 ROM 60 35 60 5 POL MMT 1 Sensory 25 MP JOAJOAscore 47 b b POL 11 4 kwire 17 115 15 passive12010 90 85 Motor Sensory 2 MP active 19 90 10 50 20 JOA score 78 POL active POL POL 2 POL ADL 120
244 95 10
) 38 17 9 19 10 6 17 10 6 ADL 20 P 20 P 30 P 20 P 15 P 15 P (P ) VAS 87,,,, Jackson Test X-P C5/6 CT 10 18 VAS 87 Jackson Test 10 25 VAS 5 11 VAS 0
1 1) 1) 1) 2) 1) 2)
JT MD tightness Friberg test Thomas test Ober test SLR 30 stretch Friberg test SLR80 20 SLR30 L5/S1 Friberg Thomas test Ober test stretch mobilization relaxation SLR40 stretch Friberg test SLR80 Home ex stretch 8 hyper lodosis tightness relaxationstretch mobilization stretch L5/S1 hyper lodosis alignment hyper lodosis tightness
20 1) 1) 1) 1) 2) 1) 2) 20 20 30 H17.12.21 Th12/L1L4/5 L3/4L5/S Posterior lumber flexibility test( PLF ) X 5L5/S 144 alignment muscle tightness Thomas testober test relaxation 14 (71 ) PLF PLF spasm spasm tightness spasm
60 200m L5 MRI L4/5 L5 stretching
70 060 17 12 12 MRI CT Disco priformis block block Freiberg test SLR tension sign + hypesthesia relaxation hyperloadosis 8 dynamic alignment lateral thurust 3 17 lateral thurust lateral trust