1) 11 12 14 56 13 4 3 67nM 5 30 nm winging morley inferior stress TOS TOS 58 VAS 40 ROM 100 160 MMT 3 Cuff 3 Cuff 4 TOS 82 VAS 0 ROM 175 MMT 4 3+ Cuff 3+ b 1 2part
PT 2part 2 stooping ex's 2.5 1 67 2 75 1m stooping ex's 90 stooping ex's 1 85 2 90 stooping ex's 1 135 2 140 1 170 5 2 165 ROM 8.4 132.5 2 Anterior Path Impingement Syndrome Impingement Syndrome Posterolateral Path Impingement Posterolateral Path Impingement Impingement Anterior sign Path Impingement Sign ROM rd Position Impingement MMT MMT C-A ligament rd Position Click rd Impingement MMT nd Position Anterior Path Impingement C-A arch
Impingement
1 2 3 3 1 2 3 winging 82 winging (control C )52 winging winging 18 winging 12 winging 50 100 150 1 (a) (b) (c) (d) (a)(b) (0,0) (x,y) (C)(d) 2) (a) student t-test C W 1) (61.6,71,8) (61.0,71.4)
50 (63.3,75.5)(60.5,82.7) 100 (65.7,70.8) (60.9,83.9) 150 (63.0,72.7) (61.7,83.4) 2) 11.4 11.6 50 16.3 15.1 100 26.7 23.9 150 42.2 45.3 winging winging PCL PCL PCL PCL P 5 screw Donjoy brace setting SLR ope Screw Home movement PCL ope PCL Slipping ope JOA score 12 11 28 13 1
19 1/24 Knee ext 50 15 Knee ext flex 95 140 flex angle L= 1/242/14 30100 2/15 PS 095 010 2/16 48 3 30 8W+5days 13W 5110 5 1 1 1 2 1 2
"high energy impact" osteoporosis 1997 4 2000 5 4 5 ROM 2 2 A 2 3 B JRA TKA 1 3 2 2 2 2 1 2 3 total knee replacement TKA 60 juvenile rheumatoid arthritis JRA TKA 2 JRA 10 18 ope 0 0 ope 40 0 ope 2day 40 0 ope 1week 60 0 ope 3week 70 80 ope 4week ope 6week lag5 ope 5week 90 leg ENT 12 TKA 1 compartment 1
MD 1 1DI compartment 17 2 2 ( UHS) X MP PIPDIP UHS MP 1DI MP 1DI compartment 1DI compartment 1DI MP PIP DIP MP PIP DIP UHS MP 1DI overuse 1DI compartment MMT 1) 1
) ) (MD) 1 2 3 4 White 10 20 22.6±3.6 B A C ) 5mm 3 70 t 5 A 70 141.5±11.4% 168.0±12.6% 70 120.3±12.4% 141.3±11.3% B 70 135.0±14.3% 157.3±12.9% 70 131.8±9.8% 144.0±12.0% C 70 122.8±8.7% 136.0±9.5% 70 117.5±6.4% 118.8±10.4%
B,,, 59 1.8 17 103±65 79±32 <0.05 129±66 53±13 <0.0001 r=0.666 <0.01
76 152 79 TypeA 32 TypeB 19 TypeC 9 TypeD 5 TypeE 8 TypeF TypeD EF Type TypeA TypeBTypeC Typeb TypeC TypeA TypeB TypeA TypeCTypeB TypeC Type TypeA TypeB TypeC Typeb TypeC TypeA TypeBTypeC TypeBTypeC TypeA
cm
17 13 4 14. Lauge-Hansen SER-stage 4 7 FWB 8 13 6 13 0 20 55 60 25kg 9 6 10 10 12 impingement 6cm SEF PEF PAF SEF SAF SEF ( ROM) SEF 9 9 50.8 5 4 5 3 1 MCL 1 ATFL ATFL 2 ATFL 5.8 ATFL 6 5 2 ROMex 20.8 48 28.5 57 41.4 74.5 ROM 15 ~30 22.1 86 15 75 ROM 45~55 52.8 45~50 47.5 ADL 49.7
75 59 (1 ) 76.5 50.4 (1 ) 71 45.1 62 1 JOA 82 64~100 82.4 74~84 80.5 ROM ADL ROM JOA ROM MD ) Westhues Salama Bohler Excellent 23 Hawkins group
4 canulated screw 1 tension band wiring gyps 6 8 PTB 16 3 PTB 18 3 PTB double Klenzak 14 3 gyps 23 32 7.5 ROM gyps double Klenzak PTB