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KMID : 0895820140240010077
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Journal of Oriental Rehabilitation Medicine
2014 Volume.24 No. 1 p.77 ~ p.82
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Correlation between the Rotator Cuff Disease Type and the Adhesive Capsulitis Development Time
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Heo Gwang-ho
Lee Chang-Hyung
Min Ji-Hong
Park Ye-Jin
Koo Bon-Il
Kim Sang-Hun
Shin Yong-Il
Hwang Eui-Hyoung
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Abstract
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Objectives : Adhesive 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.
Methods : Total 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.
Results : 60% 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).
Conclusions : Although 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.
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KEYWORD
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Adhesive capsulitis, Rotator cuff disease, Adhesive capsulitis etiology
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