Lateral & Medial epicondylitis
( tennis & golfer`s elbow )
Lateral Epicondylitis
Á¤ÀÇ
1.forearm extensor originÀÇ myofascial periosteal tissues°¡ tear[±×¸² 7-8]
2.¼Õ°¡¶ô°ú ¼Õ¸ñÀÇ ½ÅÀü±Ù(Lateralepicondylitis) ¶Ç´Â ±¼°î±Ù(Medialepicondylitis)¿¡ ÀÖ´Â endinous insertionÀÇ strainÀÌ´Ù(kottke,lehmann).
3.common extensor tendonµé°ú ¿¬°üÇؼ elbowÀÇ laterall side¿¡ ÅëÁõ°ú ±Þ¼º tenderness¸¦ ÀǹÌÇÑ´Ù (thomson,skinner,piercy).
4.elbowÀÇ radial side¿¡ ÀüÇüÀûÀ¸·Î ±â´ÉºÒ´ÉÀÌ ÀÖ´Â °ÇÀº extensor carpi radialis brevis³ª longusÁß ÇϳªÀÌ´Ù. Çϳª ¶Ç´Â µÑ´Ù ±â´ÉºÒ´ÉÀÌ ÀÖÀ»¶§ tennis elbow¶ó ¸í¸íÇÑ´Ù. ÀÌ ¿ë¾î´Â °Ç ±â´ÉºÒ´É°ú ºÒÆíÀ» ¾ß±â½ÃÅ°´Â ´Ù¸¥ ±â´ÉºÒ´Éµé »çÀÌ¿¡ ±¸ºÐÀÌ ¾ø±â ¶§¹®¿¡ »ç¿ëÇϱ⿡´Â ºÎÀû´çÇÏ´Ù. ¸î°¡Áö ´Ù¸¥ ¸¥ ¹®Á¦·Î´Â radial head meniscus, radial nerve entrapment, capsular tightness, loose body, postfractureµîÀ¸·Î ¾ß±âµÉ ¼ö ÀÖ´Ù. tennis elbow ¶ó´Â ¿ë¾î´Â ±× ÀÚü·Î ¾î¶² Ä¡·á±âÀüÀ» Á¦¾ÈÇÏÁö´Â ¸øÇÑ´Ù. ±× ÀÌÀ¯´Â ³ªÁßÀÇ ¸ðµç ±â´ÉºÒ´ÉÀÌ °Ç¿°°ú ´Ù¸£°Ô Ä¡·áµÇ±â ¶§¹®ÀÌ´Ù (payton et al).
5.ÁÖ°üÀý°ú °ü·ÃµÈ ¿îµ¿À» ÇÏ´Â ¼±¼ö°¡ È£¼ÒÇÏ´Â Áúº´ÀÌ´Ù. ÀÌ ÁõÈıº°ú ¿¬°üµÈ ¼ö¸¹Àº À̷еéÀÌ ÀÖ¾ú´Ù. 1936³â¿¡ Cyriax´Â elbow¿¡ ħ¹üÇÏ´Â, ÅëÁõÀÌ ÀÖ´Â lesionÀ» 26°³ÀÇ À¯ÇüÀ¸·Î ³ª´©¾ú´Ù. tennis elbow syndromeÀº pronation or supination »óÅ¿¡¼ ¼ö°üÀý ½ÅÀüÀ» ÇÒ ¶§ ÅëÁõÀÌ insidousÇÏ°Ô ¹ß»ýÇÑ´Ù. grippingÀ» ÇÏ¸é ´õ ¾ÇȵȴÙ. pain°ú tenderness´Â lateral epicondyle¿¡¼ ´À³¤´Ù. ¿øÀÎÀû ÀÎÀÚ´Â lateral epicondyle¿¡ ÀÖ´Â ¼ö°üÀý ½ÅÀü±Ù¿¡ strainÀ» ÀÏÀ¸Å°´Â ¹Ýº¹µÈ minor trauma ¶§¹®ÀÌ´Ù.
6.extenaor carpi radialis longus/brevisÀÇ trigger point·ÎºÎÅÍÀÇ referred painÀº lateral epicondyle, forearm dorsum, hand dorsum¿¡¼ ³ªÅ¸³´Ù (travell).
7.1` elbow °¡±îÀÌ¿¡ À§Ä¡ÇÑ ½ÅÀü±ÙµéÀÌ ¼Õ¸ñÀ» Á¶ÀýÇϴµ¥ ÀÖ¾î¼ Àå¾Ö°¡ ÀÖÀ» °æ¿ì.
2¡¦(»ý·«)
8.muscular overstrain condition.
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