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논문 기본 정보

자료유형
학술저널
저자정보
구정회 (좋은삼선병원) 조형래 (좋은삼선병원 정형외과) 진홍기 (좋은삼선병원 정형외과) 박기봉 (좋은삼선병원 정형외과) 신명지 (좋은삼선병원 정형외과)
저널정보
대한스포츠의학회 대한스포츠의학회지 대한스포츠의학회지 제34권 제2호
발행연도
2016.1
수록면
132 - 138 (7page)

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초록· 키워드

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The purpose of this study is to evaluate the ultrasonographic findings of little leaguer’s shoulder among adolescent baseball players. Forty-two little leaguer’s shoulder patients (age, 11–16 years; mean, 13.8 years; right, 39; left, 3), based on plain X-ray, were examined by bilateral shoulder ultrasonography. All patients were divided into groups on the basis of sonographic abnormalities and bilateral differences of physeal gap were measured in the cases of significant physeal widening. Sonographic abnormalities of dominant shoulder were physeal irregularity (45%), physeal fragmentation (21%), periosteal thickening (36%) and physeal widening (83%) that was the most common abnormalities. Seven of 42 patients (group A) had only physeal irregularity with minimal physeal widening, 26 patients (group B) had more than 1-mm physeal widening compared with nondominant shoulder. Nine patients (group C) had both physeal widening and fragmentation. Mean physeal gaps of the dominant and nondominant shoulders in 35 patients (group B and C) were 3.4±0.8 mm and 1.4±0.1 mm, respectively (p=0.013) and increased average physeal gap of dominant shoulder was 2.0±0.8 mm. Among three groups of patients, the duration of symptom was significant longer in group C (p=0.011). Physeal widening and fragmentation were associated with progression of the disease, but physeal irregularity was relatively early sonographic finding. Ultrasonography is a useful tool to evaluate the status of proximal humeral epiphysis and can aid early diagnosis of little leaguer’s shoulder in the field.

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