Shoulder anatomy and rom

<p><span style="color: rgb(46, 46, 46); font-family: 돋움, dotum, Helvetica, sans-serif; line-height: 16px; font-size: 9pt;">어깨질환은 medical exericise의 마지막단계의 작업이다.</span></p><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">그만큼 어렵고 복잡하다. 움직임이 다양하기 때문에</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">쇄골, 견갑골, 상완골, 견봉, 호훼돌기, 견관절, 견갑극, 견쇄관절, 견갑극을 잘 보자.</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130126_1%2Ffreer9_1359201844622co4Vu_JPEG%2F%25BE%25EE%25B1%25FA.jpg%3Ftype%3Dw740" id="userImg1078490" name="cafeuserimg" style="border: none; width: 740px; height: 317px;"></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">쇄골, 견갑골, 상완골, 견봉, 호훼돌기, 견관절, 견갑극, 견쇄관절, 견갑극 중에서 뼈촉진이 가능한 부위</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130126_52%2Ffreer9_1359201844778N0nyT_JPEG%2F%25BE%25EE%25B1%25FA1.jpg%3Ftype%3Dw740" id="userImg6388952" name="cafeuserimg" style="border: none; width: 740px; height: 355px; font-size: 9pt;"></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">늑골과 견갑골의 관절 = 견흉관절</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 견흉관절은 기능적인 관절면임. </div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 견갑절흔(scapular notch), 흉쇄관절, 흉골, 늑연골, 견갑상각, 견갑하각, 극돌기<br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130126_135%2Ffreer9_1359201844921pbDcC_JPEG%2F%25BE%25EE%25B1%25FA2.jpg%3Ftype%3Dw740" id="userImg4665440" name="cafeuserimg" style="border: none; width: 740px; height: 459px;"><br><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130126_163%2Ffreer9_1359201845130QLIpP_JPEG%2F%25BE%25EE%25B1%25FA3.jpg%3Ftype%3Dw740" id="userImg8280492" name="cafeuserimg" style="border: none; width: 740px; height: 734px;"><br><br>쇄골과 견갑골이 이루는 각은 60도</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">견갑골과 관상면(coronal plane)이 이루는 각도는 30도. <br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130126_248%2Ffreer9_1359201845332vMhvA_JPEG%2F%25BE%25EE%25B1%25FA4.jpg%3Ftype%3Dw740" id="userImg4776555" name="cafeuserimg" style="border: none; width: 740px; height: 442px;"><br><br>견갑대(shoulder girdle)와 골반대(pelvic girdle)<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130126_160%2Ffreer9_1359201845523pNKbF_JPEG%2F%25BE%25EE%25B1%25FA5.jpg%3Ftype%3Dw740" id="userImg2371788" name="cafeuserimg" style="border: none; width: 740px; height: 438px;"><br><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130126_194%2Ffreer9_1359201845722sIXzi_JPEG%2F%25BE%25EE%25B1%25FA6.jpg%3Ftype%3Dw740" id="userImg6135395" name="cafeuserimg" style="border: none; width: 740px; height: 792px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130126_40%2Ffreer9_13592018458651tlBn_JPEG%2F%25BE%25EE%25B1%25FA7.jpg%3Ftype%3Dw740" id="userImg7488394" name="cafeuserimg" style="border: none; width: 648px; height: 820px;"><br><br>supraglenoid tubercle and infraglenoid tubercle<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130126_108%2Ffreer9_13592018459889o9D7_JPEG%2F%25BE%25EE%25B1%25FA8.jpg%3Ftype%3Dw740" id="userImg7425155" name="cafeuserimg" style="border: none; width: 655px; height: 820px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130126_65%2Ffreer9_13592018461759Rr4L_JPEG%2F%25BE%25EE%25B1%25FA9.jpg%3Ftype%3Dw740" id="userImg2077602" name="cafeuserimg" style="border: none; width: 740px; height: 463px;"><br><br>상완골 대결절과 소결절 사이에 상완골결절간 구(intertubercular groove)<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130126_272%2Ffreer9_1359201846371unOOb_JPEG%2F%25BE%25EE%25B1%25FA10.jpg%3Ftype%3Dw740" id="userImg1846953" name="cafeuserimg" style="border: none; width: 740px; height: 749px;"><br><br>어깨 관절와(glenoid cavity) 면을 연결한 선과 시상면이 이루는 각도는 30도.<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130126_112%2Ffreer9_13592018465240te1E_JPEG%2F%25BE%25EE%25B1%25FA11.jpg%3Ftype%3Dw740" id="userImg3145048" name="cafeuserimg" style="border: none; width: 740px; height: 560px;"><br><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130126_88%2Ffreer9_13592018466198vdT0_JPEG%2F%25BE%25EE%25B1%25FA12.jpg%3Ftype%3Dw740" id="userImg2914010" name="cafeuserimg" style="border: none; width: 672px; height: 508px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130126_190%2Ffreer9_1359201846807pCo67_JPEG%2F%25BE%25EE%25B1%25FA13.jpg%3Ftype%3Dw740" id="userImg1882995" name="cafeuserimg" style="border: none; width: 740px; height: 830px;"><br><div style="list-style: none; margin: 0px; padding: 0px;"><br></div><div style="list-style: none; margin: 0px; padding: 0px;"><b>5개의 어깨관절</b></div><div style="list-style: none; margin: 0px; padding: 0px;">1) sc joint</div><div style="list-style: none; margin: 0px; padding: 0px;">2) ac joint</div><div style="list-style: none; margin: 0px; padding: 0px;">3) subacromial space articulation</div><div style="list-style: none; margin: 0px; padding: 0px;">4) scapulothoracic joint</div><div style="list-style: none; margin: 0px; padding: 0px;">5) glenohumeral joint</div><div style="list-style: none; margin: 0px; padding: 0px;"><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130121_85%2Ffreer9_13587661199393hXtl_JPEG%2F%25BE%25EE%25B1%25FA.jpg%3Ftype%3Dw740" id="userImg2099473" name="cafeuserimg" style="border: none; width: 740px; height: 592px;"></div><div style="list-style: none; margin: 0px; padding: 0px;"><br></div>흉쇄관절</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 혈관공급이 되는 디스크가 있는 활막관절<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130121_66%2Ffreer9_1358766120199tkM7J_JPEG%2F%25BE%25EE%25B1%25FA_0.jpg%3Ftype%3Dw740" id="userImg1807603" name="cafeuserimg" style="border: none; width: 740px; height: 446px;"><br><br><b>쇄골과 견갑골의 수동안정성 = 인대</b></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">1) 오훼쇄골인대(<span class="highlight" style="margin: 0px !important; padding: 0px !important; background-color: rgb(255, 255, 0) !important; color: rgb(0, 0, 0) !important;">coracoclavicular</span> <span class="highlight" style="margin: 0px !important; padding: 0px !important; background-color: rgb(255, 255, 0) !important; color: rgb(0, 0, 0) !important;">ligament</span>) - conoid <span class="highlight" style="margin: 0px !important; padding: 0px !important; background-color: rgb(255, 255, 0) !important; color: rgb(0, 0, 0) !important;">ligament</span>, trapezoid <span class="highlight" style="margin: 0px !important; padding: 0px !important; background-color: rgb(255, 255, 0) !important; color: rgb(0, 0, 0) !important;">ligament</span></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">2) 견쇄인대(acromioclavicular <span class="highlight" style="margin: 0px !important; padding: 0px !important; background-color: rgb(255, 255, 0) !important; color: rgb(0, 0, 0) !important;">ligament</span>)</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">3) 오훼견봉 궁(coracoacromial arch) - 견봉, 오훼견봉인대(coracoacromial <span class="highlight" style="margin: 0px !important; padding: 0px !important; background-color: rgb(255, 255, 0) !important; color: rgb(0, 0, 0) !important;">ligament</span>), 오훼돌기<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130121_11%2Ffreer9_1358766120434snVy6_JPEG%2F%25BE%25EE%25B1%25FA_1.jpg%3Ftype%3Dw740" id="userImg756126" name="cafeuserimg" style="border: none; width: 740px; height: 461px;"></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130121_54%2Ffreer9_1358766120571mFaEH_JPEG%2F%25BE%25EE%25B1%25FA_2.jpg%3Ftype%3Dw740" id="userImg4135249" name="cafeuserimg" style="border: none; width: 740px; height: 485px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130121_8%2Ffreer9_1358766120762RTsFq_JPEG%2F%25BE%25EE%25B1%25FA_3.jpg%3Ftype%3Dw740" id="userImg1307408" name="cafeuserimg" style="border: none; width: 680px; height: 726px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130121_144%2Ffreer9_13587661209515W0m0_JPEG%2F%25BE%25EE%25B1%25FA_4.jpg%3Ftype%3Dw740" id="userImg5901603" name="cafeuserimg" style="border: none; width: 740px; height: 538px;"><br><br>전거근과 견갑하근은 견갑골의 medial border를 당겨 견갑골을 움직임. <br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130121_241%2Ffreer9_1358766121068IwpJL_JPEG%2F%25BE%25EE%25B1%25FA_5.jpg%3Ftype%3Dw740" id="userImg6307466" name="cafeuserimg" style="border: none; width: 740px; height: 463px;"><br><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130121_44%2Ffreer9_13587661212817T79I_JPEG%2F%25BE%25EE%25B1%25FA_6.jpg%3Ftype%3Dw740" id="userImg4302682" name="cafeuserimg" style="border: none; width: 740px; height: 410px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130121_114%2Ffreer9_1358766121559RuTVV_JPEG%2F%25BE%25EE%25B1%25FA_7.jpg%3Ftype%3Dw740" id="userImg6432049" name="cafeuserimg" style="border: none; width: 740px; height: 410px;"><br>axillary recess는 오십견이 발생할때, stiffness!!<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130121_94%2Ffreer9_13587661217771UOjA_JPEG%2F%25BE%25EE%25B1%25FA_8.jpg%3Ftype%3Dw740" id="userImg7424558" name="cafeuserimg" style="border: none; width: 740px; height: 421px;"><br><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130121_2%2Ffreer9_1358766121871jpYzy_JPEG%2F%25BE%25EE%25B1%25FA_9.jpg%3Ftype%3Dw740" id="userImg5053539" name="cafeuserimg" style="border: none; width: 687px; height: 758px;"><br><br>견봉하 점액낭과 삼각근하 점액낭은 서로 교통되어 있음.</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">견갑하근하 점액낭과 상완이두근 건초는 서로 교통되어 있음. <br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130121_144%2Ffreer9_1358766122176VnElw_JPEG%2F%25BE%25EE%25B1%25FA_10.jpg%3Ftype%3Dw740" id="userImg8650845" name="cafeuserimg" style="border: none; width: 740px; height: 804px;"><br><br><b>오훼견봉 궁(coracoacromial arch)</b></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 견봉, 오훼견봉인대, 오훼돌기가 이루는 아침</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 오훼 견봉궁 아래 견봉하점액낭이 있고, 견봉하 점액낭 아래 극상근이 자리하고 있음. </div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 오훼견봉 궁을 삼각근이 덮고 있는 구조<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130121_264%2Ffreer9_1358766122354rEE01_JPEG%2F%25BE%25EE%25B1%25FA_11.jpg%3Ftype%3Dw740" id="userImg4030636" name="cafeuserimg" style="border: none; width: 723px; height: 897px;"></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130121_195%2Ffreer9_1358766122632COTDe_JPEG%2F%25BE%25EE%25B1%25FA_12.jpg%3Ftype%3Dw740" id="userImg6353525" name="cafeuserimg" style="border: none; width: 740px; height: 556px;"><br><br><br>어깨를 외전할때 오훼견봉 궁아래의 견봉한 점액낭이 압박될 수 있음. <br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130121_143%2Ffreer9_13587661228498gcT2_JPEG%2F%25BE%25EE%25B1%25FA_13.jpg%3Ftype%3Dw740" id="userImg7223404" name="cafeuserimg" style="border: none; width: 740px; height: 461px;"><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130121_202%2Ffreer9_1358766123039vfl96_JPEG%2F%25BE%25EE%25B1%25FA_14.jpg%3Ftype%3Dw740" id="userImg1527415" name="cafeuserimg" style="border: none; width: 740px; height: 612px;"><br><br>견봉하 점액낭염이 발생하는 상황<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130121_230%2Ffreer9_1358766123224z8HEt_JPEG%2F%25BE%25EE%25B1%25FA_15.jpg%3Ftype%3Dw740" id="userImg8796535" name="cafeuserimg" style="border: none; width: 553px; height: 523px;"><br><br>유착성 동결견으로 어깨관절 강직이 있을때, 아래의 구조들이 어떻게 될지 상상해보라!</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 특히 axillary recess<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb3.phinf.naver.net%2F20130121_103%2Ffreer9_1358766123400roEjC_JPEG%2F%25BE%25EE%25B1%25FA_16.jpg%3Ftype%3Dw740" id="userImg7209689" name="cafeuserimg" style="border: none; width: 740px; height: 565px;"><br><br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130121_101%2Ffreer9_1358766123539G8YzQ_JPEG%2F%25BE%25EE%25B1%25FA_17.jpg%3Ftype%3Dw740" id="userImg8478937" name="cafeuserimg" style="border: none; width: 665px; height: 503px;"><br><b>견갑골의 상승, 하강, 외전, 내전, 외회전 움직임을 보라. </b></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 견갑골이 외전, 내전하는 동안 견갑대(shoulder girdle)은 전인(protraction), 후인(retraction)함.</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 견갑골 하각이 외회전(lateral rotation)하면 어깨의 외전과 상승이 일어남. </div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- c그림에서 회회전 각도은 대략 60도</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 견갑골하각의 외측 움직임은 10cm정도. 위로는 2~3cm만큼 움직임<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130121_54%2Ffreer9_1358766123727uFVSw_JPEG%2F%25BE%25EE%25B1%25FA_18.jpg%3Ftype%3Dw740" id="userImg5772016" name="cafeuserimg" style="border: none; width: 740px; height: 267px;"></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><b>흉쇄관절을 축으로 한 움직임</b></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 어깨는 40도 상승, 10도 하강</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 견갑대는 30도 전인, 25도 후인</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130126_116%2Ffreer9_1359210744969LMh43_JPEG%2F%25BE%25EE%25B1%25FA%25B0%25A2.jpg%3Ftype%3Dw740" id="userImg6669051" name="cafeuserimg" style="border: none; width: 640px; height: 778px;"></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br></div><b style="color: rgb(46, 46, 46); font-family: 돋움, dotum, Helvetica, sans-serif; line-height: 16px;">쇄골을 축으로한 움직임</b><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 견갑대 상승할때 쇄골은 대략 45도 회전함. <br><br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130126_192%2Ffreer9_1359210745132V4BgO_JPEG%2F%25BE%25EE%25B1%25FA%25B0%25A21.jpg%3Ftype%3Dw740" id="userImg1694924" name="cafeuserimg" style="border: none; width: 640px; height: 778px;"><div style="list-style: none; margin: 0px; padding: 0px;"><b>shoulder joint를 축으로한 움직임</b></div><div style="list-style: none; margin: 0px; padding: 0px;">- 굴곡각 150~170도, 신전각 40도. </div><div style="list-style: none; margin: 0px; padding: 0px;"><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130126_15%2Ffreer9_1359211144211111mL_JPEG%2F%25BE%25EE%25B1%25FA%25B0%25A22.jpg%3Ftype%3Dw740" id="userImg7339837" name="cafeuserimg" style="border: none; width: 583px; height: 631px;"></div><br>- 어깨 외전각 160도,  상지를 내회전하면 180도</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 어깨 내전각 20~40도</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130126_175%2Ffreer9_1359211144338zXPXr_JPEG%2F%25BE%25EE%25B1%25FA%25B0%25A23.jpg%3Ftype%3Dw740" id="userImg7654855" name="cafeuserimg" style="border: none; width: 577px; height: 509px;"><br><br>- 어깨 수평내전 각도 130~160도, 수평외전각 40~50도<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb2.phinf.naver.net%2F20130126_6%2Ffreer9_1359211144538prQoT_JPEG%2F%25BE%25EE%25B1%25FA%25B0%25A24.jpg%3Ftype%3Dw740" id="userImg1652886" name="cafeuserimg" style="border: none; width: 740px; height: 583px;"><br><br></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">-  팔꿈치 90도 굴곡후 어깨 내회전 각도 70도, 외회전 각도 60도<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130126_86%2Ffreer9_1359211144663mOgY2_JPEG%2F%25BE%25EE%25B1%25FA%25B0%25A25.jpg%3Ftype%3Dw740" id="userImg8060416" name="cafeuserimg" style="border: none; width: 724px; height: 482px;"><br><br>- 팔꿈치 90도굴곡, 어깨 90도 외전 후 외회전 각도 90도, 내회전 각도 70도<br><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb4.phinf.naver.net%2F20130126_229%2Ffreer9_1359211144789dP50h_JPEG%2F%25BE%25EE%25B1%25FA%25B0%25A26.jpg%3Ftype%3Dw740" id="userImg267343" name="cafeuserimg" style="border: none; width: 546px; height: 602px;"><div style="list-style: none; margin: 0px; padding: 0px;"><br></div></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><b>상완견갑리듬(humeroscapular rhythm = scapulohumeral)</b></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 어깨를 외전할때 팔(arm)과 견갑골 움직임 비율은 2:1</div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;">- 어깨를 90도 외전할때, 어깨의 움직임은 60도, 견갑골의 움직임은 30도. </div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><img src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fcafeptthumb1.phinf.naver.net%2F20130126_3%2Ffreer9_1359211503682M0ben_JPEG%2F%25BB%25F3%25BF%25CF.jpg%3Ftype%3Dw740" id="userImg4694340" name="cafeuserimg" style="border: none; width: 740px; height: 320px;"></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br></div><div style="font-family: 돋움, dotum, Helvetica, sans-serif; list-style: none; margin: 0px; padding: 0px; color: rgb(46, 46, 46); line-height: 16px;"><br></div><p><br></p>