{"id":2220,"date":"2025-07-15T15:16:53","date_gmt":"2025-07-15T06:16:53","guid":{"rendered":"https:\/\/iyujournal.co.kr\/?p=2220"},"modified":"2025-07-15T15:16:53","modified_gmt":"2025-07-15T06:16:53","slug":"%ec%96%b4%ea%b9%a8%ec%8b%a0%ea%b2%bd%ec%95%95%eb%b0%95-%ec%a6%9d%ed%9b%84%ea%b5%b0","status":"publish","type":"post","link":"https:\/\/iyujournal.co.kr\/?p=2220","title":{"rendered":"\uc5b4\uae68\uc2e0\uacbd\uc555\ubc15 \uc99d\ud6c4\uad70"},"content":{"rendered":"<p>\uc5b4\uae68 \ud1b5\uc99d\uc740 \ub2e4\uc591\ud55c \uc6d0\uc778\uc5d0 \uc758\ud574 \ubc1c\uc0dd\ud558\uc9c0\ub9cc \uc2e0\uacbd \uc555\ubc15(neural compression)\uc740 \uc815\ud655\ud55c \uc9c4\ub2e8\uc774 \uc9c0\uc5f0\ub418\ub294 \uacbd\uc6b0\uac00 \ub9ce\uace0, \uce58\ub8cc \uc2dc\uae30\ub97c \ub193\uce60 \uacbd\uc6b0 \uae30\ub2a5\uc7a5\uc560\ub85c \uc774\uc5b4\uc9c8 \uc218 \uc788\ub2e4.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2221\" src=\"http:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/07\/ff-300x293.jpg\" alt=\"\" width=\"300\" height=\"293\" srcset=\"https:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/07\/ff-300x293.jpg 300w, https:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/07\/ff.jpg 413w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2222\" src=\"http:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/07\/\uc8fc\uc11d-2025-07-15-151611-300x250.jpg\" alt=\"\" width=\"300\" height=\"250\" srcset=\"https:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/07\/\uc8fc\uc11d-2025-07-15-151611-300x250.jpg 300w, https:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/07\/\uc8fc\uc11d-2025-07-15-151611.jpg 465w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\ubcf8 \ub17c\ubb38\uc5d0\uc11c\ub294 \uc5b4\uae68 \ubd80\uc704\uc5d0\uc11c \ubc1c\uc0dd\ud560 \uc218 \uc788\ub294 \ub300\ud45c\uc801\uc778 \uc2e0\uacbd \uc555\ubc15 \uc99d\ud6c4\uad70\ub4e4\uc758 \ud574\ubd80\ud559\uc801 \uad6c\uc870, \ubcd1\ud0dc\uc0dd\ub9ac, \uc99d\uc0c1 \ubc0f \uc9c4\ub2e8 \ubc29\ubc95 \ub4f1\uc744 \uace0\ucc30\ud558\uace0\uc790 \ud55c\ub2e4. \uc5b4\uae68\uc640 \uad00\ub828\ub41c \uc8fc\uc694 \ub9d0\ucd08 \uc2e0\uacbd\uc740 \uc0c1\uc644\uc2e0\uacbd\ucd1d(Brachial Plexus)\uc5d0\uc11c \uae30\uc6d0\ud558\uba70, \uc774 \uc2e0\uacbd\ucd1d\uc740 \uacbd\ucd94 C5~T1 \uc2e0\uacbd\uadfc\uc73c\ub85c \uad6c\uc131\ub418\uc5b4 \uc788\ub2e4. \uc8fc\uc694 \ubd84\uc9c0\ub85c\ub294 \ub2e4\uc74c\uacfc \uac19\ub2e4. \uadfc\ud53c\uc2e0\uacbd(Musculocutaneous nerve), \uc561\uc640\uc2e0\uacbd(Axillary nerve), \ub178\uc2e0\uacbd(Radial nerve), \uc815\uc911\uc2e0\uacbd(Median nerve), \ucc99\uace8\uc2e0\uacbd(Ulnar nerve), \uc7a5\ud749\uc2e0\uacbd(Long thoracic nerve), \uacac\uac11\uc0c1\uc2e0\uacbd(Suprascapular nerve) \uc774\ub4e4 \uc2e0\uacbd\uc740 \uc5b4\uae68 \uc8fc\ubcc0\uc758 \ub2e4\uc591\ud55c \ud574\ubd80\ud559\uc801 \ud1b5\ub85c(\uc608: \uc0ac\uac01\uadfc \uacf5\uac04, \ud749\uacfd \ucd9c\uad6c, \ud68c\uc804\uadfc\uac1c \ub4f1)\ub97c \ud1b5\uacfc\ud558\uba70, \uc678\uc0c1, \ubc18\ubcf5\uc801\uc778 \uc0ac\uc6a9, \ud574\ubd80\ud559\uc801 \ud611\uc18c, \uc5fc\uc99d \ub4f1\uc73c\ub85c \uc778\ud574 \uc555\ubc15\ub420 \uc218 \uc788\ub2e4. \ubc18\ubcf5\uc801\uc774\uace0 \uc9c0\uc18d\uc801\uc778 \uc555\ubc15\uc740 \uc2e0\uacbd\uc758 \ud608\ub958\ub97c \uac10\uc18c\uc2dc\ucf1c \ud5c8\ud608\uc131 \uc190\uc0c1\uc744 \uc720\ubc1c\ud55c\ub2e4. \uc774\ub294 \ucd95\uc0ad(axon) \uc190\uc0c1\uc744 \uc77c\uc73c\ud0a4\uace0, \uacb0\uad6d \uc2e0\uacbd\uc804\ub2ec \uc774\uc0c1\uacfc \uac10\uac01\/\uc6b4\ub3d9 \uae30\ub2a5 \uc800\ud558\ub97c \ucd08\ub798\ud55c\ub2e4. \uad6d\uc18c\uc801\uc778 \uc870\uc9c1 \uc5fc\uc99d\uc740 \uc2e0\uacbd \uc8fc\ubcc0\uc758 **\ubd80\uc885(edema)**\uc744 \uc720\ubc1c\ud558\uc5ec \uc555\ubc15\uc744 \uac00\uc911\uc2dc\ud0a8\ub2e4. \uc5fc\uc99d \ub9e4\uac1c\ubb3c\uc9c8(\uc608: \ud504\ub85c\uc2a4\ud0c0\uae00\ub780\ub518, \uc778\ud130\ub8e8\ud0a8)\uc740 \uc2e0\uacbd\uc744 \ub354 \ubbfc\uac10\ud558\uac8c \ub9cc\ub4e4\uc5b4 **\uc2e0\uacbd\ud1b5(neuralgia)\uc744 \uc720\ubc1c\ud55c\ub2e4. \uc9c0\uc18d\uc801\uc778 \uc555\ubc15\uc740 \uc2e0\uacbd\uc758 \uc218\ucd08(myelin sheath)\ub97c \uc190\uc0c1\uc2dc\ucf1c \uc2e0\uacbd \uc804\ub3c4 \uc18d\ub3c4\ub97c \uac10\uc18c\uc2dc\ud0a4\uace0, \uc2e0\uacbd \uc790\uadf9\uc758 \uc65c\uace1\uc744 \uc720\ubc1c\ud55c\ub2e4. \uacac\uac11\uc0c1\uc2e0\uacbd \ud3ec\ucc29\uc99d\ud6c4\uad70 (Suprascapular Nerve Entrapment) \ubd80\uc704\ub294 \uc0c1\uc644\uace8 \uacac\uac11\uc808\ud754(suprascapular notch), \uadf9\uac04\uc808\ud754(spinoglenoid notch) \uc99d\uc0c1\uc73c\ub85c\ub294 \uadf9\uc0c1\uadfc, \uadf9\ud558\uadfc \uc704\ucd95 \/ \ud6c4\uce21 \uc5b4\uae68 \ud1b5\uc99d \/ \uacac\uad00\uc808 \uc678\ud68c\uc804 \uc57d\ud654\ub97c \ub4e4 \uc218 \uc788\ub2e4. \uc6d0\uc778: \uc2a4\ud3ec\uce20 \uc678\uc0c1, \ub0ad\uc885(ganglion cyst), \uc11d\ud68c\ud654\uac74\uc5fc\uc774 \uc788\ub2e4. \uc561\uc640\uc2e0\uacbd \uc555\ubc15 (Axillary Nerve Compression) \ubd80\uc704\ub294 \uc0ac\uac01\uadfc \uacf5\uac04(quadrilateral space) \uc99d\uc0c1\uc73c\ub85c\ub294 \uc0bc\uac01\uadfc \uc704\ucd95 \/ \uc678\uc804 \uc57d\ud654 \/ \uc5b4\uae68 \uc678\uce21 \uac10\uac01\uc800\ud558\uac00 \uc788\ub2e4. \uc6d0\uc778\uc73c\ub85c\ub294 \ud0c8\uad6c, \uc778\ub300 \ube44\ud6c4, \uadfc\uc721 \ube44\ub300\uac00 \uc788\ub2e4. \uc7a5\ud749\uc2e0\uacbd \uc190\uc0c1\uc73c\ub85c\ub294 \uacac\uac11\uace8 \ub0a0\uac1c\ud615 \ub3cc\ucd9c(winging scapula), \uacac\uac11 \uc548\uc815\uc131 \uc800\ud558\uc774\uace0, \uc6d0\uc778\uc740 \ubc18\ubcf5\uc801 \uacfc\uc0ac\uc6a9, \uc678\uc0c1, \uc678\uacfc\uc801 \uc218\uc220 \ud6c4 \ud569\ubcd1\uc99d\uc774\ub2e4. \ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70 (Thoracic Outlet Syndrome, TOS)\uc758 \ubd80\uc704\ub294 \uacbd\ucd94\uc640 \uc1c4\uace8 \uc0ac\uc774\uc758 \ud611\uc18c \uacf5\uac04, \uc99d\uc0c1\uc740 \uac10\uac01\uc800\ud558, \uc800\ub9bc, \ud1b5\uc99d, \ud608\ub958\uc7a5\uc560, \uc6d0\uc778\uc73c\ub85c\ub294 \uc0ac\uac01\uadfc \ube44\ud6c4, \ucd94\uac00\ub291\uace8, \uc790\uc138 \uc774\uc0c1\uc774 \uc788\ub2e4. \ubb38\uc9c4 \ubc0f \uc774\ud559\uc801 \uac80\uc0ac\ub85c\ub294 \ud1b5\uc99d \uc704\uce58\uc640 \ubc29\uc0ac \uc591\uc0c1 \ud30c\uc545, Spurling test, Roos test, Adson test \ub4f1 \uc2e0\uacbd\ud3ec\ucc29 \ud2b9\uc774\uac80\uc0ac \ud65c\uc6a9\ud560 \uc218 \uc788\ub2e4. \uc601\uc0c1 \uc9c4\ub2e8\uc73c\ub85c\ub294 MRI: \uc5f0\ubd80\uc870\uc9c1, \uc2e0\uacbd\uc8fc\uc704 \ub0ad\uc885, \uc5fc\uc99d \ud655\uc778, \ucd08\uc74c\ud30c: \uc2e0\uacbd\uc758 \ube44\ud6c4, \ubd80\uc885 \ud3c9\uac00 \uac00\ub2a5, \uadfc\uc804\ub3c4(EMG)\/\uc2e0\uacbd\uc804\ub3c4\uac80\uc0ac(NCS): \uc2e0\uacbd \uc190\uc0c1\uc758 \uc704\uce58 \ubc0f \uc815\ub3c4 \ud655\uc778\ud560 \uc218 \uc788\ub2e4. \ubcf4\uc874\uc801 \uce58\ub8cc\ub85c \uc57d\ubb3c\uc694\ubc95\uc73c\ub85c\ub294 \uc18c\uc5fc\uc9c4\ud1b5\uc81c(NSAIDs), \uadfc\uc774\uc644\uc81c\uac00 \uc788\ub2e4. \ubb3c\ub9ac\uce58\ub8cc\ub85c\ub294 \uc2e0\uacbd mobilization, \uc5b4\uae68 \uc548\uc815\ud654 \uc6b4\ub3d9\uc774 \ud544\uc694\ud558\uace0, \uc790\uc138 \uad50\uc815 \ubc0f \uc791\uc5c5\ud658\uacbd \uac1c\uc120\uc744 \uc2dc\ud0a8\ub2e4. \uc2a4\ud14c\ub85c\uc774\ub4dc \uc8fc\uc0ac\ub294 \uc5fc\uc99d \uc644\ud654, \ucd08\uc74c\ud30c \uc720\ub3c4\ud558 \uc2e0\uacbd \uc8fc\uc0ac, \ub3c4\uc218\uce58\ub8cc \ubc0f \uc6b4\ub3d9\uc7ac\ud65c\uce58\ub8cc\uac00 \uc788\ub2e4. \uc218\uc220\uc801 \uce58\ub8cc\ub85c\ub294 \ub0ad\uc885 \uc81c\uac70, \uc555\ubc15 \ubd80\uc704 \uac10\uc555\uc220 \ub4f1, \ubcf4\uc874\uc801 \uce58\ub8cc\uc5d0 \ubc18\uc751 \uc5c6\ub294 \ub9cc\uc131 \uc555\ubc15 \uc2dc \uace0\ub824\ud55c\ub2e4. \ucd08\uae30 \uc9c4\ub2e8\uacfc \uce58\ub8cc \uc2dc \ub300\ubd80\ubd84\uc758 \uc2e0\uacbd \uc555\ubc15\uc740 \ud68c\ubcf5 \uac00\ub2a5\ud558\uc9c0\ub9cc, \uc9c0\uc5f0\ub418\uac70\ub098 \ubc18\ubcf5\uc801\uc73c\ub85c \uc545\ud654\ub420 \uacbd\uc6b0 \uc2e0\uacbd \uc190\uc0c1\uc740 \uc601\uad6c\uc801\uc77c \uc218 \uc788\uc74c. \uc870\uae30 \uc9c4\ub2e8\uacfc \ub2e4\ud559\uc81c\uc801 \uc811\uadfc\uc774 \uc911\uc694\ud558\ub2e4. \uc5b4\uae68 \uc2e0\uacbd \uc555\ubc15\uc740 \ub2e4\uc591\ud55c \ud574\ubd80\ud559\uc801 \uad6c\uc870\uc640 \ubcd1\ud0dc\uae30\uc804\uc73c\ub85c \uc778\ud574 \ubc1c\uc0dd\ud558\uba70, \uc815\ud655\ud55c \uc9c4\ub2e8 \uc5c6\uc774 \ub2e8\uc21c \uc5b4\uae68 \ud1b5\uc99d\uc73c\ub85c \uac04\uc8fc\ub418\uae30 \uc27d\ub2e4. \uc774\uc5d0 \ub530\ub77c \uc5b4\uae68 \ud1b5\uc99d \ud658\uc790\uc5d0 \ub300\ud574 \ubcf4\ub2e4 \uc2e0\uacbd\ud559\uc801 \uad00\uc810\uc5d0\uc11c\uc758 \ud3c9\uac00\uc640 \uc811\uadfc\uc774 \uc694\uad6c\ub418\uba70, \ube44\uc218\uc220\uc801 \uce58\ub8cc\uc640 \uc608\ubc29 \uc6b4\ub3d9 \uc804\ub7b5\uc758 \uc911\uc694\uc131\uc774 \uac15\uc870\ub41c\ub2e4.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uc5b4\uae68 \ud1b5\uc99d\uc740 \ub2e4\uc591\ud55c \uc6d0\uc778\uc5d0 \uc758\ud574 \ubc1c\uc0dd\ud558\uc9c0\ub9cc \uc2e0\uacbd \uc555\ubc15(neural compression)\uc740 \uc815\ud655\ud55c \uc9c4\ub2e8\uc774 \uc9c0\uc5f0\ub418\ub294 \uacbd\uc6b0\uac00 \ub9ce\uace0, \uce58\ub8cc \uc2dc\uae30\ub97c \ub193\uce60 \uacbd\uc6b0 \uae30\ub2a5\uc7a5\uc560\ub85c \uc774\uc5b4\uc9c8 \uc218 \uc788\ub2e4. \ubcf8 \ub17c\ubb38\uc5d0\uc11c\ub294 \uc5b4\uae68 \ubd80\uc704\uc5d0\uc11c \ubc1c\uc0dd\ud560 \uc218 \uc788\ub294 \ub300\ud45c\uc801\uc778 \uc2e0\uacbd \uc555\ubc15 \uc99d\ud6c4\uad70\ub4e4\uc758 \ud574\ubd80\ud559\uc801 \uad6c\uc870, \ubcd1\ud0dc\uc0dd\ub9ac, \uc99d\uc0c1 \ubc0f \uc9c4\ub2e8 \ubc29\ubc95 \ub4f1\uc744 \uace0\ucc30\ud558\uace0\uc790 \ud55c\ub2e4. \uc5b4\uae68\uc640 \uad00\ub828\ub41c \uc8fc\uc694 \ub9d0\ucd08 \uc2e0\uacbd\uc740 \uc0c1\uc644\uc2e0\uacbd\ucd1d(Brachial Plexus)\uc5d0\uc11c \uae30\uc6d0\ud558\uba70, \uc774 \uc2e0\uacbd\ucd1d\uc740 \uacbd\ucd94 C5~T1 [&hellip;]<\/p>\n","protected":false},"author":344,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,14,40,39,20],"tags":[],"class_list":["post-2220","post","type-post","status-publish","format-standard","hentry","category-3","category-14","category-40","category-39","category-20"],"_links":{"self":[{"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/posts\/2220","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/users\/344"}],"replies":[{"embeddable":true,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2220"}],"version-history":[{"count":1,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/posts\/2220\/revisions"}],"predecessor-version":[{"id":2223,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/posts\/2220\/revisions\/2223"}],"wp:attachment":[{"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2220"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}