• 제목/요약/키워드: 고관절

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Biomechanics of Hip and Hip Replacement Arthroplasty (고관절 및 인공 고관절의 생역학)

  • Lee, Young-Kyun;Choi, Ji Hye;Won, Heejae;Koo, Kyung-Hoi
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.377-383
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    • 2019
  • The biomechanics study of the hip is aims to understand and explore the dynamic principles of weight transfer through the hip joint. This basic science knowledge can be applied in a variety of areas, including degenerative joint diseases and hip replacement arthroplasty. In particular, understanding of the biomechanics of the hip has led to the development of materials, design and fixation of implants, and it can be applied in various areas, such as the selection of surgical methods and the location of the implant. Moreover, it is essential to have good knowledge of the biomechanics of the hip to achieve better clinical results for patients. Therefore, this paper introduces the basic knowledge and biomechanical characteristics of a normal hip and hip replacement arthroplasty, which are needed to approach the biomechanics of the hip.

Pediatric Hip Disease (I): Diagnosis and Treatment of Developmental Dysplasia of the Hip (소아 고관절 질환(I): 발달성 고관절 이형성증의 진단 및 초기 치료)

  • Kim, Hui Taek;Park, Yong Geon
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.359-365
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    • 2020
  • Developmental dysplasia of the hip broadly includes inadequate development of the hip joint involving the acetabulum or proximal femur, or both. Although ultrasonographic studies in neonates have greatly lowered the frequency of neglected or operatively treated cases, its sensitivity is less than desired. Hip dysplasia without subluxation is commonly diagnosed incidentally and strongly related to degenerative arthritis in females after the 4th decade. Hip dysplasia with subluxation shows symptoms through various periods, depending on its severity, especially for women with onset during pregnancy. A complete physical examination and early treatment for neonates are extremely important for obtaining satisfactory outcomes. To avoid underdiagnosis and to serve appropriate treatment on time, the authors recommend examining any suspicious hips in infants under two years of age. The study will discuss the diagnosis and primary treatment of developmental dysplasia of the hip.

Ultrasonographic Findings of Normal Hip Joint and Painful Hip due to Soft Tissue Problem (고관절 초음파의 정상 소견 및 고관절 주위 질환의 초음파 소견)

  • Nam, Woo-Dong;Nam, Shin Woo;Han, Kye Young
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.1
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    • pp.38-46
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    • 2010
  • The lesions around hip joint including bone, joint and soft tissue can cause the pain. For diagnosis of these lesions, physical examination and simple X-ray were accomplished primarily. Some special cases, CT or MRI was a useful tool. However ultrasonography could provide non-invasive and dynamic images for the lesions of tendon and bursa, and it could be a useful tool for follow up after hip surgery. Due to the deep location of hip joint, ultrasonography is not easy for physician to examine and its application was impossible in some obese patients. This article deals with the normal and pathologic ultrasonographic findings of the hip joint and various applications using ultrasonography.

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Common Hip Diseases and Their Imaging Studies (흔히 접할 수 있는 고관절 질환들과 영상 검사)

  • Rhyu, Kee Hyung
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.40-49
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    • 2008
  • Hip joint is one of the most deeply located joint in human body. Moreover, most clinical symptoms of various hip diseases are vague and confusing. In these reasons, the imaging modalities of hip have been extensively studied and developed. From a plain radiograph to more complex MR arthrography, various techniques are now available. In this brief review, the long and short of imaging modalities and clinical examples of common hip diseases will be introduced. The most important significance of diagnostic imaging is its clinical relevance. It is because when we know the characteristics of the imaging modalities and the disease itself, the optimal approach to a patient can be achieved, but when we do not know, the expensive images can only be a meaningless picture.

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Painful Causes around Hip Joint and Evaluation using Ultrasonography (고관절 주위 통증의 원인과 초음파적 진단)

  • Han, Kye Young
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.1
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    • pp.45-52
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    • 2009
  • Simple radiography, CT and MRI were used for the diagnosis of the hip disease. However ultrasonography could be a good diagnostic tool for the lesion of tendons and bursae. Another advantage of ultrasonography is its usefulness for the follow-up of these lesions. Nowadays hip ultrasonography expanded the horizon to the follow-up study of total hip arthroplasty. However, the limitation of ultrasonography is that there is disparity in results according to the physician's experiences. In this article ultrasonographic findings of normal structures and pathologic lesions of the hip joint are introduced and explained briefly.

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Hip Arthrodesis to Treat Severe Hip Osteoarthritis in an Adolescent with Down Syndrome (다운증후군 청소년의 중증 고관절 골관절염에서 고관절 유합술)

  • Jung, Yu-Hun;Shin, Keun-Young;Lee, Joo-Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.2
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    • pp.164-167
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    • 2021
  • Down syndrome is the most common chromosomal disorder and is accompanied by hip osteoarthritis in approximately 28% of patients. This paper reports a case of hip arthrodesis as a treatment for severe hip osteoarthritis in adolescent Down syndrome patients. When performing surgical treatment of patients with Down syndrome, it is necessary to take a comprehensive approach that considers not only the medical point of view, but also the psychological and economic requirements of the patient and their social environment.

지혜 깊어지는 건강 - 활기찬 실버 세대 - 골절 예방하면 빙판길도 두렵지 않다

  • Son, Ju-Seok
    • 건강소식
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    • v.35 no.12
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    • pp.24-25
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    • 2011
  • 겨울철에는 낙상사고가 다른 계절보다 3배 이상 높게 나타난다. 추운 날씨 주머니에 손을 넣고 걷다 빙판길에서 미끄러지는 일이 빈번하다. 문제는 노인들의 골절이다. 손목, 척추, 고관절(엉덩이뼈) 골절을 입은 환자는 독립적 보행이 불가능해지며 일상생활에 큰 어려움을 겪게 된다. 특히 고관절(엉덩이뼈) 골절의 경우 1년 내에 사망할 확률이 무려 20%다. 고령 환자의 경우 고관절 골절을 입고 병상에 누워 지내는 기간이 길어지면 심폐 및 방광기능이 저하될 수 있으며, 욕창이나 혈전증 등이 발생할 수 있다. 골절이 노인에게 치명적인 이유다.

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Radiographic Evaluation and Triple Pelvic Osteotomy for the Treatment of Immature Canine Hip Dysplasia (어린 개 고관절 이형성의 방사선 평가 및 3중 골반골 절단술에 의한 치료)

  • 김남수
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.370-375
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    • 1997
  • 8개월령의 체중이 40.4kg인 로트와일러 수컷 어린개와 9개월령의 체중 34.6kg인 골 든 레트리버 수컷 어린개가 각각 2주령과 1개월령부터 파행 및 통증을 주중으로 머독대학 동물 병원에 내원 하였다. 내원 했을 때 호흡과 심박수 및 체온은 정상이었다. 일반 보행 및 신경검사 와 방사선 사진을 촬영하여 확인한 결과 양측 고관절 이형성(Hip displasia)과 퇴행성 관절질환 (Degenerative joint disease)을 확인 할 수 있었으며, 그 증상의 정도는 우측에 비하여 좌측이 더 심하게 나타냈다. 외과적 치료는 Slocum과 Devine에 의한 3중 고관절 절단술(Triple pelvic osteotomy)를 실시하였으며 특별한 외부 고정은 하지 않았다. 수술 후 5개월 동안 지켜본 결과 증 상은 매우 좋아졌으며 골반골의 완벽한 고정 유지에 따른 교정된 고관절을 확인 할 수 있었다.

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