• Title/Summary/Keyword: 골관절증

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Rapidly Destructive Coxarthrosis Mimicking a Malignant Bone Tumor - A Case Report - (악성 골 종양으로 오인된 급속 파괴형 고관절증 - 증례 보고 -)

  • Lee, Hyung-Seok;Kim, Jung-Ryul
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.203-207
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    • 2008
  • Rapid destructive hip osteoarthritis is a rare subset of osteoarthritis with rapid destruction of the hip joint within months of the onset of symptoms. The entity simulates rheumatoid arthritis, septic arthritis, neuropathy or malignant bone tumor. We report a case of rapidly destructive coxarthrosis of the right hip joint initially misdiagnosed as a malignant bone tumor at outside hospital in a 80-year-old woman.

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Recurrent Traumatic Glenohumeral Instability associated with Glenoid Bone Defect (관절 와 골 결손이 동반된 재발성 견관절 외상성 불안정증 - 3례 보고 -)

  • Tae, Seok-Gi;O, Jong-Su;Im, Mu-Jun
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2009.03a
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    • pp.224-224
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    • 2009
  • 견관절 전방 외상성 불안정증에서 관절 낭-순 재건술은 재발성 불완정증 예방 및 기능 회복에 있어 매우 성공적인 술식이다. 그러나 관절 와의 30 % 이상의 심한 골 결손이 존재 할 때 관절 낭-순 재건술 만으로는 성공적인 결과를 가져오기 힘들다. 본 연구는 관절 와의 심한 골 결손을 가진 재발성 전방 외상성 불안정성 견관절에서 관절외 자가 장골 이식으로 보강한 관절 낭-순 재건술의 술기와 결과를 보고하고자 한다.

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A Case Report : TMJ Osteoarthritis in a Patient with Renal Osteodystrophy (턱관절의 골관절염을 동반한 신성골이영양증 환자 증례보고)

  • Lee, Gi-Ho
    • Journal of Oral Medicine and Pain
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    • v.38 no.3
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    • pp.247-253
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    • 2013
  • Renal osteodystrophy(RO) is characterized by skeletal changes in patients with renal disease and developed as a result of alterations in the metabolism of calcium, phosphate and secondary hyperparathyroidism. Bony changes in the craniofacial region include decreased bone density, radiolucent lesions(brown tumors), depletion of cortical bone and loss of lamina dura, but such changes rarely occur in the temporomandibular joint(TMJ). We report an uncommon case of bony changes and pain of both TMJs in a patient with RO. A 41-year-old man with RO came to our clinic due to TMJ pain and sounds. Occlusal change was also reported. Radiographs revealed degenerative changes of the both condyles. The patient had medical history of renal cancer therapy and hemodialysis. The patient was diagnosed with TMJ arthritis of RO and referred for systemic management through medication of calcium and vitamin D and parathyroidectomy. At 15-month follow-up, most of TMD symptoms disappeared and second radiographs revealed that bone density and cortical thickness of the mandible increased and the skeletal outline of the both condyles became relatively clear. As bony changes may begin in the early stage of the renal disease, dentists should be alert to detect the sign of the disease. In addition, it is important to differentiate TMJ arthritis of systemic cause because the treatment protocol is quite different.

Investigating Effects of Negative Emotional States on the Korean Elderly's Osteoarthritis prevalence (국내 노인의 골관절염 유병률에 부정적인 감정이 미치는 영향에 대한 실증연구)

  • Jeon, Hyeon Gyu;Won, Jong Yoon;Lee, Kun Chang
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.247-257
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    • 2020
  • Many number of elderly people suffer from osteoarthritis, a degenerative arthritis. Korea is entering an aged society with a rapid increase in the elderly population. This increase in the elderly population has led to an increase in elderly osteoarthritis patients. Therefore, many elderly people are greatly hampered by the quality of life due to osteoarthritis. The purpose of this study is to clarify the risk factors of osteoarthritis and to investigate the relationship between negative emotional states and osteoarthritis. The results proved that demographic risk factors, anthropometric and biochemical factors, and health behaviors influence osteoarthritis. In addition, it was confirmed that negative emotions perceived by the elderly, such as depression and stress, should be regarded as main factors of osteoarthritis.

SAPHO Syndrome - A Case Report - (SAPHO 증후군 - 증례보고 -)

  • Seo, Mu-Sam;Park, Hyung-Taek;Park, Jong-Hoon
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.2
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    • pp.206-211
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    • 2003
  • Palmoplantar pustulosis may be associated with peculiar bone and joint conditions. Initially restricted to the anterior chest wall, these conditions were later found to involve peripheral bones and joints. The same aseptic pseudoinfectious bone and joint lesions were also found associated with severe acne. In 1987, Kahn et al suggested this acronym to describe a number of reports of peculiar bone, joint, and skin lesions published over the last 25 years. SAPHO sydrome stands for synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome. We report one case of SAPHO syndrome: A 27-year-old female presented left clavicular and right sacroiliac joint pain with hyperostosis and pustulosis palmaris.

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Recurrent Traumatic Glenohumeral Instability Associated with Glenoid Bone Defect - 3 Case Report - (관절 와 골 결손이 동반된 재발성 견관절 외상성 불안정증 - 3례 보고 -)

  • Tae, Suk-Kee;Oh, Jong-Soo;Kim, Jin-Young
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.76-79
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    • 2009
  • Purpose: Capsulolabral reconstruction in a traumatic anterior instability of the glenohumeral joint is successful not only for the prevention of recurrent instability but also for the restoration of function. Materials and Methods: However, a capsulolabral procedure alone cannot guarantee a successful result when there is severe bone loss of the glenoid. Results: We report the surgical technique and results of capsulolabral repair and extraarticular bone block with an autogenous iliac crest graft performed on three cases (all male, average age 28 years, minimum follow-up 12 months) with traumatic anterior instability associated with more than 30% glenoid bone loss.

COMPARATIVE STUDY ON THE CLINICAL AND RADIOGRAPHIC FINDINGS OF TEMPOROMANDIBULAR JOINT DYSFUNCTION PATIENTS (악관절 기능장애 환자의 임상적 방사선학적 소견에 관한 비교 연구)

  • Koh Kang;Ahn Hyung-Kyu
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.1
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    • pp.33-44
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    • 1991
  • 악관절 기능장애 환자 118명을 대상으로 하여 임상적으로 악관절 잡음, 개구량, 동통 및 병력을 조사하고 골변화 양상 및 악관절내에서의 과두위치 등을 방사선학적으로 관찰하였으며, 조영술식을 이용하여 악관절내의 원판 위치 및 천공등을 관찰하여 이들 조사결과를 비교 검토한 결과 다음과 같은 결론을 얻었다 1. 악관절 기능장애 환자에서 악관절부위의 골변화는 환자의 병력과 밀접한 관계가 있었다. 2. 최대 개구시 40㎜미만을 개구하는 환자에서 더욱 심한 골변화를 보였다. 3. 악관절 기능장애 환자의 교합상태에서 과두가 악관절강의 후방에 위치한 경우 개구시 더욱 쉽게 과두가 관절융기 전방으로 이동하였으며, 교합시 과두가 전방에 위치한 경우 후방에 위치한 경우보다 더욱 심한 골변화양상을 보였다. 4. 교합시 관절간격의 감소는 과두의 악관절내 어떠한 위치보다 병변이 진행된 상태였다. 5. 5. 비환원성 내장증 환자의 특징적 증상은 clicking후 개구장애를 나타내었으며 비환원성 내장증을 환원성 내장증보다 더욱 진행된 상태였다

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Long-term Follow-up after Implantation of Autologous Adipose Tissue Derived Mesenchymal Stem Cells to Treat a Dog with Stifle Joint Osteoarthrosis (골관절증을 보이는 개에서 자가지방 유래 줄기세포 치료 증례)

  • Yoon, Hun-Young;Lee, Jung-Ha;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.29 no.1
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    • pp.82-86
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    • 2012
  • A 5-year-old castrated male Chihuahua weighing 1.54 kg was examined because of a several month history of progressive right hind limb lameness. Physical examination of the stifle joints revealed pain and a grade IV medial patellar luxation on the right stifle joint. The right and left stifle joints were associated with a lameness of grade 2 and grade 0, respectively. Radiography revealed osteophytes or subchondral cystic lesions on the right and left stifle joints. Osteoarthrosis (OA) scores for the right and left stifle joints were 20 and 12 respectively. Combination of surgery and implantation of autologous adipose tissue derived mesenchymal stem cells (aAT-MSCs) was determined with informed consent. $1{\times}10^6$ aAT-MSCs suspended in PBS and 0.6 mL of hyaluronic acid were injected in the right stifle joint postoperatively. Osteoarthrosis scores and the lameness grade for the right and left stifle joints were 19 and 13, and 0 and 0 19 months after treatment, respectively, and 14 and 15, and 0 and 0 five years after treatment, respectively. This case report shows radiographical evidence of a decrease in osteophytes and subchondral cystic lesions on the stifle joint with OA after aAT-MSCs injection.

Case Report of Maxilla/Mandible Simultaneous Distraction with Molina$^{(R)}$ Distractor (Molina distractor를 이용한 상/ 하악 동시 신장술 증례의 보고)

  • Baek, Kyung-Won;Kim, Keun-Woo;Choi, Jin-Yeong
    • Korean Journal of Cleft Lip And Palate
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    • v.9 no.2
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    • pp.55-62
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    • 2006
  • 1980년 일리자로프가 하지에서의 골 신장술을 발표한 이래 수많은 외과 의사들이 임상연구와 발표를 거듭해 현재의 골 신장술을 이루었다. 악골에서 골 신장술의 적용은 1992년 8명의 악골 기형 환아에게 하악지 신장술을 적용한 맥카시의 발표를 기점으로 시작되었다. 골 신장술의 장점은 부족한 골조직과 함께 주변 연조직을 신장시키는 것으로 복합적 조직 결손을 보이는 선천성 악골 기형 환자들에게 특히 유리하게 적용시킬 수 있다. 반안모 왜소증은 안면 반측의 상/하악골 및 악관절, 연조직의 저성장 및 결손을 보이는 비교적 흔한 악골 기형이다. 하악지 신장술의 활발한 연구로 이를 이용한 악관절 증상과 안면 비대칭의 해소가 일차적 치료기법으로 선택되고 있다. 연구자들은 악관절 증상과 안면 비대칭을 주소로 내원한 성인 반안모 왜소증 환자에게 상악 및 하악의 동시 골 신장술을 적용하여 만족할 만한 결과를 얻었기에 이를 발표한다. 상악골의 Le Fort 제1형 골 절단술과 이환측의 하악지 시상분할 골절단술 후에 Molina distractor를 하악지에 적용하고 악간 고정을 통해 동시 신장을 꾀하였다. 수술 기법 및 평가 기법에 대하여 논의하였다.

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