• Title/Summary/Keyword: 관절강

Search Result 337, Processing Time 0.025 seconds

Magnetic resonance imaging-based temporomandibular joint space evaluation in tempormandibular disorders (측두하악관절증에서 자기공명영상을 이용한 측두하악관절의 관절강 평가)

  • Nah, Kyung-Soo
    • Imaging Science in Dentistry
    • /
    • v.37 no.1
    • /
    • pp.15-18
    • /
    • 2007
  • Purpose : Disc and condylar position were observed on MRIs of temporomandibular joint disorder patients and condylar position agreement between MRI and tranascranal radiography was evaluated. Materials and Methods MRI and transcranial radiographs of both TM joints from 67 patients with temporemandibular disorder were used. On MRI, the position and shape of disc and condylar position as anterior, middle, posterior was evaluated at medial, center, and lateral views. On transcranial radiographs, condylar position was evaluated using the shortest distance from condyle to fossa in anterior, superior, and posterior directions. Results. 1. On MRI, 96 joints (71.6%) of 134 had anterior disc dispalcement with reduction and 38 joints (28.4%) without reduction. 2. Fourteen (14.6%) of 96 reducible joints showed anterior condylar position, 19 (19.8%) showed central position, 63 joints (65.6%) showed posterior position. Two joints (5.3%) of 38 non-reducible joints showed anterior condylar position, while 9 (23.7%) showed central position, and 27 (71.1%)-posterior position. 3. In 85 joints (63.4%) of 134, the transcranial condylar position agreed with that of the central MRI view, 10 joints (7.5%) with that of medial, 16 joints (11.9%) with that of lateral, and 23 joints (17.2%) disagreed with that of MRI. Conclusion : On MRT, most oi the reducible and non-reducible joints showed posterior condylar position. Transcranial radiographs taken with machine designed for TMJ had better agreement of condylar position with that of MRI. Extremely narrow joint spaces or very posterior condylar positions observed on transcranial radiographs had a little more than fifty percent agreement with those of MRIs.

  • PDF

Giant Synovial Chondromatosis of the Knee Mimicking a Parosteal Osteosarcoma: A Case Report (방골성 골육종과 유사한 슬관절의 거대 활막 연골증식증)

  • Kang, Chang-Ho;Park, Jong-Hoon;Lee, Dae-Hee;Kim, Chul-Hwan;Park, Jeong-Mi;Lee, Won-Seok
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.16 no.2
    • /
    • pp.95-98
    • /
    • 2010
  • Synovial chondromatosis is a benign nodular cartilaginous proliferation arising in the synovium of joints. The radiolographic features of this condition are variable. Rarely, it would be confused with malignancy such as chondrosarcoma, osteosarcoma or synovial sarcoma. We report a case of primary synovial chondromatosis of the posterior aspect of the proximal tibia mimicking a parosteal osteoarcoma on the radiography, which showed a homogeneously radiopaque juxtacortical mass. However, subsequent computed tomography (CT) showed multiple intra-articular masses containing chondroid mineralization, suggesting synovial chondromatosis.

Treatment of Distal Clavicular Fracture by Reconstruction Plate and Wire Fixation (쇄골 원위부 골절에 대한 재건 금속판과 강선 고정술을 이용한 치료)

  • Suh, Mu-Sam;Kim, Sang-Hyo;Park, Hyeong-Taek
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.5 no.1
    • /
    • pp.58-62
    • /
    • 2006
  • Purpose: To evaluate the result of operative treatment with plate and wire fixation for fractures of the distal clavicle. Materials and Methods: We assessed 9 cases of fractures of the distal clavicle that were treated by plate and wire fixation from March 2001 to July 2003 and followed up over 1year. We used the reconstruction plate as a buttress and performed cerclage wiring to fix comminuted fracture site. The functional result of shoulder was evaluated by the scoring system of Rowe. Results: The average periods of bony union was 9 weeks in all cases. According to Rowe scoring system, the functional result was exellent in 7 cases and good in 2 cases. There was no LOM of shoulder and traumatic arthritis in AC joint. But there was skin irritation in 1 case. Conclusion : The operative method by reconstruction plate and wire fixation for distal clavicular fracture was useful when there were comminuted fracture. This method seems to be simple and satisfactory in terms of improvement of range of motion of shoulder, restoration of function and rare complication.

  • PDF

Coexistence of Osteochondroma around the Knee and Internal Derangement of Knee (슬관절 주위 골연골종과 슬내장의 동반 발생)

  • Kang, Yong-Koo;Song, Joo-Hyoun;Lee, Han-Yong;Ra, Ki-Hang
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.11 no.2
    • /
    • pp.155-159
    • /
    • 2005
  • Purpose: To find out the pathologic symptoms, and the incidence and clinical significance of the coexistence of internal derangement of knee(IDOK) in osteochondroma around the knee. Materials and Methods: We retrospectively reviewed forty-five patients under 20 years of age treated with the excision of the osteochondroma around the knee between 1995 and 2004. We analyzed age, gender, past history, family history, solitary or multiple osteochondroma, presenting pathologic symptoms, and causes of IDOK. Results: IDOK was confirmed in nine(20%) among the 45 cases. There were four cases of multiple osteochondromatosis, and IDOK was coexisted in one case among them. The most common presenting pathologic symptoms were painless mass of 38 cases, however 9 cases among them had joint pain for IDOK. There were 7 cases of meniscal tears and 2 of pathologic plica. Discoid meniscus was found in 4 cases among the 7 cases of meniscal tears. Conclusion: Coexistence of osteochondroma around knee and IDOK in this study probably represents a coincidence rather than a real association. However the incidence might be not low, special study and close observation should be done.

  • PDF

The Study about Internal Reliability and Correlation among Assessment Instruments of Knee OA (퇴행성 슬관절염 환자 평가 설문도구의 내적 신뢰도, 상관성에 관한 연구)

  • Ryu, Seong-ryong;An, Kyung-eh;Seo, Byung-kwan;Kang, Jung-won;Lee, Sang-hoon;Lee, Jae-dong;Choi, Do-young;Kim, Keon-sik;Lee, Doo-ik;Lee, Yun-ho
    • Journal of Acupuncture Research
    • /
    • v.22 no.3
    • /
    • pp.271-280
    • /
    • 2005
  • Objective : The aim of this study is to evaluate internal reliability and correlation among assessment instruments of knee OA. Methods : Data were obtained from 85 patients with knee OA. They were asked to answer VAS pain scale, two disease-specific questionnaires (WOMAC and LFI) and one instrument about health-related quality(KHAQ). Reliability was assessed using cronbach`s alpha. Correlation was assessed by examining the pearson`s correlation coefficients. Results : Cronbach`s alpha of all Index except WOMAC stiffness subscale.(6679) exceeded the value of 0.70. A good correlation was obtained between WOMAC Subscales (especially Pain Subscale) and LFI (.726

  • PDF

Avascular Necrosis of Femoral Head on Bone Scan (대퇴골두 무혈성 괴사의 뼈스캔상의 병기)

  • Yang, Hyung-In;Kim, Eui-Jong;Kim, Deog-Yoon;Ryu, Kyung-Nam;Cho, Kyung-Sam
    • The Korean Journal of Nuclear Medicine
    • /
    • v.28 no.2
    • /
    • pp.206-213
    • /
    • 1994
  • We studied 90 patients(179 femoral heads) with avascular necrosis of femoral head, who had been performed X-ray, bone scan and MRI to compare of the findings of AVN on bone scan between each other, retrospectively. The patients were 82 males and 9 females, their mean age was 45 years. Radiographic stages were classified by Steinberg modification, radionuclide stages were classified as followed; stage o(or type 0) : normal, stage 1 : faint ring like uptake around the femoral head, stage 2: intense ring like uptake, stage 3: irregular increased uptake with central photon defect, stage 4 : Intense diffuse increased uptake at femoral head and stage 5 : hip joint deformity with relatively mild increased uptake. The findings of MRI were classified according to extent, location, early or advanced lesion, signal intensity of the lesion and joint effusion. 156(87%) of 179 femoral heads had avascular necrosis, 68(75.5%) of 90 patients had bilateral AVN, 35 femoral heads had early stage and 120 had advanced stage. The detection rate of AVN by X-ray and bone scan were 85% (134), 91.6% (143), respectively. Early AVN with atypical types of bone scan showed larger extent, moderate to large amount of joint effusion, soft tissue hypertrophy within joint, and secondary degenerative changes. Bone scan had relatively high detection rate in the diagnosis of AVN of femoral head, and demonstrated various types depending on the disease stage.

  • PDF

인터넷(internet)을 이용한 인간공학적 작업장 평가 프로그램의 개발

  • 홍창우;김유창;김창제
    • Proceedings of the Korean Institute of Industrial Safety Conference
    • /
    • 2002.05a
    • /
    • pp.307-312
    • /
    • 2002
  • 새로운 산업 구조와 변화된 사회 환경으로 인해 우리나라에서 최근 급증하고 있는 직업병 중의 하나가 직업 성 근골격계질환(Work-related Musculoskeletal Disorders, WMSDs)이다. 이 질환은 특정한 신체 부위의 반복 작업과 불편하고 부자연스러운 작업 자세, 강한 노동 강도, 과도한 힘, 불충분한 휴식, 추운 작업 환경, 진통 등이 원인이 되어 목, 어깨, 팔꿈치, 손목, 손가락, 허리, 다리 등 주로 관절 부위를 중심으로 근육과 혈관, 신경 등에 미세한 손상이 생겨 결국 통증과 감각 이상을 호소하는 근골격계질환의 만성적인 건강장해다.(중략)

  • PDF

Boe Recent Progress in Prosthodonitics (치과보철분야의 최근동향)

  • Kim, Gwang-Nam
    • The Journal of the Korean dental association
    • /
    • v.21 no.3 s.166
    • /
    • pp.195-198
    • /
    • 1983
  • 저작, 발음, 미관등 3대기능회복에 주안점을 두어왔던 치과보철학은 근년에 와서 l아 및 그 주위조직, 악골 및 악관절, 저작근육들과 그들을 지배하는 신경계통등 구강악계(stomatognathic system)의 total treatment로 더욱 발전되어 가고 있다. 구강악계를 구성하는 조직들은 각기 독립적으로 저작, 발음, 연하등 그 기능적 행위에 참여하는 것이 아니라 서로 긴밀한 협조와 조화에 의하여 이루어 지기 때문에 어떠한 조직의 잘못된 치료는 한 개의 기능적 단위인 구강악계전체에 영향을 미치게된다. 그러므로 치과수복 치료에 있어서 단순한 인레이로 부터 전구강회복에 이르기까지 이들 보철물들은 기능운동시 다른 조직들과 잘 조화되어야 된다는 것은 당연한 사실이다.

  • PDF