• Title/Summary/Keyword: 관절강

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Mucoid Degeneration of Anterior Cruciate Ligament: Correlation between MR Imaging and Pathologic Findings in Patients with Osteoarthritis of the Knee (앞십자 인대의 점액 변성: 슬관절 퇴행성 관절염 환자에서 MRI 소견과 병리소견의 연관)

  • Ryu, Jeong-Ah;Liew, Hyun-Jeong;Kim, Sung-Moon;Shin, Myung-Jin;Shin, Hee-Jung;Cho, Kyung-Ja;Cho, Woo-Shin;Kang, Chang-Ho;Lee, Min-Hee;Kim, Mi-Sung;Park, Noh-Hyuck;Lee, Sang-Hoon
    • Investigative Magnetic Resonance Imaging
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    • v.11 no.1
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    • pp.27-32
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    • 2007
  • Purpose : To evaluate the mucoid degeneration (MD) of the anterior cruciate ligament (ACL) of the knee by correlation of MRI findings with pathology, in the patients with osteoarthritis (OA). Materials and Methods : This study included 17 patients (mean 68.8 years old) who underwent preoperative MRI. In proton density-weighted sagittal and coronal images ACLs were evaluated for the thickness and signal intensity (SI). Total knee replacement arthroplasty was performed and the pathologic findings of ACL were evaluated. MD was classified as 3 grades according to the degenerated amount in microscopy. Thickness and SI was evaluated as normal or increased on MRI. Results : All of the 4 patients who showed thickened ACL showed increased SI on MRI. All of the 8 patients with increased SI of the ACL on MRI had MD in the ACL. However, remained 9 patients also had MD, in spite of their normal thickness and SI on MRI. Calcification was seen in 5 patients. Conclusion : Eight cases who showed ACL thickening or increased SI on MRI were well correlated with MD, however, because the other nine cases who showed normal thickness and normal SI of ACL on MRI also showed MD in pathology, normal MRI finding should not exclude the possibility of MD of ACL.

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Limb Salvage Surgery with Intramedullary Nailing and Cementization for the Bone Tumors of the Proximal Humerus (근위 상완골 골종양에서 골수강내 금속정과 골시멘트를 이용한 사지 구제술)

  • Kim, Han-Soo;Oh, Joo-Han;Nam, Woo-Dong;Rhie, Tae-Yon;Jeong, Jin-Young;Lee, Han-Koo;Lee, Sang-Hoon
    • The Journal of the Korean bone and joint tumor society
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    • v.6 no.2
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    • pp.53-60
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    • 2000
  • Purpose : The purpose of the current study is to evaluate the functional and oncologic results of the limb salvage surgery with intramedullary nailing and cementization in malignant bone tumors of the proximal humerus. Materials and Methods : We reviewed 18 cases of limb salvage surgery of resection and reconstruction with an intramedullary nail and cement-molded humeral head for the malignant bone tumors of the proximal humerus, which performed between August, 1992 through the April, 1998. The diagnoses included the osteosarcoma in 7 patients, chondrosarcoma in 3, the recurrent giant cell tumor in 3, metastatic tumor in 3, multiple myeloma in one patient and the one patient with malignant fibrous histiocytoma. The mean age at the time of surgery was 38 years(range, 15-73 years). The mean follow-up period was 26 months(range, 6-67 months). Results : Average functional score by ISOLS evaluation system was 21.1(70.3%). There were 3 local recurrences and 5 distant metastases. There were one case of shoulder instability and one case of deep infection. The seven patients are continuously disease free state and seven patients are alive with disease. Four patients died from the disease. Conclusion : The limb salvage surgery with intramedullary nailing and cementization in the bone tumors of the proximal humerus may be considered an option for the malignant bone tumors of the proximal humerus in selected patients.

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Influence of Temporo-mandibular Joint Training Using Physical Therapy on the Vowel Acoustic Characteristics (TM Joint의 물리치료를 통한 훈련이 모음의 음향학적 특성에 미치는 영향)

  • Min, Dong-Gi;Lee, Jae-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.5
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    • pp.2203-2208
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    • 2011
  • This study was to examine the change of vowel acoustic characteristics of the temporomandibular joint disorder patients by maintaining normal vocalization pattern of the temporomandibular joint through increasing the range of motion, that was, the oral cavity sonorant cavity of the temporomandibular joint, related to vowel articulation through temporomandibular training using the physical therapy. The subjects of this study were 3 male adults in 20-30s that were diagnosed with temporomandibular joint disorder. As a result of conducting temporomandibular training program using the physical therapy, the $1^{st}$ Formant Frequency(F1), $2^{nd}$ Formant Frequency(F2), and Fundamental Frequency(F0) of the temporomandibular joint disorder patients were increased compared to before and this showed the change of the $1^{st}$ Formant Frequency(F1) related to the open mouth grade of a vowel, as well as the $2^{nd}$ Formant Frequency(F2), and Fundamental Frequency(F0) related to the front-back of a vowel which shows the relationship between the temporomandibular joint, vowels and voice calculation.

Mutual Inhibitory Effects of Electroacupuncture Applied to Combination of ST36 and PC7 in the Rat Model of Arthritis (흰쥐 관절염 모델에서 족삼리와 대릉 배오 전침의 상호억제 효과)

  • Kim, Yeojung;Jung, Yunjung;Lee, Chang-Hyung;Koo, Sungtae
    • Korean Journal of Acupuncture
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    • v.30 no.4
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    • pp.298-304
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    • 2013
  • Objectives : We examined mutual inhibitory effects of combined acupoints in arthritic pain induce by carrageenan(CA). Electroacupuncture(EA) is considered a potentially useful treatment for arthritis. Although the analgesic effect of acupuncture is well documented, little is understood about its biological basis. There are many previous studies of positive effect of combined acupoint, this study was conducted to see the mutual inhibitory effects produced by combined acupoint(ST36 and PC7) on arthritic rats. Methods : For the induction of inflammatory pain rat model, CA was injected into the knee joint cavity. There are four groups; EA was applied to bilateral PC7 acupoints(PC7 group), ST36 acupoints(ST36 group), and both PC7 and ST36 acupoints(ST36+PC7 group) except for the control group. The pain level were assessed to determine the change in weight bearing force. We also examined the COX-2 expression in dorsal horn using immunohistochemistry and western blot analysis. Results : The ST36+PC7 group data showed the significant reduction of weight bearing force and the induction of COX-2 protein expression compared with the ST36 group. Conclusions : Simultaneous EA applied to the ST36 and PC7 acupoints reduced the analgesic effect of the ST36 group on knee inflammatory pain.

ACL Reconstruction with Remnant Preserving Technique - Technical Note - (잔류조직 보존 술기를 이용한 전방 십자 인대 재건술 - 수술 술기 -)

  • Cho, Sung-Do;Youm, Yoon-Seok;Jeong, Ji-Young;Jeon, Hyung-Min
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.1
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    • pp.82-85
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    • 2009
  • Purpose: In anterior cruciate ligament (ACL) reconstruction, preservation of the remnant original tissue might promote graft healing and be helpful in proprioception. But this procedure is difficult and causes the notch impingement. So we introduce a surgical technique that makes a transtibial femoral tunnel at 10 or 2 o'clock position with preservation of remnant tissue. Surgical approach: We tried to preserve the remnant tissue and synovium as much as possible, especially those of tibial attachment and extending to the posterior cruciate ligament (PCL), so as to have some tension and to prevent notch impingement. We set the tibial drill guide at 40~45 degrees and the intra-articular guide tip was 1 mm anterior and medial to the conventional site. The starting point of tibial guide pin was proximal to the pes anserinus and anterior to the medial collateral ligament. When the reamer approached the cortical bone of the tibial articular surface, the reamer must be advanced very carefully to minimize injury to the remnant tissue. The tibial and femoral tunnel at 10 or 2 o'clock position were made with the reamer, the diameter of which was same with that of the graft. Conclusion: We report a remnant preserving technique in ACL reconstruction that makes a transtibial femoral tunnel at 10 or 2 o'clock position

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Estimation of Knee Muscle Length and Moment Arm Using Knee Joint Angle (무릎 관절각을 이용한 무릎 근육 길이와 모멘트 암 추정)

  • Lee, Jae-Kang;Nam, Yoon-Su
    • Journal of Industrial Technology
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    • v.28 no.A
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    • pp.167-176
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    • 2008
  • Recently, lots of studies are performed in developing of active orthosis. Exact and simple muscle force estimation is important in developing orthosis which assists muscle force for disabled people or physical laborers. Hill-type muscle model dynamics is common method for estimation of muscle forces. In Hill-type muscle model, we must know muscle length and moment arm which largely affect muscle force. And several methods are proposed to estimate muscle length and moment arm using joint angle. In this study, we compared estimation results of those method with data from body model of opensim to find which method is exact for estimation of muscle length and moment arm.

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Procera System : a Review of Literature (Procera System의 역사적 고찰)

  • Shin, Soo-yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.309-315
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    • 2006
  • The availability of high-technology systems that use computer-aided design(CAD) and computer-aided machining(CAM) is on the increase. One such system is the Procera system, which fabricates an all-ceramic crown composed of a densely sintered, high-purity aluminum oxide coping combined with a compatible veneering porcelain. Strength, precision of fit, esthetics, cementation, and biocompatibility are among the many factors that concern clinicians when fabricating all-ceramic restorations with this system. This paper reviews the long history and background development of technical, laboratory and clinical applications and presents, in summary form, the data from the many studies on the Procera system.

A Study of Acupuncture at the Sea Point in an Ankle Sprain (족관절 염좌에서 합혈(合穴) 자침에 관한 고찰)

  • Kang, Mi Suk
    • Journal of Acupuncture Research
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    • v.32 no.4
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    • pp.103-107
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    • 2015
  • Objectives : This study was performed to understand the meaning of acupuncture at sea point in an sprain in orther to Yin Gi. Methods : We have researched some oriental books and articles about ankle sprains, Kyung Keun, acupuncture and five su point. And we investigated the meaning between the sea point and Yin Gi in acupuncture of an ankle sprain. Results & Conclusions : In other to Yin Gi, using the sea point in an ankle sprain, there are two meanings. One is decreasing pain through regulating UmYang, and the other is regulating the mobility of the ankle joint using Kyung Keun.

A Study on the Adaptive PD Controller for robot manipulator with Elastic Joints (유연성 관절 로보트 매니퓰레이터에 대한 적응 PD 제어기에 관한 연구)

  • Kang, Ji-Won;Kim, Eung-Seok;Yang, Hai-Won
    • Proceedings of the KIEE Conference
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    • 1992.07a
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    • pp.394-396
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    • 1992
  • This note is concerned with the point to point control of manipulators having elastic joints. We present a PD control algorithm which is adaptive with respect to the gravity and elastic parameters of robot manipulators. While the conventional control law is used, a new adaptive law is used to improve the performance. The proposed controller is shown to be stable. It is Shown that steady-state position error converges to zero through some simulations concerning the manipulator with three revolute elastic joints.

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Pharmacologic management for the patient with paresthesia after implant surgery or extraction (임프란트 수술이나 발치 후 지각이상 환자에서의 약물치료)

  • Kim, Seong-Taek;Kim, Il-Young;Gang, Hee-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.109-113
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    • 2003
  • The inferior alveolar nerve provides unilateral innervation to the dentition, labial mucosa and skin from about commissure to the mental protuberance. Injury to this nerve resulting in sensory impairment can be a distressing problem to some patients. The causes of this problem include trauma, extraction, implant surgery and any maxillofacial surgery and generally the altered sensation is temporary. The surgical procedure has been the most common treatment for this condition but it has some complications. The antidepressants and anticonvulsants have been effective to the treatment of trigeminal dysesthesia. This case report suggests that the use of antidepressants and anticonvulsants is an alternative method to treat the paresthesia after implant surgery or extraction.