• Title/Summary/Keyword: 관절염 환자

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Clinical Utility of Bone Scan in the Diagnosis of Temporomandibular Disorders (측두하악장애의 진단에서 Bone Scan의 유용성)

  • Kim, In-Joo;Kang, Yang-Ho;Son, Seok-Man;Lee, Kyoung-Seog;Lee, Jae-Bok;Kim, Yong-Ki;Seo, Bong-Jik;Park, June-Sang;Ko, Myung-Yun;Son, Seong-Pyo
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.4
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    • pp.511-517
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    • 1995

  • Bone scan is a very sensitive diagnostic imaging test for detecting bone and joint disorders. So it might be useful in the diagnosis of temporomandibular disorders of the joint origin. Thus, the effectiveness of bone scan for detecting temporomandibular joint(TMJ) diseases and differentiating the TMJ disc displacement from the TMJ arthritis was evaluated. Bone scan was done in 21 patients with TMJ disc displacement(13 unilaterally affected, 8 bilaterally affected), 25 patients with TMJ arthritis(23 unilateral, 3 bilateral), and 39 volunteers with no signs, symtoms, or history of TMJ disease. TMJ simple uptake rate(SUR) and difference of both TMJ SUR were calculated from the 100,000 count lateral image of head and neck region in 99mTc MDP bone scan. Transcranial and panorama X-ray examination was also done in all patients. TMJ SUR(%) were $1.673{\pm}0.606$ in TMJs affected with arthritis, $1350{\pm}0.351$ in TMJs affected with disc displacement, and $1.084{\pm}0.172$ in TMJs of controls. Significant differences were demonstrated among them(p<0.01) Difference of bith TMJ SUR was highest in patients with unilateral TMJ arthritis($0.608{\pm}$0.533, p<001), and there is no significant difference between that of controls and that of unilateral TMJ dist displacement patients($0.062{\pm}0.063$ vs $0.122{\pm}0.100$). TMJ SUR of Joint with bone change on X-ray finding was not significantly different from that of joint with normal X-ray finding. Those in patients with unilateral TMJ disc displacement(696% and 87% vs 23.1% and 23%). The proportions of patients with increased TMJ SUR and difference of both TMJ SUR(>mean+2SD of controls) in unilateral TMJ arthritis patients were significantly higher than those in patients with unilateral TMJ disc displacement(69.6% and 87% vs 23.1% and 23%). Conclusively, bone scan nay help to detect TMJ disease and differentiate TMJ disc displacement from TMJ arthritis.

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The impact of joint mobilization with an elastic taping on immediate standing balance in patients with knee osteoarthritis. (무릎 관절염 환자에 대한 관절가동술과 탄력 테이핑 융복합 적용이 즉각적인 기립 균형에 미치는 영향)

  • Park, Shin-Jun;Kim, Dong-Dae
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.295-304
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    • 2017

  • The purpose of this study was to identify the immediate effect of the joint mobilization with an elastic taping on standing balance in patients with knee osteoarthritis. Thirty patients with knee osteoarthritis were randomly divided into three groups: a taping group, a joint mobilization group, and a joint mobilization with taping group. A foot pressure platform (Zebris) was used to evaluate standing balance ability, and the sway area, path length and average velocity were measured during eyes open condition and eyes closed condition. All the groups showed a significant improvement in the sway area during eyes closed condition after intervention, and the joint mobilization with taping group revealed significant improvements in the path length and average velocity. There was no significant difference in the standing balance ability among all the groups. Both the joint mobilization and taping method were effective methods for standing balance during eyes closed condition, and it has been found that the convergence of the two interventions had an effect on diverse balance variables. Thus, it is recommended to apply the convergence of the two interventions for patients with knee osteoarthritis.

  • https://doi.org/10.15207/JKCS.2017.8.7.295 인용 PDF KSCI

Pyogenic Arthritis of the Shoulder in Patient with Infective Endocarditis -A Case Report- (감염성 심내막염 환자에서 동반된 화농성 견관절염 - 증례보고 -)

  • Shin, Dong-Ju;Kwon, Ki-Tae;Huh, Dong-Myeong;Kim, Ji-Hwan;Park, Jae-Young;Lee, Chung-Yeol
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.106-110
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    • 2010

  • Purpose: We report a case of pyogenic arthritis of the shoulder secondary to infective endocarditis. Materials and Methods: A 70 year-old male who had suffered from pyogenic arthritis of the left shoulder secondary to infective endocarditis was treated with artificial valvuloplasty, arthroscopic synovectomy and drainage. Results: Infection was cured and the patient achieved a good functional outcome. Conclusion: Pyogenic arthritis of the shoulder is rarely associated with infective endocarditis. However, if the symptoms are misdiagnosed as musculoskeletal symptoms associated with infective endocarditis, serious complications may arise. As such, musculoskeletal symptoms associated with infective endocarditis should be paid careful attention.

  • https://doi.org/10.5397/CiSE.2010.13.1.106 인용 PDF KSCI