• Title/Summary/Keyword: 관절 간격

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Treatment of Acromioclavicular Dislocation by Modified Phemister Operation Augmented with Coracoclavicular Sling (오구 쇄골간 슬링으로 보강된 변형 Phemister 술식을 이용한 견봉 쇄골 관절 탈구의 치료)

  • Kim, Deok-Weon;Kim, Sung-Tae
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.188-193
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    • 2010
  • Purpose: The purpose of this study was to evaluate the clinical and radiological results of a modified Phemister method reinforcing the 4 strands of an Ethibond sling for acromioclavicular joint dislocation. Materials and Methods: Between September 1999 and May 2007, 30 acromioclavicular joint dislocation cases underwent a modified Phemister method reinforcing the 4 strands of an Ethibond sling. The average follow-up period was 28.2 months (range: 24~33 months). Clinical outcomes were evaluated using the Weitzman classification; the state of coracoclavicular space reduction was done using radiologic findings. Results: According to the Weitzman classification, there were 24 excellent, 4 good and 2 fair case outcomes. The average coracoclavicular distance improved from 16.9 mm to 7.3 mm immediately after surgery. The average ratio of coracoclavicular distance comparing to the contralateral side at the final follow-up was 1.24 (range: 0.68~1.71). Complications included retraction of K-wires in 5 cases and restriction of joint motion in 4 cases. Conclusion: The modified Phemister operation using augmentation of the coracoclavicular ligament by 4 strands of Ethibond is an effective treatment modality in acromioclavicular joint dislocation.

Ultrasonographic Measurement of Articular Cartilage Thickness of Medial Femoral Condyle in Knee Osteoarthritis (슬관절 골관절염에서 초음파를 이용한 대퇴 내과 관절 연골의 두께 측정)

  • Kim, Jung-Man;Kim, Tae-Hyung;Im, Dong-Sun;Kang, Min-Gu;Lee, Kyu-Jo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.1
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    • pp.7-14
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    • 2011
  • Purpose: The purpose of this study was to analyze the correlation between the medial joint space on weight bearing simple X-ray and the ultrasonographic articular cartilage thickness. Materials and Methods: The articular cartilage thickness of 91 osteoarthritic knees of 73 patients were measured with weight bearing simple X-ray and ultrasonography between June 2010 and September 2010. Male were 13 and female were 60. Right knees were 35, left knees were 20 and bilateral involvements were 18. Medial joint spaces on X-ray were measured in full extension view and $45^{\circ}$ PA(Rosenberg) view. Femoral cartilage thicknesses at and those at the point between the middle 1/3 and posterior 1/3 area were measured by ultrasonography, that were scanned coronally at $30^{\circ}$ flexion and $130^{\circ}$ flexion respectively. The results were analyzed statistically by Pearson correlation test and Bland-Altman plot test. Results: Medial joint spaces measured in full extension view and femoral articular cartilage thicknesses at the point between the anterior 1/3 and middle 1/3 area measured with sonography were statistically correlated and medial joint spaces measured in $45^{\circ}$ PA view and those at the point between the middle 1/3 and posterior 1/3 area measured with sonography were also correlated (P<0.05, $SD{\pm}2$). Conclusion: The measurement of articular cartilage thicknesses by the ultrasonography was easy even in the patient who are unable to take weight bearing view and was thought to be a useful diagnostic and follow up method to examine the degenerative change in addition to simple radiographic examination in the knee osteoarthritis.

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Arthroscopic Rotator Cuff Repair by Single Row Technique (회전근 개 파열에 대한 관절경적 봉합술 중 일열 봉합술의 유용성)

  • Yum, Jae-Kwang
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.77-81
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    • 2008
  • The goal of rotator cuff repairs is to achieve high initial fixation strength, minimize gap formation, maintain mechanical stability under cyclic loading and optimize the biology of the tendon-bone interface until the cuff heals biologically to the bone. Single row repairs are least successful in restoring the footprint of the rotator cuff and are most susceptible to gap formation. Double row repairs have an improved load to failure and minimal gap formation. Transosseous equivalent repairs (suture bridge technique) have the highest ultimate load and resistance to shear and rotational forces and the lowest gap formation. Even though the superior advantages of double row and transosseous equivalent repairs, those techniques take longer surgical time and are more expensive than single row repairs. Therefore single row repairs can be useful in bursal side partial thickness or small size full thickess rotator cuff tear.

The Evaluation of Usefulness New Assistant Device to Observe Posterior Cruciate Ligament Rupture and Patellofemoral Joint Injury in Emergency Patient (응급환자에서 후방십자인대 손상 및 슬대퇴 관절을 관찰하기 위한 보조기구 제작 및 유용성 평가)

  • Seo, Sun-Youl;Han, Man-Seok;Jeon, Min-Chul;Yu, Se-Jong;Kim, Yong-Kyun
    • Journal of radiological science and technology
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    • v.33 no.2
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    • pp.93-96
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    • 2010
  • This study evaluates usefulness of the developed assistant device by taking projection of patellofemoral joint in emergency patients who were doubt posterior cruciate ligament injury in knee joint. The subjects of experiment were patients who visited Eul-Ji University Hospital due to knee injury from January 2006 to December 2006. Seventeen patients, who took the Knee post stress view, Knee merchant view, Knee Seo's view to use assistant device and Knee MRI. To make assistant device of $170{\times}50{\times}70\;cm$, we evaluated its usefulness by measuring posterior dislocation of tibia. Seo's view is more accurate to make judgment of posterior cruciate ligament injury than original knee post stress view. Interval difference of posterior dislocation of original knee post stress view is $6.17{\pm}3.04$ and Seo's view is $8.74{\pm}4.47$. The results show injury of patellofemoral joint, vertical fracture of patella and posterior cruciate ligament injury by taking a projection using Seo's view. Therefore, it is useful to take projection earlier than talometer and MRI in emergency patients who were doubt posterior cruciate ligament injury in knee joint.

Tuberoplasty for Irreparable Massive Rotator Cuff Tears (봉합할 수 없는 광범위 회전근 개 파열에 대한 결절 성형술)

  • Yi, Jin-Woong;Cho, Nam-Su;Cho, Seung-Hyun;Cho, Hyung-Jun;Rhee, Yong-Girl
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.7-13
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    • 2009
  • Purpose: To evaluate the clinical and radiological results of arthroscopic tuberoplasty for irreparable massive rotator cuff tears. Materials and Methods: Eleven patients underwent arthroscopic tuberoplasty for irreparable massive rotator cuff tears between December 2004 and April 2007. The mean follow-up period was 17.3 months, and the average age at the time of surgery was 61.7-year-old. Five cases underwent arthroscopic tuberoplasty and 6 cases had arthroscopic subacromial decompression and tuberoplasty, simultaneously. Results: The average Constant score improved from 61.8 to 86.9 and the average UCLA score changed from 14.8 to 31.8 with 6 excellent, 3 good and 2 poor results (p=0.003). The active forward flexion improved from $111.8^{\circ}$ to $154.1^{\circ}$(p=0.011). The acromiohumeral interval increased from 3.94 mm preoperatively to 4.22 mm postoperatively (p=0.12). In the poor UCLA score group, the acromiohumeral interval changed from 1.67 mm preoperatively to 0.94 mm postoperatively. Conclusion: Arthroscopic tuberoplasty may be a second option to relieve the pain of irreparable massive rotator cuff tears and improve the range of motion. However, good results could not be expected if the acromiohumeral interval is < 2 mm preoperatively and decreased postoperatively.

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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Medial Meniscus Posterior Horn Root Tear in Adolescent during Sport Activity - A Case Report - (스포츠 운동중 청소년에서 발생한 내측 반월상 연골의 뿌리 파열 - 1예 보고-)

  • Cho, Jin-Ho
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.71-75
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    • 2013
  • Root tear of the posterior horn of the medial meniscus can occur from trauma or chronic degeneration, leading to meniscus extrusion, articular cartilage loss, osteophyte formation, and medial joint space narrowing. It is common on middle age with or without minor trauma. We experienced a case of medial meniscus posterior horn root tear in 13 years old boy during baseball game. We performed 1 direct suture anchor repair for medial meniscus posterior horn root tear in adolescent and report clinical result.

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견봉쇄골 관절 탈구의 수술적 치료

  • 이광원;송대화;최원식
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 1998.03a
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    • pp.33-33
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    • 1998
  • 저자들은 1990년 1월부터 1997년 1월까지 을지의과대학병원 정형외과에서 제3형 급성 견봉쇄골 관절 탈구로 진단받고 Phemister 방법, Bosworth 방법, Weaver and Dunn 방법등으로 수술 받은 70례의 환자에 대하여 이중 1년 이상 추시 가능하였던 60례를 대상으로 하여 임상적 및 방사선학적 분석을 시행하여 다음과 같은 결과를 얻었다. 수상후 평균 오구쇄골간격은 건측과 비교시 평균 7.1mm의 차이를 보였는데 수술 방법에 상관없이 추시시에는 평균 2mm의 차이를 보였다. 임상적 평가에서는 우수 23례$(38\%)$, 양호 31례$(52\%)$, 보통이 6례$(10\%)$를 보여 대부분 좋은 결과를 얻어 오구쇄골 간격 증가가 임상적 결과와 반드시 일치하지는 않는 결과를 가져왔다

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Stabilized 3D Pose Estimation of 3D Volumetric Sequence Using 360° Multi-view Projection (360° 다시점 투영을 이용한 3D 볼류메트릭 시퀀스의 안정적인 3차원 자세 추정)

  • Lee, Sol;Seo, Young-ho
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.76-77
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    • 2022
  • In this paper, we propose a method to stabilize the 3D pose estimation result of a 3D volumetric data sequence by matching the pose estimation results from multi-view. Draw a circle centered on the volumetric model and project the model from the viewpoint at regular intervals. After performing Openpose 2D pose estimation on the projected 2D image, the 2D joint is matched to localize the 3D joint position. The tremor of 3D joints sequence according to the angular spacing was quantified and expressed in graphs, and the minimum conditions for stable results are suggested.

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