• Title/Summary/Keyword: 근손상

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Injury of the Medial Rectus Muscle by Using a Microdebrider During Endoscopic Sinus Surgery: A Case Report

  • Choi, Yoon-Seok;Bai, Chang-Hoon;Song, Si-Youn;Kim, Yong-Dae
    • Journal of Yeungnam Medical Science
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    • v.23 no.2
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    • pp.240-246
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    • 2006
  • A microdebrider is increasingly used in endoscopic sinus surgery. Although it has many advantages over conventional instruments, it has been associated with severe complications. We treated a case of rupture of the left medial rectus muscle after use of a microdebrider during endoscopic sinus surgery in a 50 year-old female patient who complained of binocular diplopia and exotropia. The patient showed marked limitation on adduction and about 40 prism diopters of left exodeviation. The orbital computed tomography showed a bony defect at the left medial orbital wall, and injury of the medial rectus muscle. The exodeviation was corrected after ophthalmologic surgery. We report a case of the rupture of the medial rectus muscle after use of a microdebrider during endoscopic sinus surgery and review the medical literature.

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Management of Biceps and Labral Disorders (이두 근 및 관절순 손상의 치료)

  • Choi, Chang-Hyuk
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.110-116
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    • 2006
  • Lesion of the superior glenoid labrum and the insertion of the biceps tendon are a common cause for shoulder pain in patients performing overhead sports. Medial shearing stress during overhead throwing may cause biceps instability and associated rotator cuff problem aggravates the symptoms. Careful attention to the history and physical examination and may arouse suspicion of injury to the biceps tendon and the superior labral complex. Progress in shoulder arthroscopy has led to the identification of the lesion and normal variation. Treatment should be directed according to the type of lesion and related symptoms.

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Ankle Taping and Vertical Drop Landing (발목관절의 테이핑과 수직 착지동작)

  • Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.8 no.4
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    • pp.17-29
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    • 2001
  • 발목에 대한 유착성 테이핑의 적용은 물리치료 분야와 운동 트레이닝 분야에서의 일반적인 치료 접근 방법이라 할 수 있다. 즉 발목 염좌 같은 손상을 예방하기 위한 방법과 재활의 부가적인 치료 형태로 이용될 수 있는 것이다. 본 연구는 발목의 테이핑과 트레드밀에서의 30분간 보행이 수직 착지 동작 동안 하지의 운동 역학적 요소들에 어떠한 영향을 주는지 알아보기 위해 시행되었다. 14명의 신체 건강한 대상자들 (남:10, 여:4)이 본 연구에 참여하였다. 한발로 서있는 동안 40 cm의 높이로 뛰게 하였다. 가자미근, 전경골근, 안쪽넓은근, 넙다리 두갈래근에 근전도 전극이 부착되었다. 테이핑된 신체 부위로 착지하는 동안 근전도와 힘판(force plate) 자료가 500 Hz의 주파수로 수집되었다. 대상자들의 우세쪽 하지 발목에 테이핑을 하였고, 대상자는 한발로 뛰어 내리는 동작을 반복하였다. 트레드밀에서 30분 동안 발목에 테이핑을 한 채로 보행하였고 이후 한발로 뛰어 내리는 동작을 반복하여 수행하였다. 테이핑을 적용한 상태와 테이핑한 채로 30분 동안 트레드밀에서 걷기 운동을 한 조건에서 수직 지면 반발력의 통계학적으로 유의미한 증가가 있었다. 착지 동안에 네 가지 상황에서의 최대 내측 가속도의 유의한 차이가 있었고, 그 차이는 테이핑 전과 테이핑을 한 채로의 운동 조건에서 유의한 차이가 있었다. 테이핑한 상태에서 가자미근은 접촉되는 착지 순간부터 최대 수직 지면 반발력이 나타나는 동안의 평균 근전도의 수치에 있어서 유의한 감소가 있었다. 반면에 다른 근육들에서는 아무런 변화를 보이지 않았다. 비록 발목 테이핑이 발목 손상의 위험을 줄이는데 효과적이라고 일반적으로 인식되고 있으나 이번 실험의 결과는 30분 동안의 트레드밀에서의 보행 후 테이핑은 발목의 움직임을 제한하는 효과는 있지만 한편으로는 가자미근의 활동을 감소시키는 것을 보여주었다. 따라서 이 연구의 결과는 테이핑을 하면 점프와 착지로 이어지는 동작 중에 발목관절 손상 위험을 증가시킬 가능성이 있음을 보여주었다.

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Rhabdomyosarcoma Following Traumatic Injury (외상 후 발생한 횡문근육종)

  • Kwon, Dae Gyu;Park, Sung Jun;Yoon, Young Hoon;Lee, Tong Joo
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.271-275
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    • 2020
  • Trauma is frequently implicated in the development of sarcomas, including rhabdomyosarcoma. Rare soft tissue sarcomas have been reported to arise in scar tissue following surgical procedures or thermal or acid burns, at fracture sites, and in the vicinity of plastic or metal implants, usually after a latent period of several years. The authors encountered a case of a rhabdomyosarcoma arising from the forearm crushed by a conveyor belt 11 years ago. Several possible etiological factors for sarcoma development were identified in this patient, including tissue damage and inflammation, as well as the presence of metal implants and the limb's exposure to radiation during multiple imaging tests. After severe soft tissue damage, the occurrence of a sarcoma should be considered and more attention should be paid to the causative factors for sarcoma.

연구실 탐방 - 전북대 심장근재생연구단, 새로운 혈관조성 심장병 치료 연구

  • Korean Federation of Science and Technology Societies
    • The Science & Technology
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    • v.33 no.8 s.375
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    • pp.24-25
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    • 2000
  • 심장병 관상동맥이 막히거나 경화돼 일어나는 허혈성 심장병이 대부분으로 이 허혈성 심장병은 최근 10년 사이 10배로 늘어나 완치가 어려운 병으로 알려졌다. 심장근이 손상되면 다시 회복되거나 분열 재생되지 않기 때문이다. 그래서 최근에는 새로운 혈관을 조성해 치료를 시도하고 있는데 이런 연구를 담당한 곳이 바로 전북대 내에 자리한 심장근재생연구단이다. 이 연구단은 97년 과학기술부 지원 창의적 연구진흥사업으로 설립되어 박사후 연구원 3명을 비롯해 연구자 10여명이 새로운 치료법을 개발해 몰두하고 있다.

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Seismic Capacity Evaluation of Existing Structures Incorporating Damage Assessment (구조손상을 고려한 기설구조물의 내진성능평가)

  • Song, Jong Keol;Yi, Jin Hak;Lee, Dong Guen
    • Journal of Korean Society of Steel Construction
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    • v.16 no.5 s.72
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    • pp.543-553
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    • 2004
  • This paper covered two related subjects: the use of the inverse modal perturbation technique to assess structural damage in existing structures; and the use of a seismic capacity evaluation to assess damaged structures, with the aid of the identified structural damage. The substructural identification and the Tikhonov regularization algorithm were incorporated for efficient damage assessment of complex and large frame structures. The seismic capacity of a damaged structure was evaluated by comparing the structure's seismic responses and seismic damage indices. The effectiveness of the proposed method has been investigated through the numerical simulation study for a twenty-story frame structure with undamaged and damaged cases, and also different earthquake excitations.

Musculoskeletal Injuries by Weapons in Korean Soldiers: Four-Year Follow-Up (총기 및 폭발물에 의한 군인의 근골격계 손상: 최근 4년간 분석)

  • Yang, Hanbual;Hwang, Il-Ung;Song, Daeguen;Moon, Gi Ho;Lee, Na Rae;Kim, Kyoung-Nam
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.234-244
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    • 2021
  • Purpose: To date, studies of firearm and explosive injuries in the Korean military have been limited compared to its importance. To overcome this, this study examined the characteristics of musculoskeletal damages in soldiers who have suffered firearm and explosive injuries over the past four years. Materials and Methods: From January 2015 to July 2019, military forces who had suffered musculoskeletal injuries from firearms or explosive substances were included. The medical records and radiographs were reviewed retrospectively, and telephone surveys about Short Musculoskeletal Functional Assessment (SMFA) for this group were conducted. To compare the functional outcomes, statistical analysis was performed using a t-test for the types of weapons, and ANOVA for others. Results: Of the 61 patients treated for firearms and explosives injuries, 30 patients (49.2%) were included after undergoing orthopedic treatment due to musculoskeletal injury. The average age at injury was 26.4 years old (21-52 years old). The number of officers and soldiers was similar. Eleven were injured by gunshot and 19 by an explosive device. Sixteen were treated in the Armed Forces Capital Hospital and 10 at private hospitals. More than half of the 16 patients (53.3%) with a fracture had multiple fractures. The most common injury site was the hand (33.3%), followed by the lower leg (30.0%). There were 14 patients (46.7%) with Gustilo-Anderson classification 3B or higher who required a soft tissue reconstruction. Fifteen patients agreed to join the SMFA survey for the functional outcomes. Between officers and soldiers, officers had better scores in the Bother Index compared to soldiers (p=0.0045). Patients treated in the Armed Forces Capital Hospital had better scores in both the Dysfunction and Bother Index compared to private hospitals (p=0.0008, p=0.0149). Conclusion: This is the first study to analyze of weapons injuries in the Korean military. As a result of the study, the orthopedic burden was high in the treating patients with military weapon injuries. In addition, it is necessary to build a military trauma registry, including firearm and explosive injuries, for trauma treatment evaluation and development of military trauma system.

The Effects of Exercise Type in Elderly Women on the Muscle Damaged and Blood lipid (운동 유형이 노인 여성의 근손상 지표 및 혈중지질에 미치는 영향)

  • Shin, Won-Tae;Lee, Jung-Won
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.509-516
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    • 2020
  • The purpose of this study was to examine the effects of a 12-week Resistance exercise Type on Muscle Damaged and Blood Lipid in elderly Women. Study shows researchers randomly divided thirty elderly women into the following 3 Groups such as Control group(CG: n=10), Aquatic Exercise Group(AEG: n=10), circuit exercise group(CEG: n=10). They made each group excercise 3 days a week for 12 weeks. The results were as follows. There was no interaction effect in the TC, LDL-C, HDL-C but there were interaction effects in the Body weight and Body Fat(%). The AEG and CEG decreased than the CG in the Body Weight, Body Fat(%), TC, LDL-C, and increased than the CG in the HDL-C with significant difference. These results were made certain that decreasing the Body Weight and Blood lipid, Increasing the Muscle and HDL-C for elderly women on AEG and CEG. The analysis results of study show the index of TG, CPK, LDH has no significant difference. Besides, It is considerable that the aquatic Exercise and Circuit exercise can prevent and improve the Sarcopenia for elderly women.