• Title/Summary/Keyword: 동적 초음파

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Ulnar Nerve Subluxation Diagnosed by Dynamic Ultrasonography (동적 초음파를 이용하여 진단한 주관절 척골 신경 아탈구)

  • Ji, Jong-Hun;Jung, Jae-Jung;Kim, Young-Yul;Kang, Hyun-Taek;Park, Sang-Eun;Kim, Dong-Jin
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.79-83
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    • 2010
  • Musculoskeletal ultrasonography has been used as a convenient and simple tool for diagnosis of various conditions of orthopaedic diseases for many years. Generally magnetic resonance imaging (MRI) is thought to be the best method to search for anatomical structures or variations. However, for dynamic conditions such as dislocation or subluxation of tendons and nerves, MRI is not superior to ultrasonography, especially dynamic ultrasonography. So we present such a patient with an ulnar nerve subluxation at the elbow who has symtoms mimicking cubital tunnel syndrome diagnosed by dynamic ultrasonography and treated successfully by ulnar nerve anterior transposition and think that dynamic ultrasonography is a useful method for diagnosing dynamic condition such as ulnar nerve subluxation mimicking cubital tunnel syndrome.

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Snapping Triceps Syndrome with Dislocation of the Ulnar Nerve - Usefulness of Dynamic Ultrasonography - (척골 신경 탈구와 동반된 발음성 삼두근 증후군 - 동적 초음파 검사의 유용성 -)

  • Jeong, Ung-Gyo;Park, Sang-Won;Song, Dong-Ik;Lee, Sun-Hyeok
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.171-171
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    • 2008
  • 발음성 삼두근 증후군은 주관절을 굴곡하거나 신전할 때 삼두근 말단부 일부와 척골 신경이 내상과 전방으로 탈구되는 드문 질환이다. 이학적 검사 만으로는 다른 질환으로 오진되는 경우가 많아 정확한 진단이 필수적이며 확진을 위하여는 척골 신경 및 삼두근의 비정상적인 움직임을 관찰할 수 있는 영상 검사가 필요하다. 초음파 검사는 자기 공명 영상 촬영 등 다른 검사에 비해 간편하고 효과적으로 연부 조직의 동적 검사를 시행할 수 있는 장점이 있다. 저자들은 발음성 삼두근 증후군 환자를 동적 초음파 검사를 사용하여 진단하고 척골 신경 전방 전위술 및 삼두근 내두의 이전술을 시행하여 치유하였기에 문헌 고찰과 함께 초음파 검사의 유용성을 보고하고자 한다.

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The Estimation of Transient Temperature Distributions in Tumor Model during Ultrasonic Hyperthermia (초음파 Hyperthermia에 의한 종양모델내의 동적 온도분포 추정)

  • 박태연;성굉모
    • The Journal of the Acoustical Society of Korea
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    • v.5 no.4
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    • pp.46-56
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    • 1986
  • Hyperthermia를 사용하여 종양세포를 치료하는데 있어서 시간에 따른 동적 온도분포를 추정하 고 또, 그 온도분포에 관계하는 인자들이 동적 온도특성에 미치는 영향을 살펴보는 것은 실제 치료시에 정확한 온도제어를 위해서 반드시 필요하다. 본 논문에서는 몸속 10cm 깊이에 존재하는 원통형 종양모 델을 설정하고 초음파 동심환 변환기로 열을 집속시켰을 때 동적 온도분포 추정을 위해서 2차원 유한요 소법과 유한차분법을 이용하였다. 결과로서, 동적 온도분포에 가장 큰 영향을 미치는 인자는 혈류량이었 고, 추출된 동적 온도분포 특성값을 가지고 간단한 ON/OFF 온도제어에 적용할 수 있음을 보였다.

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Diagnosis of Partial Thickness Tear of Supraspinatus Tendon Using Dynamic Ultrasonography Under Resisted Scaption Position (저항 Scaption 동적 초음파를 이용한 극상건 부분 파열의 진단)

  • Song, Jae Hwang;Ko, Kwang Pyo;Cha, Hyun Jae
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.426-430
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    • 2020
  • Magnetic resonance imaging and static ultrasound imaging do not indicate some cases of partial thickness tears of the supraspinatus tendon. The authors observed a partial thickness tear of the supraspinatus tendon that was not found using other imaging tools but was observed by resisted scaption in shoulder extension position dynamic ultrasound in several cases. This paper outlines this technique is reported by describing two cases.

Effects of Settings in Dynamic Ranges and Frequency Modes on Ultrasonic Images (초음파 영상에서 동적영역과 주파수 방식의 설정에 따른 효과)

  • Yang, Jeong-Hwa;Kang, Gwan-Suk;Lee, Kyung-Sung;Paeng, Dong-Guk;Choi, Min-Joo
    • Journal of radiological science and technology
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    • v.32 no.3
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    • pp.277-283
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    • 2009
  • It is important to get clinical ultrasonic images of good quality for accurate diagnosis. In this study, it observed the change of ultrasonic images against setting frequency, dynamic range(DR) and type of probes on ultrasonic scanner. In the experiment it evaluated image of LCS (Low Contrast Sensitivity) targets(-15, -6, -3, +3, +6, +15 dB) of a standard ultrasonic test phantoms(539,551, ATS, USA) similar to solid and cystic lesions. Its imaged from convex (C3-7IM) and linear probe (L5-12IM) on SA-9900 (Medison Ltd, Korea) scanner. The images obtained altering the setting parameters which are frequency(gen, pen, res, harmonic) mode and DR($40{\sim}100\;dB$). The quality of images evaluated compare with the nominal LCS value of target and measured LCS value. The results show that there was no significant changing of quality images altering DR 40, 60, 80, 100 dB against frequency in Convex probe but the image being the highest in LCS target at DR 60 dB, harmonic of frequency mode in the -15 dB target close to cystic lesion. In Linear probe, DR 40 dB, harmonic mode at -15 dB LCS target close to nominal value. It discussed necessity of evaluation about ROC(Receiver Operating Characteristic) from the psychological viewpoint and limit of evaluation from quantified images.

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The Diagnostic Value of Dynamic US in the Extensor Tendon Dislocation at the Metacarpophalangeal Joint (중수지 관절부 신전건 탈구에서 실시간 표시 초음파의 진단적 가치)

  • Moon, Eun-Sun;Park, Yong-Cheol;Kim, Myung-Sun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.1-5
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    • 2008
  • Purpose: We studied the diagnostic value of dynamic US in the extensor tendon dislocation at the metacarpophalangeal joint. Materials and Methods: From January 2007 to October, we studied 6 cases that had been diagnosed and followed over 5 months (2-10) in average. US examination using a 10-MHz linear transducer were performed in three cases. The causes of dislocations were traumatic in 5 cases and congenital in one case. Results: In only 3 cases which could not be diagnosed clinically, we performed US. In dynamic US, all three cases showed the extensor tendon dislocation evidently. Operative findings were sagittal band rupture in 4 cases, capsular loosening in one case and sagittal band thinning in one case. Sagittal band repair was performed in 4 cases and capsular augmentation in one case. In case of congenital dislocation showing 4 digital extensor tendon dislocations in right hand, we operated only the second extensor by sagittal band repair with augmentation by looping. At last follow-up, no case showed recurrence or limitation of motion. Conclusion: In case of extensor tendon dislocation without apparent clinical finding, US with dynamic study has so great value that it can detect the dislocation in real time, which is superior to MRI.

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Snapping Triceps Syndrome with Dislocation of the Ulnar Nerve - Usefulness of Dynamic Ultrasonography - (척골 신경 탈구와 동반된 발음성 삼두근 증후군 - 동적 초음파 검사의 유용성 -)

  • Jeong, Woong-Kyo;Park, Sang-Won;Song, Dong-Ik;Lee, Soon-Hyuck
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.27-30
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    • 2008
  • Snapping triceps syndrome is a rare condition in which a distal portion of triceps and ulnar nerve dislocate over the medial epicondyle as the elbow is flexed or extended from flexed position. Because it is frequently misdiagnosed as other elbow pathologies, accurate diagnosis is essential and imaging study is often needed to confirm the abnormal movement of ulnar nerve and triceps. Ultraonography is a convenient and effective method which is able to allow continual visualization of soft tissue movement compared to the other imaging modality including MRI. We reported one patient of snapping triceps syndrome who was diagnosed with the use of dynamic ultrasonography and treated with ulna nerve anterior transposition and repositioning of medial head of triceps. And we also provide the usefulness of musculoskeletal ultrasonography for the diagnosis of snapping triceps syndrome.

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The Use and Findings of Ultrasound in the Elbow Joint (주관절의 초음파 소견 및 이용)

  • Bae, Jung Yun;Lee, Seung-Jun;Lee, Kun Woo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.6 no.2
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    • pp.94-100
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    • 2013
  • Musculoskeletal ultrasound has unique advantages that may be free from exposure to radiation, low price compared to MRI, outpatient procedure that can be easily accessible, and better accuracy combined with physical examination. Dynamic ultrasound performed with stress tests are known to be useful for detecting the hidden lesions in the tendons, ligaments, nerves. Ultrasound in the elbow can be used easily in the outpatient for evaluation of the joint surface and synovial space; diagnosis for tendon diseases such as lateral epicondylitis, medial epicondylitis and morbidity of peripheral nerves; guide for anterior-posterior bursal and intra-articular injections.

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Subluxation of the Long Head Biceps Tendon Diagnosed by Dynamic Ultrasound (동적 초음파를 이용하여 진단한 견관절 상완 이두건 장두의 아탈구)

  • Park, Sang-Eun;Jung, Jae-Jung;Lee, Yeon-Soo;Kim, Young-Yul;Kim, Myung-Jin;Ji, Jong-Hun
    • Clinics in Shoulder and Elbow
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    • v.14 no.2
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    • pp.236-241
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    • 2011
  • Purpose: To report the usefulness of dynamic ultrasonography in subluxation of the long head of the biceps tendon, which is difficult to detect with static imaging such as plain radiography, static sonography, MRI and in a subtle physical examination. Materials and Methods: Two male patients suffered from subluxation of the long head of the biceps. This difficult diagnosis? was managed by surgery (biceps soft tissue tenodesis) with the aid of dynamic ultrasonography. At final follow up, we evaluated patients' symptoms and functional outcomes using KSS, UCLA and ASES scores. Results: We diagnosed and treated subluxation of the long head of the biceps easily using dynamic ultrasonography. At the final follow up, both patients' symptoms and functional outcomes were improved. There were no significant complications. Conclusion: Dynamic ultrasonography is a useful method in the difficult and subtle diagnosis of subluxation of the long head of the biceps.

Dynamic Analysis of Specimen Under Ultrasonic Fatigue Using Finite Element Method (초음파 피로시험시 시험편의 유한요소 동적 해석)

  • Myeong, No-Jun;Choi, Nak-Sam;Kwon, Hena
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.7
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    • pp.711-717
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    • 2014
  • An accelerated ultrasonic fatigue test (UFT) was used for analyzing very high cycle fatigue (VHCF, $N_f$ > $10^7$) behaviors of a specimen with a test resonance of 20 kHz. Using the finite element method (FEM), the dynamic behaviors of the specimen was studied by calculating the stresses along its gauge portion, with displacement. The shape of gauge portion profile was assumed to be a hyperbolic according to the stress equation of the UFT. However, as the specimen used in the test had a circular arc profile, the FEM was used for studying the local stresses for two cases of the gauge profile. The results were compared with those obtain from the stress equation of the UFT. The dynamic behavior of the gauge portion could be understood for further comparison with the actual results.