• Title/Summary/Keyword: 완관절

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Usefulness of Ultrasonographic Examination in Carpal Tunnel Syndrome Caused by a Median Artery: A Case Report (정중 동맥에 의한 수근관 증후군에서 초음파 검사의 유용성: 증례 보고)

  • Choi, Byong San;Kim, Chae Geun;Kim, Yeung Jin;Chae, Soo Uk;Kim, Jong Yun;Cha, Myoung Soo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.99-101
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    • 2012
  • Median artery of the forearm and wrist is not very frequently observed because it normally involutes before birth. Persistent median artery of the carpal tunnel is not frequently observed in adult life. We report a case of persistent median artery in the carpal tunnel that was examed by ultrasonography.

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Influence of Molarless Condition on the Hippocampal Formation in Mouse: a Histological Study (구치부 치관삭제가 생쥐 해마복합체에 미치는 영향에 관한 조직학적 연구)

  • Kim, Yong-Chul;Kang, Dong-Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.2
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    • pp.179-186
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    • 2007
  • The decrease of masticatory function caused by tooth loss leads to a decrease of cerebral blood flow volume resulting in impairment of cognitive function and learning memory disorder. However, the reduced mastication-mediated morphological alteration in the central nervous system (CNS) responsible for senile deficit of cognition, learning and memory has not been well documented. In this study, the effect of the loss of the molar teeth (molarless condition) on the hippocampal expression of glial fibrillary acidic protein (GFAP) protein was studied by immunohistochemical techniques. The results were as follows : 1. The molarless mice showed a lower density of pyramidal cells in the cornu ammonis 1 (CA1) and dentate gyrus (DG) region of the hippocampus than control mice. 2. Immunohistochemical analysis showed that the molarless condition enhanced the time-dependent increase in the cell density and hypertrophy of GFAP immunoreactivity in the CA1 region of the hippocampus. The molarless condition enhanced an time-dependent decrease in the number of neurons in the hippocampal formation and the time-dependent increase in the number and hypertrophy of GFAP-labeled cells in the same region. The data suggest a possible link between reduced mastication and histological changes in hippocampal formation that may be one risk factor for senile impairment of cognitive function and spatial learning memory.

Anti-inflammatory Effect of Herbal Complex HP-04 on Degenerative Osteoarthritis (해동피를 포함한 생약복합제제 HP-04의 퇴행성 골관절염에 대한 항염효과)

  • Jo, Hyoung-Kwon;Kim, Dae-Sung;Kim, Jung-Young;Park, Young-Mi;Shin, Dong-Yeop;Lee, Hak-Yong;Kim, Hoon;Lee, Dong-Sung;Cho, Seong-Wan
    • Korean Journal of Pharmacognosy
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    • v.51 no.2
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    • pp.122-130
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    • 2020
  • To investigate the anti-inflammatory effect on Degenerative Osteoarthritis, Male sprague-Dawley rats were randomized and classified into three different concentration groups. We measured weekly weight change, dietary intake, drinking water intake, blood analysis like TNF-α (tumor necrosis factor-α), IL-6 (interleukin 6), TIMP-1 (tissue inhibitor of metalloprotease-1), MMP-2 (matrix metalloprotease-2), MMP-9 (matrix metalloprotease-9) and micro CT analysis. The results suggest that the treatment with herbal complex HP-04 improved the Monosodium iodoacetate (MIA) induced degenerative osteoarthritis and it could be applicable for the improvement of arthritic symptoms as a new therapeutic agent.

The Scientific Research of Rehabilitation Training Program Participants in Stroke Patients (재활운동에 참가한 뇌졸중환자의 운동과학적 연구)

  • Jin, Young-Wan
    • Journal of Life Science
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    • v.20 no.11
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    • pp.1704-1710
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    • 2010
  • The purpose of this study was to describe the biomechanical characteristics of stroke patients. These characteristics were obtained during walking on a Zebris system, cinematography system and EMG system. Seven female stroke patients participated in this study. The magnitude of the profiles (joint peak angle, joint peak moments, foot pressure COP, EMG data) correlated with rehabilitation training duration using t-test. The significance level selected for this study was p<0.05, t-test. Joint analysis identified significant differences in hip joint peak angle and hip joint peak moment. Foot pressure verified significant differences in gait line length of COP. The EMG signal proved significant differences in rectus femoris and vastus lateralis.

Development and application of the intraoral tracer for the record of centric relation (중심위 채득을 위한 구내묘기장치의 개발과 응용)

  • Kwag, Heung Koo;Jeong, Soeg-Cho;Kang, Dong Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.1
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    • pp.37-49
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    • 2000
  • It was clinically important to substitute the physiologic centric relation to the therapeutic position of the patients who needed the oral rehabilitation or occlusal treatment. There were several methods for recording the centric relation. One of the known methods was to use the gothic arch tracer. However the existing intraoral device was difficult to adjust the three dimensional angulation of the recording plate and recording stylus depending on the hinge movement arch of the individual. The purpose of this study was to develop new intraoral tracer which had adjustable stylus within hinge movement arch for the record of centric relation and to evaluate the clinical application of this device. The results were as follow; 1. A stylus of new developed intraoral tracer was so adjustable that the recording of mandibular positions could be reproducible within the hinge movement arc. 2. A record plate of new developed intraoral tracer was so adjustable to parallel with the occlusal plane that lateral recording of mandibular position was able to obtain stably. This study showed that new developed intraoral tracer allowed the determination of the treatment position which can be used in the full mouth rehabilitation and occlusal treatments.

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Time Serial Change of Proximal Contact Tightness after Crown Restoration (인공치관 수복 후 인접면 접촉강도의 경시적 변화)

  • Na, Hyun-Joon;Kang, Dong-Wan;Oh, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.2
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    • pp.197-204
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    • 2010
  • The purpose of the study was to observe the time serial changes in proximal contact tightness after single crown restoration. Initial proximal contact tightness before crown preparation and after prosthesis restoration were measured repeatedly in 12 subjects. In consequence proximal contact tightness of temporary setting on prosthesis was bigger than contact tightness before initial preparation, contact tightness of the prostheses of 1-2 weeks after the setting was similar to that before the preparation, tightness of 2-4 weeks after the setting showed little change and maintained constant contact tightness.

Marginal dicrepancy and topography of the artificial crown on the extracted abutment (발치된 치아에 부착된 수복물의 변연 적합 및 형태)

  • Lee, Jeong-Hoon;Choi, Min-Ho;Kim, Min-Ho;Kang, Dong-Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.18 no.4
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    • pp.313-320
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    • 2002
  • The purpose of the present study was to evaluate the marginal discrepancy and topography of artificial crown on teeth extracted due to severe periodontal disease. Twenty specimens were invested into metamethylacrylate resin and cutted into vertical slices along with the long axis of tooth. The selected marginal discrepancy between the outer edge of the crown and the finishing line of abutment was examined by stereo- microscope(Olympus, PM-VSP-3, Japan) at magnification of up to 10, and the topography of finishing margin on crown was observed by stereomicroscopeat magnification of up to $70{\times}$. The results were as follows. (1) The mean marginal discrepancy between extracted tooth and artificial crown were $50.82{\mu}m$. (2) There was a considerable difference in the microstructure of finishing margins among specimens. Microscopic Structure on finishing margin showed indefinite line, poor fit (open, underextended and overextended), distorted margin, and surface roughness. This study suggested that there could be necessary to consider the response of periodontium to the emergence profile of natural tooth and precision of marginal geometry while establishing treatment planning for the reconsruction of the artificial crown.

The Effectiveness of Joint Mobilization and Myofascial Release on the Neck (관절가동기법과 근막이완기법이 경부에 미치는 영향)

  • Park, Youn-Ki;Hyun, Sang-Wook;Seo, Hyun-Kyu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.2
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    • pp.69-79
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    • 2009
  • Purpose : to investigate the effectiveness of joint mobilization and myofascial release on the neck pain and to provide the effective treatment. Methods : Twenty-two subjects with neck pain participated in the experiment. All subjects were randomly assigned to a joint mobilization group(n=11) or a myofascial release group(n=11). Both groups received treatment for 15 minutes four times during 2 weeks. Cervical range of motion(CROM) instrument was used to measure range of neck motion, and Algometer was used to measure tenderness. All measurements of the subjects were measured at pre-treatment and post-treatment. Results : 1. The range of neck right side-bending motion of the myofascial release group was significantly increased(P<0.05), and the range of neck extension, right side-bending, left side-bending, right rotation motion of the joint mobilization group was significantly increased(P<0.05). 2. There was no significant improvement of tenderness in both groups(p>0.05). Conclusion : These data suggest that joint mobilization is more effective against increasing the range of motion than myofascial release, but myofascial release is more beneficial to tenderness than joint mobilization although it does not have a significant difference in the tenderness because there was a little improvement.

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Ultrasound Findings and Treatment of Wrist and Hand Diseases (완관절과 수부 질환의 초음파 소견과 치료)

  • Lee, Jong Hwa
    • Clinical Pain
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    • v.20 no.1
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    • pp.15-19
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    • 2021
  • There are many wrist and hand diseases in which ultrasound can help in the diagnosis and treatment. Because many small structures are located, identifying anatomical locations and pathways is especially important. In De Quervain's syndrome, it is necessary to find tendon lesions located in the first compartment of the wrist. If injection therapy is required, administer the regimen accurately within the tendon sheath through ultrasound. In carpal tunnel syndrome, there are several methods to diagnose a disease by measuring cross-sectional area of the median nerve. Ultrasound has the advantage of administering injection therapy without damaging the nerve. Intersection syndrome can be diagnosed by observing swelling and hypoechoic appearances at the point where the tendons of the first compartment cross over the second compartment of the wrist. Ultrasound-guided injection is also safe and efficient. If there is a trigger finger lesion, the most representative findings is to observe a nodular hypoechoic thickening of the involved A1 pulley. When injection therapy is performed, it is effective to administer medication between pulley and flexor tendons as much as possible to reduce pressure on the attached structures.

Clinical Results of Surgical Treatment with Minimally Invasive Percutaneous Plate Osteosynthesis for Displaced Intra-articular Fractures of Calcaneus (최소침습적 금속판 내고정술을 이용한 전위된 관절 내 종골 골절의 임상적 치료결과)

  • Suh, Jae Wan;Yang, Jong Heon;Park, Hyun-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.24 no.2
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    • pp.87-93
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    • 2020
  • Purpose: This study evaluated the clinical results of surgical treatment with minimally invasive plate osteosynthesis for treating displaced intra-articular fractures of the calcaneus in comparison with conventional lateral extensile approach plate osteosynthesis. Materials and Methods: Of 79 cases of Sanders type II or III calcaneus fractures, 15 cases treated with the minimally invasive calcaneal plate (group M) and 64 cases treated with lateral extensile approach calcaneal plate (group E) were identified. After successful propensity score matching considering age, sex, diabetes mellitus history, and Sanders type (1:3 ratio), 15 cases (group M) and 45 cases (group E) were matched and the demographic, radiologic, and clinical outcomes were compared between the two groups. Results: The median time of surgery from injury was 2.0 days in group M and 6.0 days in group E (p=0.014). At the six months follow-up, group M showed results comparable with those of group E in radiographic outcomes. In the clinical outcomes, group M showed better postoperative American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores than did group E (p=0.001, p=0.008). A greater range of subtalar motion was achieved at the six months follow-up in group M (inversion 20.0° vs. 10.0°, p=0.002; eversion 10.0° vs. 5.0°, p=0.025). Although there were no significant differences in complications between the two groups (1 [6.7%] vs. 7 [15.6%], group M vs. group E; p=0.661), there was only one sural nerve injury and no wound dehiscence and deep infection in group M. Conclusion: Minimally invasive plate osteosynthesis showed superior clinical outcomes compared with that of the conventional lateral extensile approach plate osteosynthesis in Sanders type II or III calcaneus fractures. We suggest applying minimally invasive plate osteosynthesis in Sanders type II or III calcaneus fractures.