• Title/Summary/Keyword: 초음파건

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Conservative Treatment of Achilles Tendon Rupture with Ultrasonographic Follow-Up - A Case Report - (초음파를 활용한 아킬레스 건 파열의 보존적 치료 결과 추시 -증례 보고-)

  • Kim, Yoon-Chung;Ahn, Jae Hoon;Shin, Dong-Cheul
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.2
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    • pp.88-92
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    • 2011
  • The incidence of acute Achilles tendon rupture is increasing as sporting activities are becoming more popular nowadays. There are many reports on the merits and disadvantages of surgical or conservative treatment for the injury. We performed a conservative treatment of acute Achilles tendon rupture with a serial casting and observed the progression of tendon healing ultrasonographically.

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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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Ultrasonographic Diagnosis of the Long Head of Biceps Tendon (이두건 장두의 초음파 진단)

  • Song, Hyun Seok
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.8 no.1
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    • pp.31-37
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    • 2015
  • Lesion of long head of biceps tendon is one of the causes making an anterior shoulder pain. According to the anthropometric study of the bicipital groove the meanings of the width, depth and the medial wall angle were suggested. Confirming the images and location of the long head of biceps tendon itself would be helpful in diagnosis.

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Diagnosis and Treatment of the Peroneal Tendon and Tibialis Anterior Tendon Disorders (비골 건 및 전방 경골 건 질환의 진단 및 치료)

  • Jung, Hong Geun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.58-63
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    • 2008
  • Mechanism of the peroneal tendon dislocation is mainly the ankle trauma and commonly caused by severe peroneal tendon contraction at ankle dorsiflexion state. Peroneal tendon tears are frequently combined in recurrent dislocation. The peroneal tendon dislocation from the fibula groove can be confirmed with ultrasound scanning. Recurrent dislocation needs surgical treatment and usually gains good clinical outcome with fibula groove deepening procedure. Tibialis anterior tendon rupture is frequently found in old age but active patients who had tendency of tendon weakness due to chronic tendon attrition, repeated steroid injection, diabetic tendinopathy or inflammatory arthropathy.

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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.

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.

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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Ultrasonography of the Elbow Joint (주관절의 초음파 검사)

  • Kim, Chul Hong;Lee, Myung Jin;Kang, Min Soo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.123-129
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    • 2012
  • The purpose of this article is review about the use of ultrasonography in the evaluation of the elbow joint. Ultrasonography has several key advantages in elbow joint, including easy assessment of target structure in elbow joint and ability to perform real time dynamic examination and to compare with opposite site. Ultrasonography is easy available to visualize abnormalities affecting tendons, muscles, ligaments, bursae, and occult fractures around the elbow joint and also allows accurate assessment of ulnar nerve in cubital tunnel. The role of ultrasonography will increase further with regards to evaluation of soft-tissue abnormalities of the elbow joint.

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Extraction and analysis of rotator cuff tear area Using Clustering Based Quantization (클러스터링 기법 기반 양자화를 이용한 회전근개 건 파열 영역 추출 및 분석)

  • Park, Ji-Hun;Choi, Cheol-Ho;Song, Yu-Seon;Kim, Kwang Beak
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.10a
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    • pp.494-496
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    • 2017
  • 본 논문에서는 기존의 회전근개 건 파열 추출 방법을 개선하기 위하여 초음파 영상에서 환자 정보를 제거하여 ROI 영역을 추출한다. 추출된 ROI 영역에서 명암 대비를 강조하기 위해 기존의 사다리꼴 형태의 퍼지 스트레칭 기법에서 소속 함수를 개선한 퍼지 스트레칭 기법을 적용하여 힘줄과 연골 영역을 효과적으로 강조한다. 강조된 ROI 영역에서 Max-Min 이진화와 8방향 윤곽선 추적 기법 및 Monoton Cubic Spline 기법을 적용한 후에 라벨링 기법을 적용하여 힘줄 및 연골 영역을 추출한다. 추출된 힘줄과 연골 영역을 이용하여 회전근개 영역을 추출한다. 추출한 회전근개 영역에 SOM 기반 양자화 기법을 적용하여 회전근개 건 파열 영역을 추출한다. 제안된 회전근개 건 파열 영역 추출 방법을 다양한 초음파 회전근개 건 파열 영상을 대상으로 실험한 결과, 제안된 회전근개 건 파열 영역이 기존의 추출 방법보다 TPR 값이 증가되어 회전근개 건 파열 분석에 효과적인 것을 확인할 수 있었다.

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Ultrasonographic Diagnosis of Extensor Tenosynovitis Caused by Dorsal Screw Prominence after Volar Plate Fixation of Distal Radius Fracture: Case Report (원위 요골 골절의 수장측 금속판 고정술 후 발생한 신전건 활막염에 대한 초음파를 이용한 진단: 증례 보고)

  • Lim, Tae Kang;Kim, Sang Yeol;Kang, Hong Je;Hah, Dae Ho
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.6 no.2
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    • pp.60-64
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    • 2013
  • After volar locking plating of distal radius fracture, complications arising from unrecognized dorsally prominent screws penetrating the extensor compartments are increasingly reported. However, standard radiography and fluoroscopy may not adequately visualize screw lengths, because of complex shape of dorsal cortex of the distal radius. We presented case of ultrasonography diagnosis of extensor tenosynovitis caused by dorsal screw prominence after volar plate fixation of distal radius fracture.

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