• 제목/요약/키워드: 치골

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Chondrosarcoma of the Pubic Bone (치골에 발생한 연골육종 - 증례 보고 -)

  • Song, Won-Seok;An, Joon-Hwan;Cho, Wan-Hyeong;Byun, Woo-Jin;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.136-140
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    • 2006
  • Pelvic bone is location with the worst prognosis in primary malignant bone tumor. Malignant bone tumor around symphysis pubis is extremely rare, and although small size, it is difficult to excise because of anatomical location. The authors report a case of intra-pelvic chondrosarcoma of the pubic bone with good functional result through resection by both superior & inferior pubic ramus osteotomy.

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Post Traumatic Osteolysis of the Pubic Bone Simulating Malignancy or Osteomyelitis - A Case Report - (악성 골종양이나 골수염으로 오인된 치골부위의 외상 후 골 용해 - 증례 보고 -)

  • Song, Kyeong-Seop;Kim, Hyung-Gyu;Park, Byeong-Mun;Kim, Jong-Min;Jung, Sung-Hoon;Yang, Bong-Seok
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.2
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    • pp.180-184
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    • 2007
  • The etiology of post-traumatic, and presumably post-fracture, osteolysis of the pubic bone is unknown, although the pathological process is similar to bony destruction related to bone tumor or osteomyelitis. We have seen and wish to report one patient in whom destruction of the pubic bone was a prominent feature of the healing process following trauma.

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Comparison of Ultrasound-guided Suprapubic Aspiration with Urethral Catheterization in Infants (영유아에서 초음파 감시하 치골상부 방광천자와 도뇨관 채뇨의 비교)

  • Lee, Jung-Won;Lee, Seung-Joo
    • Childhood Kidney Diseases
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    • v.11 no.1
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    • pp.59-64
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    • 2007
  • Purpose : Suprapubic aspiration(SPA) has been considered the "gold standard" for obtaining urine in non-toilet trained infants. Ultrasound(US)-guided SPA improves the success rate of the procedure and reduces the complications. However, many physicians perceive SPA as invasive and prefer the use of urethral catheterization (Ucat). We compared the success rate, complications and accuracy of US-guided SPA and Ucat. Methods : 121 infants who visited Ewha Womans University Mokdong Hospital with suspected urinary tract infection(UTI) were investigated. For the first study, the study infants were randomly assigned to either the US-guided SPA(n=32) or Ucat(n=32) groups. The success rate and complications of both procedures were compared. For the second study, US-guided SPA and Ucat were performed simultaneously(n=57). The accuracy of urethral catheterization was subsequently analyzed. The criteria for success was defined as the collection of more than 0.5 mL of urine. UTI was diagnosed by the presence of uropathogens over 105 colony-forming units (CFU)/mL. Results : The overall success rate of the US-guided SPA was 96.9%(71.9% in first attempts, 25.0% in second attempts) which was not significantly different compared to 96.9%(90.6% in first attempts, 6.3% in second attempts) in the Ucat(P>0.05) group. The aspirated urine volume was $7.4{\pm}3.7mL$ in the US-guided SPA group, which was not significantly different to $4.5{\pm}2.6mL$ in the Ucat(P>0.05) group. The accuracy of Ucat in comparison to the US guided SPA was low with sensitivity 59.5%, specificity 86.6%, false-positive rate 13.3% and false-negative rate 40.5%. Conclusion : US-guided SPA should be encouraged as the best method to collect the urine in non-toilet trained infants with UTI.

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Three Cases of Symphysis Pubis Separation Associated with Delivery (분만과 관련된 치골결합 분리증 3례)

  • Ahn, Jae-Hong;Jang, Young-Jin;Lee, Dong-Hyuk;Lee, Young-Gi;Park, Yoon-Ki
    • Journal of Yeungnam Medical Science
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    • v.17 no.1
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    • pp.93-98
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    • 2000
  • Symphysis pubis Reparation is an uncommon but not rare complication of delivery. Characteristic symptoms of symphyseal separation include suprapubic pain and tenderness which radiale to the back or legs, difficult ambulation, and bladder dysfunction. Clinical history, presenting symptoms, and response to therapy are sufficient to make the diagnosis, although radiographic documentation of symphyseal separation by x-ray or ultrasound are frequently used to confirm the diagnosis. The underlying etiology of symptomatic symphyseal separation has not been fully elucidated. Associations with macrosomia, pathological joint loosening. and increased force placed on the pelvic ring have been suggested as possible etiologies. Conservative therapy, including bed rest, pelvic binders, ambulation devices, and mild analgesics usually result in complete recovery within 4-16 weeks. Our experience of three cases of peripartum symphysis pubis separation delivered from 1998 to 1999 were reviewed with related articles.

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Percutaneous Screw Fixation in a Displaced Pubic Fracture: Technical Note (전위성 치골 골절의 경피적 고정술: 술기보고)

  • Kong, Gyu Min;Kim, Seung Chul
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.361-365
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    • 2021
  • Pelvic fractures are high-energy injuries, often accompanied by damage to the adjacent tissues and organs. For patients with pelvic trauma, active treatment is required early in the injury, because mortality can increase if appropriate treatment is not provided. In most cases, however, minimally invasive surgery is considered because extensive surgery cannot be performed due to the patient's condition. Percutaneous fixation of the pubis has been introduced because it can be applied easily to achieve the stability of the anterior part of the pelvis. Although many studies introduced percutaneous fixation of pubic bone fractures, most describe screw fixation for nondisplaced fractures. When treating displaced fractures with percutaneous screw fixation, it is difficult for the guide pin or drill bit to avoid the joint surface. Using a bent guide pin could allow easy insertion of the cannulated screw while avoiding the articular surface.

Prepubic Urethrostomy for Surgical Correction of the Urethral Stricture and Rectourethral Fistula after Perineal Urethrostomy in a Cat (고양이에서 회음부 요도개구술 후 발생한 직장요도 루 및 요도 협착의 외과교정을 위한 치골 요도개구술 증례)

  • Heo, Su-Young;Lee, Hae-Beom;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.29 no.4
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    • pp.331-333
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    • 2012
  • A 2-year-old, castrated male domestic short-haired cat was presented with dysuria. The physical and radiographic examinations were revealed the urethral stricture and rectourethral fistula after perineal urethrostomy (PU). A prepubic urethrostomy was performed to resolve these problems. After the treatment, the cat had normal urination and complete wound healing without any complications. This is the first case report on co-occurrence of the urethral stricture and rectourethral fistula after PU in the cat.

Massive Hemorrhage Caused by a Non-Displaced Pubic Ramus Fracture from Low-Energy Trauma (저에너지 외상에 의한 비전위 치골지 골절에서 발생한 대량출혈)

  • Na, Hwa-Yeop;Shin, Keun-Young;Choe, Saehun
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.6
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    • pp.557-561
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    • 2019
  • Most low-energy pelvic ring fractures in elderly patients are treated conservatively so that an initial evaluation for complications such as vascular injury is usually overlooked. An 81-year-old female, who was taking regular aspirin, visited the emergency room and was diagnosed with a simple non-displaced pubic ramus fracture from a low-energy fall from standing, which was complicated by massive hemorrhage from the overlooked injury of the corona mortis. Elderly patients with pelvic ring fractures can have a delayed presentation of vascular injuries, regardless of the degree of displacement of the fractures, which highlights the need for a careful physical examination and close monitoring.

A Case of Separation of the Symphysis Pubis in Association with Delivery (분만과 연관된 치골결합부 분리 치험례)

  • Kim, Se-Dong;Ihn, Joo-Chul;Lee, Jae-Chang
    • Journal of Yeungnam Medical Science
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    • v.5 no.2
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    • pp.201-203
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    • 1988
  • Separation of the pubic symphysis in association with delivery is very rare. The Korean orthopedic and obstetrical literature pertaining to this syndrome is absent. The physiological widening is small and asymptomatic, but a separation of more than one centimeter may occur and is usually symptomatic. A twenty-six-year-old woman of separation of symphysis pubis associated with delivery was treated successfully with the treatment of reduction and pelvic band, with absolute bed rest in the lateral decubitus position.

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산악용 자전거 안장의 개발방안

  • 조창규;윤명환;이면우
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1995.04a
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    • pp.529-533
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    • 1995
  • 안장은 인체하중이 집중되고, 자전거의 충격과 진동이 직접 전달되는 부위로서 주행 안락도를 높이고 buttock의 discomfort를 감소시킬 수 있도록 설계되어야 한다. 본 연구의 목적은 인체곡면을 본뜬 안장형상 설계를 통하여 buttock의 국부적 discomfort를 감소시키고자 하는 것이다. 인간의 앉은자세에 대한 해부학적 고찰을 통해 좌골결절(Ischial Tuberosity)과 치골결합면(Symphyseal Surface)이 안장과 직접 맞닿는 면으로 파악되었으며, 이들 부위에 대한 집중적 개선이 이루어져야 할 것으로 제안되었다. 문헌조사를 통해 의자설계시 고려해야 할 인체치수 및 지침을 파악하였으며, 안장과 의자의 기능비교를 통해 이를 선별적으로 적용하였다. 인체곡면 측정을 위해 Rod Matrix(3cm 간격, 13*20)방법을 이용하여 10명의 buttock contour를 측정하였으며, 측정된 자료를 분석하여 안장의 곡면형상을 결정하였다. General Comfort Rating, Body Part Discomfort 등의 주관적 안락도 평가방법을 통하여 기존 자전거 안장과 본 연구를 통해 개발된 안장을 비교 평가한 결과, 전반적인 안락도의 향상과 좌골결절 및 치골 결합부의 discomfort 감소효과를 가져온 것으로 파악되었다.

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