• Title/Summary/Keyword: 탈구성

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Arthroscopic Reduction of Irreducible Knee Dislocation - A Case Report - (정복 불가능한 슬관절 탈구의 관절경적 치료)

  • Jeong, Jin-Young
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.161-164
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    • 2009
  • Irreducible knee dislocation is a rare injury and often need an open procedure with ligaments reconstruction. This report describes a case of arthroscopic treatment of a patient with traumatic knee dislocation unable to reduce in a closed method. MRI revealed incarceration of the medial collateral ligament and capsule in the medial compartment. And arthroscopic examination confirmed incarcerated medial capsuloligamentous structures which prevented the knee from reduction. Arthroscopic procedure without ligaments reconstruction was complete when the medial condyle was well visualized and the knee reduced. After 4 weeks of immobilization in extension, range of motion exercise and gradual increases in weight bearing was allowed. At the 3- year follow-up, mild laxity was remained but the patient did not have any discomfort of doing ADL activity and showed full range of motion of the knee.

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A Study on the Semiotics and Poetic Meaning of Literature Content - at the Center of Moon Sam­seok's Children's Poetry - (문학콘텐츠의 기호학적 시적의미 연구 -문삼석의 동시(童詩)를 중심으로-)

  • Sung, Hyun-Ju
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.72-79
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    • 2019
  • This study tries to study the poetic beauty of the space deconstructed by the medium appearing in Moon Sam-seok's children's poetry to help with simultaneous education and guiding methodology. The research method is based on the assumption that semiotics spatial image is read. In other words, we intend to derive the poetic beauty of the space in which the great pole space built by is deconstructed by the intervention of by the medium term . Among Moon Sam-seok's series of works, the research text is "The Wind and the Fire," "The Wind and the Empty Bottle," "The Wind and Salt," "The Wind and the Rock." According to the study, the wind deconstructed a space that was differentiated by the presence or absence of matter into a "coexistence space." These poetic spaces symbolize poetic beauty as ideal places of life that coexist in a distinction but not discrimination. Second, the wind has eliminated the gap between alienation, suffering and solitude. In other words, the wind deconstructed poetic space produced poetic beauty with the 'space of communication' based on homogeneity of the nature of existence. In conclusion, Moon's poetic speech can be seen that he intended to express the discreteness of the poetic space as 'communication' and 'common life' by deconstructing it with deviation and convergence by introducing a medium.

The Prognostic Factor Analysis Through Rowe Scoring System in Arthroscopic Bankart Operation Used Suture-anchor Method (Suture-anchor를 이용한 관절경적 Bankart 술식에서의 Rowe 점수를 통한 예후 인자 분석)

  • Han Jae-Hyeung;Seo Jae-Sung
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.1
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    • pp.81-86
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    • 2003
  • Purpose : The clinical consequences of arthroscopic Bankart repair using suture anchor with non-absorbable suture as well as various factors, expected to have an effect on the prognosis of disease, have been evaluated and compared through preoperative and postoperative modified Rowe score. Materials and Methods : Twenty-eight cases were evaluated for the subject of this study, which enabled us to follow up at least for more than 18 months from lune, 1997 to May, 2001. Modified Rowe score was used for the evaluation of preoperative and follow-up shoulder function and stability. After setting up 9 factors expected to affect a prognosis, a statistical verification was conducted. Results : The postoperative Rowe score was 87.3, while preoperative Rowe score was 28.4 and the Rowe score was improved significantly(p=0.000). There were 1 case of redislocation and 2 cases of limitation of motion in the shoulder. In prognostic factor analysis through Rowe scoring system. Rowe score of their age at a trauma under 20 years was greater than that of above 20 years and it was significant(p=0.023). Conclusion : It was thought that arthroscopic Bankart repair using suture anchor was one or useful treatment method for recurrent shoulder dislocation patients. It was considered that their age at initial trauma was the factor to affect a prognosis.

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Arthroscopic Evaluation on Intra-Articular Pathology in Recurrent Shoulder Dislocation Aged Over 40 Years (40세 이상 재발성 견관절 탈구 환자에서 관절내 병변에 대한 관절경적 연구)

  • Min, Woo-Kie;Kim, Ju-Eun;Cho, Hwan-Seong;Kim, Poong-Taek;Jeon, In-Ho
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.215-220
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    • 2009
  • Purpose: This study is to analyze the prevalence of various intra-articular lesions in patients with traumatic recurrent anterior dislocation of shoulder over 40 years and suggest clinical implications for treatment. Materials and Methods: We retrospectively studied 16 cases that underwent surgical treatment for recurrent anterior dislocation of shoulder from January 2001 to May 2009. There were 9 males and 7 females, and the mean age was 52.7years. We carried out arthroscopic exam for all patients based on standard protocol, which included labrum, capular lesion, cuff, bony lesions. Results: All 16 cases showed Hill-Sachs lesion, 3 patients (19%) had bony Bankart lesion, 6 patients (38%) had labral tear. Capsular tear were found 15 patients (94%). Twelve (75%) had ruptured supraspinatus and 5 (31%) had subscapularis tear. Only one (6%) had SLAP lesion. Conclusion: There was relatively higher incidence of capsular and rotator cuff tears in patients over age 40 years. Preoperative planning to address these lesions is highly recommended.

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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Reconstruction of Recurrent Posterolateral Rotatory Instability of the Elbow - A Case Report - (재발성 주관절 후외방 회전 불안정성의 재건술 - 증예보고 -)

  • Jeon In Ho;Kyung Hee Soo;Kim Poong Taek;Ihn Joo Chul
    • Clinics in Shoulder and Elbow
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    • v.4 no.2
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    • pp.191-195
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    • 2001
  • Posterolateral rotatory instability is the most common pattern of elbow instability especially which is recurrent, and is usually post-traumatic because of inadequate soft tissue healing. The lateral ulnar collateral ligament was reconstructed by using ipsilateral palmaris longus tendon. Functionally good result was obtained. This is a case report illustrating the posterolateral rotatory instability of the elbow and its reconstruction with palmaris longus.

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The Current Concepts in Treatment of Fracture-Dislocations of the Finger (수지 골절-탈구 치료의 최신 지견)

  • Kang, Ho Jung;Kim, Ji Sup
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.457-471
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    • 2020
  • Fingers are body parts with a complex structure and essential functions that are the most prone to trauma. The principle of treatment for finger fractures is to determine the balance between obtaining stable fracture fixation and early joint movement. Despite proper treatment, there are many cases of functional and cosmetic problems caused by stiffness or deformation as complications. This review article introduces the latest knowledge in the treatment of finger fractures focusing on fractures and dislocations around the interphalangeal joints, including joint surface damage, which is difficult to treat and leads to poor results. This article consists of fracture cases and describes the methods and solutions to address these complications.

Rehabilitative Effect of Intramuscular Electrostimulation after Reconstruction of Medial Patellar Luxation in Small Sized Dog (소형견의 내측 슬개골 탈구 정복술 후 근육 내 전기자극의 재활효과)

  • Lee, Shinho;Lee, Joo-Myoung;Park, Hyunjung;Won, Sangcheol;Cheong, Jongtae
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.16-21
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    • 2015
  • Medial patellar luxation (MPL) of dog is one of the most common joint diseases. This study performed to know rehabilitative effect after reconstruction as application with intramuscular electrostimulation (IMES) on the cranial part of sartorius muscle. In this study, the 12 dogs with operated medial luxation divided into electrostimulation group (n = 8) and no electrostimulation group (n = 4) measured affected sided range of motion, muscle mass, lameness score and weight bearing for hospitalization 2 weeks. IMES group showed significant results after operation on 5th day (p < 0.01). Except lameness score, IMES group showed significant results on 10th day (p < 0.05). As results, in small sized dog after reconstruction of MPL, IMES on the cranial part of sartorius muscle considered a great help in the initial rehabilitation.

Coracoclavicular Ligaments Reconstruction for Acromioclavicular Dislocation using Two Suture Anchors and Coracoacromial Ligament Transfer (견봉 쇄골 탈구의 봉합 나사못과 오구 견봉 인대 이전술을 이용한 오구 쇄골 인대 재건술)

  • Shin, Sang-Jin;Roh, Kwon-Jae;Jeong, Byoung-Jin
    • Clinics in Shoulder and Elbow
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    • v.11 no.1
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    • pp.46-52
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    • 2008
  • Purpose: This study examined the outcomes of reconstruction of the coracoclavicular ligaments with using two suture anchors and performing coracoacromial ligament transfer in patients with acromioclavicular dislocation. Material and methods: Forty patients with complete acromioclavicular dislocation were included in this study. According to the preoperative radiographs, 5 patients with AC dislocations were diagnosed as type III, 4 patients as type IV and 31 patients as type V. Two 3.5mm suture anchors with four strands of nonabsorbable sutures were separately placed on the anterolateral and posteromedial portion of the base of the coracoid process to stabilize the distal clavicle. The coracoacromial ligament was then transferred to the undersurface of the distal end of the clavicle for augmentation. Results: At a mean follow-up of 28 months, the average Constant score improved to 97 points. All the patients returned to normal life at an average of 3.2 months postoperatively. At the last follow-up, 37 patients achieved anatomical reduction and three patients showed complete redislocation. However, the clinical results of the patients with redislocation were satisfactory. Conclusion: Anatomical coracoclavicular reconstruction using two suture anchors and coracoacromial ligament transfer for treating complete acromioclavicular dislocation is a safe, effective procedure for restoring a physiologically stable acromioclavicular joint.