• Title/Summary/Keyword: 해부학적 변이

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Irreducible Acute Patellar Dislocation with Anatomical Variant: Notched Patella (해부학적 변이에 의한 정복 되지 않는 급성 슬개골 탈구: 슬개골의 내측 절흔)

  • Na, Hwa-Yeup;Song, Woo-Suk;Lee, Joo-Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.272-276
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    • 2021
  • Most acute patella dislocations can be reduced closely using a spontaneous or simple maneuver, but it may not be possible if accompanied the by anomalies, such as rotation of the patella, osteophyte ridge protruding from the femur, or anatomical variations. This case report outlines irreducible acute patella dislocation with anatomical variations, a notched patella. If the reduction of an acute patella dislocation fails, an additional radiological examination and reduction under general anesthesia may be necessary with the possibility of an anatomical variant in mind.

Anatomical Variations in the Communicating Rami of the Upper Thoracic Sympathetic Ganglia Related to the Essential Palmar Hyperhidrosis (본태성 수부 다한증에 관련된 상부 흉부교감신경절 교통가지의 해부학적 변이)

  • Cho, Hyun-Min;Kim, Kil-Dong;Lee, Sak;Chung, Kyung-Young
    • Journal of Chest Surgery
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    • v.36 no.3
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    • pp.182-188
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    • 2003
  • Background: Although ramicotomy (division of the rami communicantes of the thoracic sympathetic ganglia) is a selective and physiological surgical method for essential hyperhidrosis, it has some problems such as higher recurrence rates and the different surgical results among the patients and between left and right sides in the same individual. As one of the factors that are related to the differences in surgical result and recurrences, we investigated the anatomical variations of the rami communicantes. The purpose of this study is to help develop new surgical methods to decrease surgical differences among the patients or between the left and right sides of the same individual and recurrence rates in the clinical application of ramicotomy. Material and Method: We dissected 118 thoracic sympathetic chains in 59 adult Korean cadavers (male: 33, female: 26) to examine the anatomical variations of the rami communicantes from the second to the fourth thoracic sympathetic ganglia that have major components innervating to the hands. After the dissection of bilateral thoracic sympathetic chains, we compared the anatomy of left and right sides and examined the anatomical variations of rami communicantes. Result: The number and variation of communicating rami connecting the spinal nerves and the second sympathetic thoracic ganglion were much larger than lower levels. There was considerably less variability in the anatomy of the rami communicantes at successive levels. Among the 59 cadavers dissected, only 14.3% (9/59) had similar anatomy of thoracic sympathetic chains at both sides. As the components related to the essential palmar hyperhidrosis, intrathoracic nerve of Kuntz from the second thoracic sympathetic ganglion to the first intercostal nerve or brachial plexus were observed in 55.9% (66/118). The incidence of descending rami communicates from the second thoracic sympathetic ganglion to the third intercostal nerve and from the third thoracic sympathetic ganglion to the fourth intercostal nerve were 49.2% (58/118) and 28.0% (33/118). And the incidence of ascending rami communicates from the third thoracic sympathetic ganglion to the second intercostal nerve and from the fourth thoracic sympathetic ganglion to the third intercostal nerve were 6.8% (8/118) and 3.4% (4/118), respectively. Conclusion: Based on the various anatomical evidences of the rami communicantes from this study, only the ramicotomy at the third sympathetic ganglion level is insufficient for the treatment of the essential palmar hyperhidrosis to decrease the difference of surgical results and recurrences. When one is planning to perform the ramicotomy for the essential palmar hyperhidrosis, it is advantageous to divide the intrathoracic nerve of Kuntz on the second rib and the descending or ascending rami communicantes on the third and the fourth ribs as well as all the communicating rami from the third sympathetic ganglion.

Anterior Interosseous Nerve Syndrome with Varient Nerve Innervation: A Case Report (해부학적 변이를 가지는 전방골간신경 증후군: 1예 보고)

  • 이준호;나재범;김재수;유진종;이경규;정성훈
    • Investigative Magnetic Resonance Imaging
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    • v.6 no.2
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    • pp.147-151
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    • 2002
  • Anterior interosseous nerve syndrome is characterized by weakness of the flexor pollicis longus, the flexor digitorum profundus and the pronator quadratus in the presence of normal sensation. Although MR imaging findings of anterior interosseous nerve syndrome has been reported in a few articles, we report herein a case of anterior interosseous nerve syndrome involving more than usual muscles innervated by anterior interosseous nerve, caused by varient nerve innervation.

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Transposition of Femoral Artery and Vein in Fossa Ovalis Encountered during Varicose Vein Surgery - 3 cases report - (하지정맥류 수술 시 발견된 난원와에서의 대퇴동맥-대퇴정맥 전이 - 3예 보고 -)

  • Kim, Sung-Wan;Kim, Duck-Sil
    • Journal of Chest Surgery
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    • v.40 no.3 s.272
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    • pp.236-239
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    • 2007
  • During dissection of the saphenofemoral junction, anatomical variations in the tributaries of the long saphenous vein and external pudendal artery are frequently encountered, but the transpositions of the femoral artery and vein have very rarely been reported. On operation of the varicose vein, the surgical complications can be minimized when the possible deviations in the normal anatomy are taken into the consideration.

Anatomical Variations Encountered during Adrenal Venous Sampling: A Report of Three Case Series and Review of Literature (부신정맥채혈술 중 발견된 해부학적 변이들: 3건의 증례 보고 및 문헌 고찰)

  • Juyoung Pak;Hyoung Nam Lee;Myung Sub Kim;Hyerim Park
    • Journal of the Korean Society of Radiology
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    • v.85 no.2
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    • pp.456-462
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    • 2024
  • Primary aldosteronism is a group of disorders in which the autonomous secretion of aldosterone is associated with hypertension and hypokalemia. It is crucial to determine the laterality of aldosterone hypersecretion because treatment options differ accordingly. Adrenal venous sampling (AVS) is considered the most reliable method for assessing the laterality of primary aldosteronism. This procedure is often technically challenging because of the small size and varied locations of the adrenal veins. A better understanding of anatomical variations and careful review of imaging studies would improve sampling success. This report presents three cases of anatomical variations encountered during AVS.

A Taxonomic study of the Ophelia D. Don(Gentianaceae) in Korea -Anatomical and ultrastructure- (한국산 용담과 쓴풀속(Ophelia) 식물의 분류 2. 해부학적형질 및 미세구조)

  • 백원기
    • Korean Journal of Plant Resources
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    • v.13 no.1
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    • pp.66-79
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    • 2000
  • Anatomical characters such as stem, leaf, ovary, calyx lobe, ultrastructure of stigma, epidermis of leaf blade and midvein, corolla lobe, nectary, seed coat and pollen were examined on 6 taxa of Korean Ophelia, including 5 taxa distributed in south Korea and one taxon considered to be the variation type of Ophelia wilfordi, in order to clarify the limits of intersection and interspecies and to establish the taxonomic position. One taxon distributed in north Korea was also included in the description of species by observation of herbarium specimen of the University of Tokyo in Japan. The two sections were successfully distinguished by internal structure of ovary, morphology of nectary, surface sculpturing of corolla lobe and pollen, ultrastructure of seed and seed coat, which were useful characters to distinguish taxa higher than species. The variation type of Ophelia wilfordi was not distinguished with other species except for absent or present of purple spot in corolla lobe.

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A maxillary canine with two separated root canals: a case report (두 개의 근관을 가진 상악 견치: 증례보고)

  • Shin, Dong-Ryul;Kim, Jin-Man;Kim, Duck-Su;Kim, Sun-Young;Abbott, Paul V.;Park, Sang-Hyuk
    • Restorative Dentistry and Endodontics
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    • v.36 no.5
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    • pp.431-435
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    • 2011
  • Maxillary canines have less anatomical diversities than other teeth. They usually have a single root and root canal. This report describes an endodontic treatment of a maxillary canine with two separated root canals which have not been reported through the demonstration of radiography and computerized tomography (CT). Even though appropriated endodontic treatment has been performed, the severe pain could happen due to lack of consideration of anatomical variations of the teeth. Therefore, the clinicians should be well aware of the possibility of anatomical variations in the root canal system during endodontic treatment even if the number of root canals is obvious such as in this case.

Variation of the Axillary Arch in Korean Cadaver (한국인 시신에서 랑거겨드랑활의 변이)

  • Jeong, Hyun-Seok;Jo, Seong-Woo;Lee, Jae-Ho
    • Anatomy & Biological Anthropology
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    • v.31 no.4
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    • pp.167-170
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    • 2018
  • Axillary arch is relatively common variation of muscle in the axilla. There were several attentions on axillary arch due to its anatomical and surgical importance. During educational dissection, a variant muscle was found in right arm of 68-year-old female cadaver. The variation of muscle originated from the lateral edge of the latissimus dorsi muscle as muscular form. And then, it crossed the axillary artery and median nerve as tendinous form. Finally it became wide as muscular form and inserted into the pectoralis major. We reported this variant muscle and discussed its clinical significances.

SLAP병변의 치료시 감별해야 할 상완 이두근 장두와 상부 관절와 순 간의 드문 변형 - 증례보고 -

  • Kim, Yong-Ju;Jeong, Hun;Ha, Jong-Gyeong;Lee, Gwan-Hui;Lee, U-Jin
    • 대한관절경학회:학술대회논문집
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    • 2009.10a
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    • pp.183-187
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    • 2009
  • Labral lesions and anatomic variants have been studied by several authors in the last decade. Buford complex and sublabral recess and foramen are most common variants. Their recognition is important in order to distinguish them from superior and anterior labral tear. We report rare normal variant of biceps anchor and superior labrum that was observed during arthroscopic surgery for SLAP lesion.

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