• The Journal of Korean Medicine
• /
• v.43 no.1
• /
• pp.42-59
• /
• 2022

Objectives: This study was done to establish the anatomical meaning of the term 'Geun(筋)'. Methods: Through analysis of 《HwangJeNaeGyeong(黃帝內經)》, the meaning of 'Geun(筋)', 'GeunMag(筋膜)', 'Yug(肉)', and 'Gi(肌)' were established. Based on analysis, the anatomical meaning of the 'Meridian-muscle(經筋)' was studied by comparing it with anatomy. Results & Conclusions: 'Gyeong(經)' is recognized as a metaphysical expression and "Geun(筋)" means myofascia in anatomy. The concept of 'Geun(筋)' includes the epimysium and perimysium, as well as tendons and ligaments, which are extensions of these. 'Fascia', refers to the fascia of the whole body, and also appertain to 'Geun(筋)'. 'Yug(肉)' means endomysium, muscle fiber, and adipose tissue and layer. The word 'GeunMag(筋膜)' used in the 《HwangJeNaeGyeong(黃帝內經)》 means anatomically a 'tendon'. Therefore, 'Muscle' should be translated as 'GeunYug(筋肉)' in Traditional medicine. 'Meridian-muscle(經筋)' can be defined as the longitudinal muscle and fascia system, which is the basis of whole body encompassing dynamics.

• Imaging Science in Dentistry
• /
• v.52 no.4
• /
• pp.343-350
• /
• 2022

Purpose: This study evaluated the prevalence of dental implant positioning errors and the most frequently affected oral regions. Materials and Methods: A sample was obtained of CBCT images of 590 dental implants from 230 individuals who underwent diagnosis at a radiology center using cone-beam computed tomography from 2017 to 2020. The following variables were considered: thread exposure, violation of the minimum distance between 2 adjacent implants and between the implant and tooth, and implant contact with anatomical structures. Descriptive data analysis and the Pearson chi-square test(P<0.05) were performed to compare findings according to mouth regions. Results: Most (74.4%) of the 590 implants were poorly positioned, with the posterior region of the maxilla being the region most frequently affected by errors. Among the variables analyzed, the most prevalent was thread exposure (54.7%), followed by implant contact with anatomical structures, violation of the recommended distance between 2 implants and violation of the recommended distance between the implant and teeth. Thread exposure was significantly associated with the anterior region of the mandible (P<0.05). The anterior region of the maxilla was associated with violation of the recommended tooth-implant distance (P<0.05) and the recommended distance between 2 adjacent implants(P<0.05). Implant contact with anatomical structures was significantly more likely to occur in the posterior region of the maxilla (P<0.05). Conclusion: Many implants were poorly positioned in the posterior region of the maxilla. Thread exposure was particularly frequent and was significantly associated with the anterior region of the mandible.

• Anatomy and Cell Biology
• /
• v.57 no.2
• /
• pp.194-203
• /
• 2024

The anatomical variations of coracobrachialis muscle (CBM) are of great clinical importance. This study aimed to elucidate the morphological variations, innervation patterns and musculocutaneous nerve (MCN) relation to CBM. Upper limbs of fifty cadavers (30 males and 20 females) were examined for proximal and distal attachments, innervation pattern of CBM and its relation to MCN. Four morphological types of CBM were identified according to number of its heads. The commonest type was the two-headed (63.0%) followed by the single belly (22.0%), three-headed (12.0%) and lastly four-headed (3.0%) type. Moreover, an abnormal insertion of CBM was observed in four left limbs (4.0%); one inserting into the medial humeral epicondyle, the second into the upper third of humeral shaft, the third one in the common tendon of biceps, and the fourth one showing a bifurcated insertion. Also, four different innervation patterns of CBM were identified including MCN (80.0%), lateral cord (14.0%), lateral root of median nerve (4.0%), and median nerve itself (2.0%). The course of MCN was superficial to the single belly CBM (19.0%) and in-between the heads in the other types (71.0%). Measurements of the length and original distance of CBM muscular branches originating from MCN revealed no sex or side significant difference. Awareness of the anatomic variations, innervation patterns, and MCN relation of CBM is imperative in recent diagnostic and surgical procedures to obtain definite diagnosis, effective management and good outcome.

• Imaging Science in Dentistry
• /
• v.47 no.2
• /
• pp.69-74
• /
• 2017

Purpose: The nasopalatine canal is a well-known, important anatomical structure in the anterior maxilla, but this region contains many accessory canals. The canalis sinuosus (CS) is one of these canals; it contains the anterior superior alveolar nerve, along with veins and arteries. The purpose of this study was to evaluate the CS using cone-beam computed tomography (CBCT) in patients with maxillary impacted canines. Materials and Methods: A total of 111 patients admitted to the Istanbul Medipol University School of Dentistry for the exposure, orthodontic treatment, and/or extraction of an impacted canine were included in this study. CBCT images were obtained for these patients under standard conditions. Axial, coronal, and sagittal sections were evaluated to assess the prevalence of CS, the direction and diameter of the canal, its relation with the impacted canine, and its distance from the alveolar crest. Further, possible correlations with patient gender and age were analyzed. Results: The CS could be detected bilaterally in all the evaluated tomography images. The mean canal diameter was significantly larger in males than in females(P=.001). The CS ran significantly closer to the impacted canine when the canal was located horizontally (P=.03). Variations of the canal, such as accessory canals, were identified in 6 patients. Conclusion: CS is an anatomical entity that may resemble periapical lesions and other anatomical structures. Evaluation with CBCT prior to surgical procedures in the anterior maxilla will help to prevent overlooking such anatomical structures and to decrease possible surgical complications.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.32 no.1
• /
• pp.37-42
• /
• 2010

Purpose: The mental foramen (MF) is an important anatomical structure during local anesthesia and surgical procedures in terms of achieving effective mental nerve blocks and avoiding injuries to the neurovascular bundles. Thus, understanding the anatomic features of the mandibular canal and accessory mental foramen in Korean could contribute to the surgical anatomic assessment. This study was to elucidate frequency, position and course of AMF (accessory mental foramen) in Korean using 3D cone beam computed tomography. Materials and Methods: The CBCT (Conbeam computed tomography) DICOM data (Alphard, Asahi, Japan) from 540 patients in korean were analyzed. We investigated images of 3D CBCT using Ondemand (CyberMed, Korea) software program on the incidence and anatomical characteristics of accessory foramen. Results: The accessory mental foramina were found in 17 patients. Accessory mental foramina exist predominantly in the apical area of the second premolar and posteroinferior area of the mental foramen. The accessory branches of the mandibular canal showed common characteristics in the course of gently sloping posterosuperior direction in the buccal surface area. The size of most AMF was obviously smaller than that of MF. Conclusion: We could identify frequency, position and course of AMF (accessory mental foramen) by the anatomical study of the accessory mental foramen using 3D cone beam CT in Korean.

• Clinics in Shoulder and Elbow
• /
• v.20 no.4
• /
• pp.230-235
• /
• 2017

Background: Neer type II distal clavicle fractures have the drawback of coracoclavicular instability and insufficient distal bony fragment, thereby making it difficult to achieve adequate fixation. Although various surgical treatments have been described for Neer type II fracture, the optimal treatment remains controversial. This study reports the clinical results and usefulness of anatomical locking plate with additional K-wire fixation. Methods: A totally of 21 patients with type II distal clavicle fracture were included in the study. The surgical procedure reduced the fracture temporarily; it included insertion of one or two K-wire from the lateral margin of the distal fragment to the proximal fragment through the fracture site, followed by application and fixation of the locking plate. The bony union and migration of K-wire was evaluated in the follow-up radiography. The coracoclavicular distance and acromioclavicular joint arthrosis were assessed at the final follow-up. The Constant Score (CS) and Korean Shoulder Score (KSS) were evaluated for clinical scoring. Results: Bone union was achieved in all cases. At the final follow-up, coracoclavicular distance of the injured shoulder was increased, as compared to the intact shoulder (p=0.002), with no accompanying clinical symptoms. No K-wire migration was observed. At the final follow-up, K-wire irritation was observed in two cases and acromioclavicular arthrosis in one case, with no other adverse effects. Pain visual analogue scale, CS, and KSS were improved in all cases. Conclusions: The method of anatomical locking plate with additional K-wire fixation could be useful in achieving beneficial clinical results.

• Journal of Korean Neurosurgical Society
• /
• v.52 no.4
• /
• pp.391-395
• /
• 2012

Objective : Removal of the anterior clinoid process (ACP) is an essential process in the surgery of giant or complex aneurysms located near the proximal internal carotid artery or the distal basilar artery. An extradural clinoidectomy must be performed within the limits of the meningeal layers surrounding the ACP to prevent morbid complications. To identify the safest method of extradural exposure of the ACP, anatomical studies were done on cadaver heads. Methods : Anatomical dissections for extradural exposure of the ACP were performed on both sides of seven cadavers. Before dividing the frontotemporal dural fold (FTDF), we measured its length from the superomedial apex attached to the periorbita to the posterolateral apex which connects to the anterosuperior end of the cavernous sinus. Results : The average length of the FTDF on cadaver dissections was 7 mm on the right side and 7.14 mm on the left side. Cranial nerves were usually exposed when cutting FTDF more than 7 mm of the FTDF. Conclusion : The most delicate area in an extradural anterior clinoidectomy is the junction of the FTDF and the anterior triangular apex of the cavernous sinus. The FTDF must be cut from the anterior side of the triangle at the periorbital side rather than from the dural side. The length of the FTDF incision must not exceed 7 mm to avoid cranial nerve injury.

• Journal of the Korean Wood Science and Technology
• /
• v.46 no.6
• /
• pp.656-669
• /
• 2018

Tropical bamboo species, which have a very rapid growth rate, are considered as a promising non-timber forest product capable of exhibiting new functionality by carbonization technology. This study was conducted to compare the characteristics of carbonized bamboos from Andong (G. pseuudoarundinacea (Steudel) Widjaja), Hitam (G. atrovialacea), Tali (G. apus), Kuning (B. vulgaris Var. striata (Lodd. Ex Lindl)), and Ampel (B. vulgaris Scharad. ex Wendland), and Betung (D. asper). Each bamboo was carbonized at 200, 400, 600, 800, and $1,000^{\circ}C$, respectively, and their physical and anatomical characteristics were investigated. The result showed that the volume and weight of carbonized bamboo decreased with increasing carbonization temperature and showed the substantial changes of volume and weight between 200 and $400^{\circ}C$. The highest and the lowest density of carbonized samples were found in Ampel bamboo and Betung bamboo, respectively. The density of all carbonized bamboos tended to decrease after carbonization at 200 and $400^{\circ}C$ and relatively become constant afterwards. The carbonized bamboo prepared at 800 and $1,000^{\circ}C$ showed better refining degree. The results of the anatomical observation showed that the vascular diameter of carbonized bamboo decreased with increasing carbonization temperature, and the shrinkage in radial and tangential direction showed similar tendency. Statistical analysis showed that there was significant correlation between physical contraction and anatomical contraction. Based on the results of this study, comprehensive data about Indonesian bamboo charcoals could be obtained and it will be useful for future application studies.

• Journal of the Korean Wood Science and Technology
• /
• v.27 no.1
• /
• pp.9-17
• /
• 1999

This study was carried out to get some basic information on mechanical properties of Korean Lepidobalanus for the rational utilization of their woods, Five species of Quercus variabilis, Q. aliena, Q. serrata, Q. mongolica, Q. acutissima belonging to Lepidobalanus were investigated in this research. Relationship of anatomical characteristics with bending strength was analyzed using stepwise regression technique. All possible combination of 21 independent variables were regressed on bending strength. The summarized results in this study were as follows: 1) In the proportion of wood structural elements, the most important factors on bending strength appeared to be proportion of wood fiber in earlywood in Q. variabilis and Q. serrate, proportion of ray in earlywood in Q. aliena, proportion of vessel in earlywood in Q. mongolica and proportion of wood fiber in latewood in Q. acutissima, respectively. 2) In the other quantitative anatomical characteristics, the most important factors on bending strength appeared to be number of pore per $1mm^2$ in latewood in Q. variabilis, microfibril angle in Q. aliena and Q. mongolica, length of wood fiber in Q. serrata and height of uniseriate ray in Q. acutissima, respectively.

• The Korea Journal of Herbology
• /
• v.34 no.6
• /
• pp.25-32
• /
• 2019

Objectives : Ephedra regeliana, although similar to the other E. sinica, E. intermedia, and E. equisetina, is not authorized by The Korean Pharmacopoeia and yet has also been imported under the name of 'Ma-Hwang'. The aim of this study was to perform a comparative anatomical evaluation of Ephedrae Sinicae Herba (ESH), Ephedrae Intermedicae Herba (EIH), Ephedrae Equisetinae Herba (EEH) and Ephedrae Regelianae Herba (ERH). Methods : Permanent paraffin-embedded specimens were produced using the paraffin-tertiary butyl alcohol (TBA) method, to visualize their anatomical features via light microscopy. Results : ESH and ERH transverse sections were in the shape of a long ellipse, while those of EIH and EEH were in the shape of a circle. These anatomical characteristics substantiated the results of external morphological examination. The sections revealed that each of the four samples showed significantly different cortexes. The cortex of ESH was wider than two thirds of the section, unlike that of the other samples which was relatively narrow. The xylems of ERH, EIH, and EEH demonstrated interconnectivity with other adjacent xylems, contrary to those in ESH. Therefore, the characteristic development of the xylems over time was used to distinguish ERH from the other. Furthermore, parenchymal morphology in the central cylinder was also a good criterion to differentiate between EIH and EEH, since EIH demonstrated parenchymal cells that were shaped like a rounded-triangle, whereas EEH parenchymal cells were chrysanthemum-shaped. Conclusions : The identification-keys established in this study would facilitate the accurate identification of microscopic features of the four varieties of 'Ma-Hwang'.