• Title/Summary/Keyword: Carpal bones

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Chondroblastoma of the carpal scaphoid (A Case Report) (수근부 주상골의 연골모세포종 (증례 보고))

  • Chung, Kyung-Chil;Kim, Key-Yong;Choi, Jang-Suk;Seo, Seung-Suk;Kim, Kyoung-Whan
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.194-198
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    • 2005
  • Chondroblastoma is relatively rare benign neoplasm with predilection for the epiphysis of long bones. Benign chondroblastomas of bone compromise approximately 1% of benign bone tumors in several reported series. Chondroblastoma in the carpus is extremely rare in english literature. We report the case of a chonroblastoma in the carpal scaphoid.

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Normal Anatomy of the Wrist Joint (손목 관절의 해부학)

  • Kang, Hong Je
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.1-7
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    • 2012
  • The wrist joint was consisted with various bones, ligaments, and muscles. The wrist joint is difficult to understand, because of its complicated anatomical structure. The wrist joint is not one space but three joints; radiocarpal joint between distal radioulnar and proximal carpal bone, midcarpal joint between proximal and distal carpal bone, and distal radioulnar joint between distal radius and ulnar head. Normally each joint is separated from each other. Exact understanding about normal anatomy of the wrist joint is necessary for treatment of disease and injury in wrist joint. In this reviews, we will see normal anatomy of the wrist joint.

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ACROFACIAL DYSOSTOSIS : A CASE REPORT (사지안면골형성부전증(Acrofacial Dysostosis) 환자의 증례보고)

  • Lee, Byeong-Do
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.2
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    • pp.220-224
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    • 1999
  • The acrofacial dysostosis(AFD) is a rare heterogenous disorders combining varying severities of mandibulofacial dysostosis(MFD) with pre and/or post axial limb abnormalities. The Nager syndrome is characterized by preaxial limb defects whereas Miller syndrome is characterized by post axial limb defects. Our AFD case is a 14-year old female. She showed malar hypoplasia, cleft lip & palate(Rt, Lt side), wide nasal bridge, telecanthus. Her right thumb was abscent and middle phalanx, radius, carpal bones of right hand were hypoplastic, and metatarsus varus was present. She showed normal stature and intelligence.

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Computed tomographic features of Scottish Fold osteochondrodysplasia

  • Lee, Seyoung;Oh, Juyeon;Choi, Jihye
    • Korean Journal of Veterinary Research
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    • v.60 no.1
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    • pp.43-47
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    • 2020
  • An 18-month-old, Scottish Fold with severe lameness and pain in the fore- and hind-limbs was diagnosed as Scottish Fold osteochondrodysplasia based on radiography showing mis-shapened phalanges, bone formation around the tarsal and metatarsal joints, joint space narrowing, and ankylosis. Although computed tomography (CT) is not considered a primary method for examining Scottish Fold osteochondrodysplasia, CT was undertaken in this case to investigate the cause of pain and reluctant ambulation in the forelimbs. CT showed immaturely ossified bone proliferation in the carpal bones. CT-based multiplanar reconstruction can reveal the anatomic relationship between the bone lesion and the joint in various directions.

Surgical Correction of Hexadactyly: Innovation of new technique and its application (여섯 손가락증의 수술적 교정: 새로운 수술 방법의 고안과 적용)

  • Tark, Kwan Chul;Lee, Myung Chul
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.642-648
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    • 2009
  • Purpose: Hexadactyly without thumb is a rare congenital anomaly of the hand where six triphalangeal digits are symmetrically distributed without thumb. Contrary to mirror hands, triphalangeal six digits are symmetrically distributed on each side at the midline with well - differentiated carpal bones, extensor tendons, one ulnar and one radius. The authors developed a new surgical technique based on a three - dimensional concept to correct the hexadactyly and applied to 2 cases of hexadactyly with good functional and aesthetic results. Here we document the surgical technique and its result. Methods: A 16 month old male patient visited our clinic with chief complaints of bilateral hexadactyly deformity. On physical examination most radial first and second digits showed no opposition and adduction motion on both side hands. Radiography showed 6 triphalangeal digits with normal development of carpal, radial and ulnar bone. Right side abnormality was corrected by removal of most radial side extra - digit, rotation and migration of 2nd ray to thumb position and creation of 1st web by transposing a mid - palm based rectangular palmar flap as in Snow & Littler procedure which has been being applied for correction of 1st web syndactyly in cleft hand deformity. Seven months later, left side abnormality was also corrected with the same procedure. Results: Postoperative appearances of the both hands were satisfactory. Flexion, extension, opposition and grasping were possible with the pollicized 2nd ray. Pinching power was 3.0 kg 15 months after surgery and 2.5 kg 22 months after in right hand respectively. Conclusion: In correction of hexadactyly deformity, satisfactory aesthetic and relevant functional results can be expected with authors' newly developed technique: removal of most radial digit, rotation and migration of 2nd digit to thumb position as well as creation of the 1st web space by transposition of mid - palm based rectangular flap.

A Familial Case with Holt-Oram Syndrome with a Novel TBX5 Mutation

  • Lee, Beom Hee;Kim, Yoo-Mi;Kim, Gu-Hwan;Kim, Young-Hwue;Yoo, Han-Wook
    • Journal of Genetic Medicine
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    • v.9 no.2
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    • pp.98-100
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    • 2012
  • Holt-Oram syndrome (HOS) is the most common heart-hand syndrome, which is inherited in an autosomal dominant manner, but most cases are sporadic. This condition is characterized by upper-extremity malformations involving radial-ray, thenar, and carpal bones, and congenital heart malformations including atrial septal defect and ventricular septal defect. It is caused by mutations in the TBX5 gene. In this report, a Korean case with HOS is described, which is inherited from her father. A novel nonsense mutation, $p.Glu294^*$, was identified. This is the first Korean case with HOS confirmed by genetic testing.

Osteoid Osteoma in Scaphoid - A Case Report - (주상골의 유골 골종 - 1례 보고 -)

  • Lee, Kwang-Suk;Woo, Kyoung-Jo;Park, Jong-Hoon
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.2
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    • pp.240-243
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    • 1995
  • Osteoid osteoma is a benign osteoblastic tumor composed of osteoid and atypical bone, with a loose, highly vascular fibrous marrow. The tumor has been reported in most of the bones of the body, but it is infrequently localized to the hand. The scaphoid is the carpal bone involved most frequently. Typically the lesions are painful and respond to aspirin. Roentgenologic finding of the central area of lucency surrounded by sclerotic bone often is diagnostic. Block excision with bone grafting is an acceptable method of treatment. We report a case of osteoid osteoma in scaphoid with a review of the literature.

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Numerical study of 10-year-old child forearm injury

  • Mao, Haojie;Cai, Yun;Yang, King H.
    • Advances in biomechanics and applications
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    • v.1 no.3
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    • pp.143-158
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    • 2014
  • Forearm fractures in children are very common among all pediatric fractures. However, biomechanical investigations on the pediatric forearm are rather scarce, partially due to the complex anatomy, closely situated, interrelated structures, highly dynamic movement patterns, and lack of appropriate tools. The purpose of this study is to develop a computational tool for child forearm investigation and characterize the mechanical responses of a backward fall using the computational model. A three-dimensional 10-year-old child forearm finite element (FE) model, which includes the ulna, radius, carpal bones, metacarpals, phalanges, cartilages and ligaments, was developed. The high-quality hexahedral FE meshes were created using a multi-block approach to ensure computational accuracy. The material properties of the FE model were obtained by scaling reported adult experimental data. The design of computational experiments was performed to investigate material sensitivity and the effects of relevant parameters in backward fall. Numerical results provided a spectrum of child forearm responses with various effective masses and forearm angles. In addition, a conceptual L-shape wrist guard design was simulated and found to be able to reduce child distal radius fracture.

Diagnosis and Management of Articular Gout in a Red-eared Slider (Trachemys Scripta Elegans) (붉은귀 거북이(red-eared slider, Trachemys scripta elegans)에서 관절 통풍의 진단 및 치료 증례)

  • Lee, So-Young;Kim, Ju-Won;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.28 no.4
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    • pp.449-451
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    • 2011
  • An 1.28 kg, male, thirteen years of age, red-eared slider (Trachemys scripta elegans) was presented with one month history of anorexia, decreased mobility, and swelling and erythema of forelimbs. Hyperuricemia and tophaceous gout such as osteolysis at the digit, carpal and metacarpal bones with radiopaque densities around the lesion were detected. Allopurinol (20 mg/kg, PO, once a day) and u/d (Hill's diet) were selected for treatment and other antibiotics or anti-inflammatory drugs were not administered. One month after initial presentation, clinical signs and radiographic findings were improved. According to the medical response, the turtle was presumptively diagnosed as articular gout and allopurinol revealed effective response to the articular gout in turtles.

The Motion Analysis of the limited Wrist Joint During Dart-Throwing Motion by Using Infrared Camera (적외선카메라를 이용한 다트던지기 운동에서의 제한된 손목관절 움직임 분석)

  • Park, Chan-Soo;Park, Jong-Il;Kim, Kwang Gi;Jang, Ik-Gyu;Kim, Tae-Yun;Lee, Sang lim;Baek, Goo Hyun
    • Journal of Biomedical Engineering Research
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    • v.34 no.2
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    • pp.55-62
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    • 2013
  • Wrist joints consist of irregularly shaped carpal bones and other complicated structures. Thus, evaluating the motion of a wrist joint is a challenging task. In this study, we used an infrared camera to perform a kinematic analysis of a dart-throwing motion. We measured the difference between the movement of a normal wrist and constrained wrist (wrist with a wrist glove) in the dart-throwing motion with thirty six healthy participants. We measured the ulna flexion - radial extension motion using the attached passive marker and analyzed it using Polygon software and SPSS. The pitch and yaw motions with a glove was bigger than the ones without a glove by 20 and 15 degrees, respectively. On the other hand, the roll motion without a glove was bigger than the one with a glove by 7 degree. Wilcoxon signed rank test (p<0.05) confirmed that there are significant differences between the motion with and without a glove. It was found that the magnitude of the pitch and yaw motion with a constrained wrist joint toward radial extension in dart-throwing motion is smaller than the one with a normal wrist joint. However, a normal wrist joint showed a bigger movement in the roll direction.