• Title/Summary/Keyword: Closed treatment

Search Result 767, Processing Time 0.181 seconds

태권도 선수에서 발생한 장 족무지 신전건의 파열: 2예 보고 (Extensor Hallucis Longus Tendon Rupture in TaeKwonDo Players: Two Case Report)

  • 이경태;김진수;양기원;김재영;최재혁;박현규;김병관
    • 대한족부족관절학회지
    • /
    • 제10권1호
    • /
    • pp.101-104
    • /
    • 2006
  • Occasionally, extensor hallucis longus tendon (EHL) ruptures becames open by laceration and spontaneous rupture of EHL that has previous story of diabetes mellitus, steroid injection, systemic steroid administration, operation and rheumatoid arthritis. But, closed traumatic EHL ruptures are reported rarely. Especially, we diagnosed the closed EHL ruptures in TaeKwonDo players. We reported the 2 patients, differently treated end to end anastomosis and EHL transfer, had the course and treatment methods. Be care the prognosis can be altered according to the treatment time and method.

  • PDF

Early Spontaneous Recanalization of Sigmoid Sinus Thrombosis Following a Closed Head Injury in a Pediatric Patient : A Case Report and Review of Literature

  • Yun, Jung-Ho;Ko, Jung Ho;Lee, Mee Jeong
    • Journal of Korean Neurosurgical Society
    • /
    • 제58권2호
    • /
    • pp.150-154
    • /
    • 2015
  • Cerebral venous sinus thrombosis (CVST) following a closed head injury in pediatric patients is a rare condition, and an early spontaneous recanalization of this condition is extremely rare. A 10-year-old boy was admitted with a mild, intermittent headache and nausea five days after a bicycle accident. The brain computed tomography showed an epidural hematoma at the right occipital area with pneumocephalus due to a fracture of the occipital skull bone. The brain magnetic resonance imaging and the magnetic resonance venography demonstrated a flow signal loss from the right sigmoid sinus to the right jugular vein. The diagnosis was sigmoid sinus thrombosis, so close observations were selected as a treatment for the patient because of his gradually improving symptoms; however, he complained of vomiting 14 days the after conservative treatment. The patient was readmitted for a further examination of his symptoms. The laboratory and the gastroenterological examinations were normal. Due to concern regarding the worsening of the sigmoid sinus thrombosis, the brain magnetic resonance venography was rechecked and it revealed the recanalization of the venous flow in the sigmoid sinus and in the jugular vein.

Outcome of open reduction and Kirschner wire fixation in pediatric radial neck fracture

  • Rouhani, Alireza;Chavoshi, Mohammadreza;Sadeghpour, Alireza;Aslani, Hossein;Mardani-Kivi, Mohsen
    • Clinics in Shoulder and Elbow
    • /
    • 제24권4호
    • /
    • pp.239-244
    • /
    • 2021
  • Background: Radial neck fracture in children is rare. This study attempted to evaluate the outcome of surgically treated patients and any associated complications. Methods: This study evaluated 23 children under 15 years of age with radial neck fracture who were treated with open reduction between 2006 and 2016 to determine their range of motion, postoperative complications, and radiographic outcomes. The results were assessed clinically using the Mayo clinic elbow performance score. Results: The mean follow-up duration for patients was 34.6 months. The average postoperative angulation was 3.6°. Hypoesthesia was reported in only 9% of patients, and none of the patients complained of postoperative pain. The postoperative X-ray results were excellent in 60% and good in 40%. No radiographic complications were identified. The elbow score was excellent in 87% and good in 13% (mean score, 96.74). There was a statistical relationship between range of motion limitations and age, degree of fracture, initial displacement, and surgical pin removal time. Conclusions: Although most patients accept the closed reduction method as a primary treatment, the present study suggests that an open-reduction approach has been associated with optimal therapeutic outcomes for patients in whom closed reduction was not satisfactory or indicated.

성인의 상완골 과상부 골절의 도수 정복 후 경피적 고정 방식의 치료 결과 (Results of Closed Reduction and Percutaneous Fixation of the Supracondylar Fractures of the Humerus in Adults)

  • 박진수
    • Clinics in Shoulder and Elbow
    • /
    • 제5권2호
    • /
    • pp.102-109
    • /
    • 2002
  • Purpose: To evaluate the results of the treatment of the supracondylar fractures of the humerus according to the fixation methods in adults Materials and Methods: Seven patients, aged 55 to 52 years (average,69 years), were reviewed after a mean follow-up of 37 months (range, 11-65 months). According to AO classification all fractures were classified as type A2 (simple transverse supracondylar fracture). Six patients underwent closed reduction and one patient, open reduction after failure of closed reduction. Percutaneous fixation with cannulated screws was performed to the 4 patients, per- cuta)leous fixation with Kirschner wires in 3 patients. All except one patients have associated medical problems. The results were assessed based on the Mayo Elbow Performance Score. Results: All the patients with cannulated screw fixation had stable bony union with excellent ranges of motion (mean: 5-125 degrees). All the three patients who received percuatnaous smooth K-wire fixation had nonunion with poor results, one of them had changed into cannulated screw. and then had good result. Conclusion: Although simple supracondylar fracture is similar to the pediatric fracture in nature, it should be firmly fixed with the method such as threaded cannualted screw rather than the simple fixation with K-wires.

Surgical Repair of Proximal Humeral Fracture in Common Kestrel (Falco tinnunculus)

  • Jang, Jin-ho;Lee, Moon-hee;Park, Young-seok;Kim, Moon-jung;Yun, Young-min
    • 한국임상수의학회지
    • /
    • 제35권2호
    • /
    • pp.46-49
    • /
    • 2018
  • A common kestrel was admitted to Chungnam wild animal rescue center, having been unable to fly. On the physical examination, the bird was presented with contusion and swelling on its right humerus closed fraction and had pain response. Radiographic examination was explicitly revealed closed fracture on right proximal humerus. Its closed fracture was reduced with tie-in fixator and figure-of-eight tension band, and inserted pins on its right humerus surgery were removed on the $14^{th}$ day after the surgery. As Falco tinnunculus was able to move its wings from Day $21^{st}$ day, its rehabilitation was done at outdoor facility and it was successfully released. Proximal humerus reduction with tie-in fixator and the wire was a success, and this treatment with reference to this study will be surely effective to support the other wildbird's reduction stability.

역위 매복된 상악 중절치의 교정적 견인 치험 예 (Orthodontic treatment of an impacted maxillary central incisor with dilacerations)

  • 전윤식;임원희;김혜진
    • 대한치과교정학회지
    • /
    • 제37권2호
    • /
    • pp.159-163
    • /
    • 2007
  • 심한 치근 만곡을 동반한 매복은 흔하지 않으며, 특히 상악 전치의 경우에 그러하다. 이는 외과적 노출과 교정적 견인이 임상적으로 매우 어려우며, 치근유착, 치근의 외흡수, 교정적 견인 후 치근 노출 등의 위험이 있을 수 있기 때문이다. 비록 성공적으로 치료된 증례라 하더라도 치은의 심미를 향상시키기 위하여 치주수술이 필요한 경우가 많다. 본 증례보고는 발육중인 만곡된 치근을 가진 역위 매복된 상악 중절치의 closed eruption technique를 이용한 교정 치험예를 소개하였다.

바로 선 자세에서 발목과 무릎관절의 고정이 자세안정성에 미치는 영향 (Effects of Immobilization of the Ankle and Knee Joints on Postural Stability in Standing)

  • 황수진;우영근;전혜선
    • 한국전문물리치료학회지
    • /
    • 제15권1호
    • /
    • pp.30-37
    • /
    • 2008
  • This study was designed to examine the effects of temporary immobilization of the ankle and knee joints on standing in healthy young adults with the use of a postural control mechanism. The subjects were twenty-four college students (12 males and 12 females, aged between 20 and 28). A Biodex balance system SD 950-302 and its software were used to measure indirect balance parameters in standing. Each subject underwent postural stability tests in 4-different joint conditions: free joints, ankle immobilization only, knee immobilization only, and ankle and knee immobilization. In addition, the postural stability test was conducted once with the subject's eyes open and once with the eyes closed conditions. For data analysis of the postural stability tests, the overall stability index, antero-posterior stability index, and medio-lateral stability index were recorded. The overall stability index (p=.000) and medial-lateral index (p=.003) were significantly greater different conditions with eyes closed in postural stability. Therefore, the eyes closed condition is expected to be used as an effective postural stability training for treatment planning in patients with unstable postures. In addition, training based on the dynamic multi-segment model can improve postural stability and is available to therapeutic programs, helping people with unstable balance to reduce their risk of falling.

  • PDF

Multichannel Quantum Defect Theory Analysis of Overlapping Resonance Structures in Lu-Fano Plots of Rare Gas Spectra

  • Lee, Chun-Woo;Kong, Ja-Hyun
    • Bulletin of the Korean Chemical Society
    • /
    • 제30권8호
    • /
    • pp.1783-1792
    • /
    • 2009
  • Although overlapping resonances have been studied extensively in conventional resonance theories, there have not been many studies on them in multichannel quantum defect theories (MQDT). In MQDT, overlapping resonances occur between the channels instead of states, which pose far greater difficulty. Their systematic treatment was obtained for cases involving degenerate closed channels by applying our previous theory, which decouples background scattering from the resonance scattering in the MQDT formulation. The use of mathematical theory on con-diagonalization and con-similarity was essential for handling the non-Hermitian symmetric complex matrix. Overlapping resonances in rare gas spectra of Ar, Kr and Xe were analyzed using this theory and the results were compared with the ones of the previous alternative parameterizations of MQDT which make the open-open part $K^{oo}$ and closed-closed part $K^{cc}$ of reactance submatrices zero. The comparison revealed that separation of background and resonance scatterings achieved in our formulation in a systematic way was not achieved in the representation of $K^{oo}\;=\;0\;and\;K^{cc}$ = 0 when overlapping resonances are present.

악기능 장치를 이용한 하악 과두 골절의 치험례:1증례에 대한 임상적, 방사선학적 분석 (Non-Surgical Treatment of Mandibular Condylar Fracture with Functional Appliance:Clinical and Radiographic Analysis of 1 Case)

  • 천상득;노재환;송재철;진병로
    • Journal of Yeungnam Medical Science
    • /
    • 제19권2호
    • /
    • pp.144-150
    • /
    • 2002
  • 영남대학교 의과대학 부속병원 치과학교실에서는 악기능 장치를 이용하여 비관혈적 정복술을 시행한 하악 과두 골절 1례에서 양호한 치료 경과를 보였기에 문헌 고찰과 함께 보고하는 바이다. 추후 본 증례에 기초한 다수 증례의 연구가 필요할 것으로 사료된다.

  • PDF

비골 골절의 임상적 고찰 (A CLINICAL STUDY OF THE NASAL BONE FRACTURES)

  • 양인석;여환호;김영균;변웅래
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제16권3호
    • /
    • pp.419-427
    • /
    • 1994
  • Because of the prominence of the nose and its central location, it is the most frequently encountered fractures in the face. Yet reports about the nasal bone fractures are virtually rare in the oral and maxillofacial surgical literatures. This is a retrospective study on 19 nasal bone fractures treated in Chosun university hospital Department of Oral & Maxillofacial Surgery from Jan. 1991 to Sep. 1993, under admission to our Dept. and the obtained results were as follows. 1. Of the 240 patients with facial bone fractures, 28 patients suffered nasal fractures(12%) and male to female ratio was 5.3:1. 2. The most frequent cause was traffic accidents(39%)m, the next fall down(36%), first blow(4%). 3. The age frequency was the highest in the fifth decade (32%). 4. Clinical classification of nasal fractures was simple fractures(74%), combined fractures(26%), and single fractures(37%), combined fractures(63%). 5. The most frequently combined site was maxilla(50%). 6. Treatments of nasal fractures were closed reduction(63%), open reduction(5%), and secondary rhinoplasty(32%). 7. The initial treatment time from accident was 1.7 days in single fractures, and 3.5 days in combined fractures, and the period of splint retained was about 8.2 days in single fracture, about 8.7 in combined fracture. 8. It was necessary to treat secondarily in delayed treatment, and all treatment methods showed relatively good prognosis. 9. Closed reduction was treated under local anesthesia, but open reduction & secondary rhinoplasty was treated under general anesthesia except 1 case. 10. The complications were disturbance of swellings 5 cases, ethetic problem 5 cases, epiphora 3 cases, abnormal sensation 6 cases in relation with other fractures.

  • PDF