• 대한물리치료과학회지
• /
• 제4권3호
• /
• pp.475-489
• /
• 1997

Connective tissue massage(CTM, Bindegewebs massage) are developed and named by Mrs. Elizabeth Dicke, a German physical therapist. The CTM is used primarily for internal disorder such as myocarditis, coronary insufficiency, high blood pressure, functional stomach and intestinal disorders, inflamma-tion of the gallbladder, and hepatitis, arterial circulatory problems, venous disorders, headache, particularly trauma to the head, and some gynecologic disorder, etc. Which is performed with special stroking technique of the subcutaneous tissue of the trunk, extremities, and face. The mechanism of effectiveness of CTM is based on a viscerocutaneous reflex. The stroking stimulates the nerve end-ings of the autonomic nervous system. The impulses activated by stroking travel to the sympathetic trunk and the spinal cord and brain, which causes a change in reaction susceptibility. The most important for apply CTM is necessary to know the reflex zone (Head's zone, Mackenzie's zone and Dicke's connective tissue zone). Dicke's connective tissue zones are only found by the special dia-gnostic stroking. Because the connective tissue zones no discomfort when unmanipulated, and thus the patient is unaware of them. It is characterized by diagnostic stroking that causes a sharp pain in the tissue. As a general rule, all treatment are preceded by the basic stroke from the level of the coccyx to the first lumbar vertebra and each stroke is done three times. The right side is done first, then the left side.

• Journal of Korean Neurosurgical Society
• /
• 제48권6호
• /
• pp.528-531
• /
• 2010

Ehlers-Danlos syndrome (EDS) type IV is characterized by its clinical manifestations, which are easy bruising, thin skin with visible veins, and rupture of arteries, uterus, or intestines. Arterial complications are the leading cause of death in vascular EDS because they are unpredictable and surgical repair is difficult due to tissue fragility. The authors report a case presented with cervical radiculopathy due to a segmental fusiform aneurysm of the cervical vertebral artery. Transfemoral cerebral angiography (TFCA) was done to verify the aneurysmal dilatation. However, during TFCA, bleeding at the puncture site was not controlled, skin and underlying muscle was disrupted and profound bleeding occurred during manual compression after femoral catheter removal. Accordingly, surgical repair of the injured femoral artery was performed. At this time it was possible to diagnose it as an EDS with fusiform aneurysm on cervical vertebral artery. Particularly, cervical fusiform aneurysm is rare condition, and therefore, connective tissue disorder must be considered in such cases. If connective tissue disorder is suspected, the authors suggest that a noninvasive imaging modality, such as, high quality computed tomography angiography, be used to evaluate the vascular lesion to avoid potential arterial complications.

• The Korean Journal of Pain
• /
• 제14권1호
• /
• pp.114-117
• /
• 2001

A significant injury of ligament or tendon that might result in hypermobility and/or instability has been termed connective tissue insufficiency (CTI). Load bearing on CTI can sometimes create a malfunction of the mechanoreceptor and this in turn can aggravate the problem thus creating a chronic condition. Prolotherapy means the injection of growth factors or growth factor stimulators into the fibroosseous junction of the disabled ligament, tendon or cartilages in order to strengthen and promote proliferation of the injured Connective tissue. In the case of frequent recurrence or unresponsiveness to conservative treatment including nerve blocks in the chronic musculoskeletal disorder. We obtained good results after the prolotherapy treatment. This study will report on 5 cases of prolotherapy treatment.

• 한국임상수의학회지
• /
• 제8권2호
• /
• pp.143-146
• /
• 1991

Renal cyst was detected in a mongrel dog aged 3 months old. The most prominent clinical abnormalities were vomiting, loss of appetite, depression, abdominal swelling and lethargy. Gross appearances included ascites and bilaterally irregular capsular surfaces of the kidneys. Characteristic microscopical findings were various sized cysts formation, shrunken glomeruli with hypercellularity, connective tissue porliferation in the interstitum, tubular dilatation and sligth leukocytic infiltration. The cause. of the renal disorder in a mongrel dog could not be determined.

• 대한골관절종양학회지
• /
• 제8권2호
• /
• pp.63-67
• /
• 2002

진행성 골화성 근염은 매우 드물게 보는 유전성 질환으로서 선천성 족무지 기형과 근막, 건막, 건, 인대 및 골격근육의 간질조직내 결체조직의 부종, 석회화를 거쳐 진행성으로 골화를 일으킴을 특징으로 하는 질환이다. 본 질환은 근본적으로 골격근 자체는 정상이나 근본 병리결함이 결체조직에 발생함으로 종래 사용하던 병명인 '진행성 골화성 근염' 대신 '진행성 골화성 섬유이형성증'이라 칭하는 것이 합당하다고 주장되고 있다. 저자는 최근 일가족 남매에 발생한 진행성 골화성 근염 2예를 경험하였기에 보고하는 바이다.

• 대한소아치과학회지
• /
• 제34권4호
• /
• pp.666-671
• /
• 2007

윌리엄스 증후군은 심혈관계, 결합조직 및 중추신경계에 다발성 이상이 발생되는 선천성 장애이며 정신지체, 특이한 안모, 심혈관 질환이 동반되고 치아의 형태 이상, 치아 결손, 부정교합 등의 전형적인 구강내 소견을 나타낸다. 본 증례에서는 윌리엄스 증후군으로 진단된 환자에서 이미 보고된 구강내 소견 외에 영구치의 비정상적 맹출 경로로 인한 매복 소견이 나타났으며 이에 대한 치과적인 치료 과정을 보고하는 바이다.

• 대한두개안면성형외과학회지
• /
• 제20권2호
• /
• pp.130-133
• /
• 2019

Ehlers-Danlos syndrome (EDS) is an inherited disorder of collagen biosynthesis and structure, characterized by skin hyperextensibility, joint hypermobility, aberrant scars, and tissue friability. Besides the skin, skeleton (joint) and vessels, other organs such as the eyes and the intestine can be affected in this syndrome. Accordingly, interdisciplinary cooperation is necessary for a successful treatment. Three basic surgical problems are arising due to an EDS: decreased the strength of the tissue causes making the wound dehiscence, increased bleeding tendency due to the blood vessel fragility, and delayed wound healing period. Surgery patients with an EDS require an experienced surgeon in treating EDS patients; the treatment process requires careful tissue handling and a long postoperative care. A surgeon should also recognize whether the patient shows a resistance to local anesthetics and a high risk of hematoma formation. This report describes a patient with a wide open wound on the foot dorsum and delayed wound healing after the primary approximation of the wound margins.

• Journal of Chest Surgery
• /
• 제34권8호
• /
• pp.626-629
• /
• 2001

선천선 다발성 판막질환(Congenital Polyvalvular Disease)은 결체조직의 이상으로 인해 한 개 이상의 심장판막에 비정상적 기형을 초래하는 질환으로 그 원인은 아직 확실히 알려져 있지 않다. 이 질환은 제 18번 또는 13∼15번 삼염색체 증후군에서 자주 관찰되며, 심실중격결손증, 동맥관 개존증 등의 심장기형을 동반하기도한다. 환아는 산전 초음파 검사에서 우심방내의 종괴가 발견되었고, 출생 후 시행한 심초음파 검사에서 삼첨판위의 혈종 또는 점액종이 의심되어 수술을 시행하였다. 종괴는 삼천판막의 전판막첨과 중격판막첨으로부터 완전히 제거되었고 병리학적 검사에 불규칙하게 두꺼워지고 결절화되어 있었으며, 석회화와 골화의 소견을 보였다. 태아의 산전 심초음파 검사에서 판막에 석회화 소견이 관찰될 때 선천성 다발성 판막질환도 염두에 두어야 할 의미 있는 소견이라고 생각된다. 저자들은 선천성 다발성 판막질환 1예를 경험하여 이의 임상 및 조직소견을 문헌 고찰과 함께 보고하고자 한다.

• Journal of Yeungnam Medical Science
• /
• 제4권1호
• /
• pp.157-163
• /
• 1987

저자들은 7세 여아에서 골형성 부전증으로 우측경골에 심한 전방만곡을 절골술 및 수내고정법으로 교정하였다.

• Imaging Science in Dentistry
• /
• 제40권1호
• /
• pp.45-52
• /
• 2010

Synovial chondromatosis is an uncommon disorder characterized by metaplastic formation of multiple cartilaginous and osteocartilaginous nodules within connective tissue of the synovial membrane of joints. Osteochondroma is a benign lesion of osseous and cartilagenous origin. It is frequently found in the general skeleton, but is rare in the mandibular condyle. We experienced 2 patients with abnormal appearance of temporomandibular joint. Histologic diagnoses were not obtained, because surgery was unwarranted in view of the lack of symptoms and the benign differential diagnosis. We describes 2 cases that show the characteristics of both disease simultaneously.