• Title/Summary/Keyword: Distal radius

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Comparison of Three Surgical Method Outcomes for Dorsal Communition Distal Radial Fractures: External Fixation, External Fixation with Allogenous Bone Graft (DBM) and Volar Locking Plate Fixation (배측 분쇄가 있는 원위부 요골 관절내 골절의 3가지 수술적 치료 결과 비교: 외고정 기구 단독, 외고정 기구와 동종골이식 및 수장측 잠김 압박 금속판)

  • Choi, Joon-Cheol;Na, Hwa-Yeop;Lee, Young-Sang;Kim, Woo-Sung;Oh, Kyung-Soo;Song, Woo-Suk;Kim, Se-Jun
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.8 no.2
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    • pp.115-120
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    • 2009
  • Purpose: To evaluate the outcomes of three different surgical approaches in treating a distal radius fracture with dorsal communition. Materials and Methods: From April, 2006 to May, 2009, 49 patients over age of 60years old with unstable dorsal communition distal radius fracture were analyzed. We compared maintainability of reduction by radiological follow-up observations and clinical outcomes using Mayo wrist scores. One-Way ANOVA test was performed to examine the statistical correlation between the methods. Results: All three approaches provided satisfactory post-op reduction results. However, follow-up observations showed significant loss of reduction in the external fixation only group compared to the added bone graft group and the volar anatomical locking plate group (P<0.05). Mayo wrist score was indifferent between the three groups. Conclusion: Treatment of a distal radius fracture with severe dorsal communition using an external fixation only appears to be insufficient in maintaining reduction of a cancellous bone defect.

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Developemtn of the external fixator for a bone fracture (골절치료용 체외고정기기 개발을 위한 연구)

  • 윤희열
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 2000.04a
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    • pp.310-315
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    • 2000
  • In this paper, the problems of the external fixator that have developed for a distal radius fracture so far are analyzed, and accordingly, the characterizations, which must have a prototype, are arranged. C-Arm is used. This instrument makes it possible for the real play of the internal body by x-ray permeability. From this data, it is possible to induce important design factors. Finally, a basic mechanism, which has to be applied, is decided, and the Solid Edge program, which used a 3-D design tool, completes then total instrument design.

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Single Screw Transphyseal Bridging for Correction of Unilateral Carpal Valgus in a 5-Week Old Thoroughbred Foal

  • Ryu, Seung-Ho;Park, Chull-Gyu;Kim, Ho-Seong;Kim, Yeong-Hun;Kim, Byung-Sun;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.39 no.1
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    • pp.28-31
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    • 2022
  • A 5-week old Thoroughbred foal was presented with severe left carpal valgus. Radiographs of the dorsopalmar projections confirmed the deviation was 14 degrees. Surgery using a single-position screw traversing the physis of the distal radius was performed. The limb was almost straight (2 degrees) 3 weeks after surgery. Visual/radiograph follow-up 7 months after screw removal revealed no over-correction after removal of the screw. Transphyseal bridging using a single-position screw without lateral periosteal transection of distal radius was successful for the correction of foals with this condition.

THE RADIOGRAPHICAL MEASUREMENT OF ROOT CANAL CURVATURE OF MANDIBULAR PRIMARY 2ND MOLARS (하악 제 2 유구치 근관 만곡의 방사선학적 계측)

  • Kim, Young-Jong;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.637-642
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    • 2003
  • Morphology of primary root divergency and curvature determines the pattern of root resorption and periapical lesion, and affects successful root canal treatment. With the purpose of analysing the morphology of primary mandibular second molar roots and canals, the frequency, angle, radius, and start of curvature of the canal were measured. Fifty clinical radiographs were taken from $3{\sim}6$ years old children, followed by digitizing after scanning and analyzing by Scion image Beta 4.02TM(Scion Co. USA). The angle of curvature was determined by Schneider's method and the radius of curvature was determined by Schaefer's method. The results were as follows: 1. The angle of curvatures were $17.3^{\circ}{\pm}5.0$ (mesial), and $27.9^{\circ}{\pm}6.0$ (distal). Distal curvature was significantly larger than mesial.(p<0.05) 2. The radius of curvatures were $8.7mm{\pm}2.5$ (mesial), and $5.8\;mm{\pm}1.5$ (distal). Mesial curvature was significantly larger than distal.(p<0.05) 3. The start of curvatures were $4.1mm{\pm}0.6$ (mesial), and $4.2mm{\pm}0.6$ (distal). There were no difference between two groups. (P<0.05)

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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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The Effect of Vitamin D Status on Bone Mineral Density of Korean (한국 성인의 Vitamin D 영양 상태가 골밀도에 미치는 영향)

  • 문수재
    • Journal of Nutrition and Health
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    • v.31 no.1
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    • pp.46-61
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    • 1998
  • This study was carried out to evaluate the effects of vitamin D nutritional status on bone mineral density of adults (21-49 years). To attain the aim, we measured bone mineral density (BMD) of the subjects at distal radius by single-photon absorptiometry (SPA). Serum level of 25-hydroxyvitamin D(25-(OH)D) , known to be the best indicator of indicator of vitamin D status in humans was analyzed . The factors affecting this vitamin D level were also investigated in autumn in 122 young adults. Serum level of 25-(OH)D was measured by high pressure liquid chromatography(HPLC) and biochemical variables, general health status, time spent outdoors, and dietary intakes of the subjects. BMD of the male subjects was significantly greater than that of female subjects. Weight, activity and total energy expediture (TEE) showed a positive correlation with distal BMD. The mean level of serum 25-(OH)D was 24.4$\pm$11.0 ng./ml and by sex, 26.0$\pm$6.8ng/ml for males and 23.3$\pm$12.3ng/ml for females , the level was significantly higher in male (p<0.01). there was significant correlation between BMD at distal-radius and s-25(OH)D levels (p<0.001). The serum level fo parathyroid hormone (PTH) showed a negative correlation with BMD(p<0.05), with the more obvious correlation in females. Vitamin D intake was estimated to be 3.75$\pm$2.19ug/day in average. Among the nutrients studied, protein ,fat, calcium , and vitamin D intake were positively correlated with distal BMD. When food frequencies were concerned , milk and dairy products showed a significant positive correlation with the BMD level, and driedfoods, eggs , fats and oils, and cereals also showed a positive correlation. Time spent outdoors was estimated to be about 70 minutes in average and positively correlated with the distal BMD level(p<0.01). During the day, the specific time between 12 :00pm and 2:00pm showed the most significant correlation with BMD (p<0.001). Multiple regression analysis with the variables showed that distal BMD could be fit 31.9% by the time spent outdoors a day, intake of Ca and vitamin D, and TEE. The standardized estimates were 0.344 for vitamin D intake, 0.284 for Ca intake 0.179 for the time spent outdoors a day and 0.273 for TEE. For males, s-25*OH)D level, TEE and time spent outdoors during a day showed a significant correlation. For females, intake of Ca and vitamin D could fit about 27.1% of the distal BMD.

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Segmented Ulnar Transposition to Defect of Ipsilateral Radius in the Forearm (전완골 분절의 전위 이식술)

  • Chung, Duke-Whan;Han, Soo-Hong;Lee, Jae-Hoon;Kwon, Boo-Kyung
    • Archives of Reconstructive Microsurgery
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    • v.16 no.2
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    • pp.125-132
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    • 2007
  • Introduction: Ulna is nearly equal to radius in function and bony architecture and strength in forearm. But in lower extremity, fibula is 1/5 of tibia in anatomic and functional point so we can find fibula transposition is commonly used in defect of tibia. We cannot find other article about segmental forearm bone transposition in man. The purpose of this study was to report our clinical and functional result of undergoing segmented transposition of ipsilateral ulna with its own vascular supply in defect of radius in 6 cases. Material and method: From June 1994 to October 2007, 7 segmented bone transpositional grafts in forearm were performed in Kyung Hee Medical Center. The distribution of age was from 20 years old to 73 years old. There was male in 6 cases and female in 1 case. The causes of operation were giant cell tumor in 1 case and traumatic origin in 6 cases; it was nonunion in 2 cases and fracture with severe comminution in 4 cases. Ipsilaterally segmented ulna keeping its own vascular supply was transported to defect of radius in severe traumatic patients and one patient whose tumor in radius had been excised. Transported ulna was fixed to proximal and distal radius remnants by plate and screw. In one case with giant cell tumor, transported ulna was connected to radius across wrist joint as wrist joint fusion. Joint preserving procedures were performed in 6 cases with crushing injury of radius. Results: We could obtain solid bony union in all cases and good functional results. The disadvantage was relative shortening of forearm, but we could overcome this problem. Conclusion: We think that ipsilateral segmented ulna transposition keeping its own vascular supply to radius can be perfomed with one of procedures in cases with wide defect in radius.

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Application of External Skeletal Fixations to Correct the Growth Deformities in a Dog (개에서 외골격 고정을 이용한 성장 기형의 교정)

  • 김영삼;변예은;윤성진;오태훈;박옥지;임지혜;최민철;권오경
    • Journal of Veterinary Clinics
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    • v.20 no.3
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    • pp.410-412
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    • 2003
  • A male, 11-month-old, Shih-tzu dog weighing 5.2kg showing knuckling secondary to severe cranial bowing of left antebrachium with valgus deformity of the carpus was presented to the Veterinary Medicine Teaching Hospital of Seoul National University. Radiographic findings were a premature closure of the distal ulnar physis, a cranial bowing of the radius, subluxation of the elbow joint, and degenerative changes in the carpal joint. The patient was treated by performing an oblique osteotomy of the radius and ulna, followed by application of External Skeletal Fixations. At 18 weeks postoperatively, the radius was healed. An incongruency of the elbow joint and radial angular deformity was corrected.

Arthroscopy for Treating Osteochondroma of Distal Radius in 68 Thoroughbred Horses

  • Song, Mingeun;Tagami, Masaaki;Kato, Fumiki;Suzuki, Tsukasa;Yamaga, Takashi;Kang, Tae-Young;Seo, Jong-pil
    • Journal of Veterinary Clinics
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    • v.35 no.3
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    • pp.88-92
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    • 2018
  • Osteochondroma (OC) is a cartilage-capped exostosis. In horses, OC commonly develops on the caudal distal metaphysis of the radius (CDMR). The purpose of study was to describe the outcomes of arthroscopy for the treatment of OC on CDMR. Diagnosis was based on clinical signs (lameness and distention of carpal sheath), radiography (location and size of OC), and ultrasonography (location of OC, torn deep digital flexor tendon, fibrin, and effusion of carpal sheath). Arthroscopy was performed on 68 Thoroughbred horses with OC on CDMR. Sixty of the 68 cases showed deep digital flexor tendinitis as a result of sharp protuberances of the OC. All horses survived, and 62 of the 68 cases returned to athletic function (racing) after arthroscopy. The present study demonstrated that arthroscopy is useful for treating OC of CDMR in horses.