• Title/Summary/Keyword: Dynamic ultrasonography

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Ulnar Nerve Subluxation Diagnosed by Dynamic Ultrasonography (동적 초음파를 이용하여 진단한 주관절 척골 신경 아탈구)

  • Ji, Jong-Hun;Jung, Jae-Jung;Kim, Young-Yul;Kang, Hyun-Taek;Park, Sang-Eun;Kim, Dong-Jin
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.79-83
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    • 2010
  • Musculoskeletal ultrasonography has been used as a convenient and simple tool for diagnosis of various conditions of orthopaedic diseases for many years. Generally magnetic resonance imaging (MRI) is thought to be the best method to search for anatomical structures or variations. However, for dynamic conditions such as dislocation or subluxation of tendons and nerves, MRI is not superior to ultrasonography, especially dynamic ultrasonography. So we present such a patient with an ulnar nerve subluxation at the elbow who has symtoms mimicking cubital tunnel syndrome diagnosed by dynamic ultrasonography and treated successfully by ulnar nerve anterior transposition and think that dynamic ultrasonography is a useful method for diagnosing dynamic condition such as ulnar nerve subluxation mimicking cubital tunnel syndrome.

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Snapping Knee Caused by a Superiorly Displaced Medial Meniscus: Knee Dynamic Ultrasonographic Findings (위쪽으로 전위된 안쪽 반달연골에 의해서 발생하는 퉁김현상: 무릎 실시간 초음파 영상 소견)

  • Hyun Seok Oh;Tae Eun Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.2
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    • pp.455-461
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    • 2021
  • The causes of snapping knee include meniscal instability, but dynamic ultrasonographic findings have rarely been reported. Here, we report a case of snapping knee due to direct trauma to the right knee of a 79-year-old woman. Dynamic ultrasonography is used to confirm the snapping phenomenon caused by the anterosuperior displacement of the truncated posterior horn and body of the right medial meniscus.

Ultrasonography of the Elbow Joint (주관절의 초음파 검사)

  • Kim, Chul Hong;Lee, Myung Jin;Kang, Min Soo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.123-129
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    • 2012
  • The purpose of this article is review about the use of ultrasonography in the evaluation of the elbow joint. Ultrasonography has several key advantages in elbow joint, including easy assessment of target structure in elbow joint and ability to perform real time dynamic examination and to compare with opposite site. Ultrasonography is easy available to visualize abnormalities affecting tendons, muscles, ligaments, bursae, and occult fractures around the elbow joint and also allows accurate assessment of ulnar nerve in cubital tunnel. The role of ultrasonography will increase further with regards to evaluation of soft-tissue abnormalities of the elbow joint.

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Snapping Triceps Syndrome with Dislocation of the Ulnar Nerve - Usefulness of Dynamic Ultrasonography - (척골 신경 탈구와 동반된 발음성 삼두근 증후군 - 동적 초음파 검사의 유용성 -)

  • Jeong, Woong-Kyo;Park, Sang-Won;Song, Dong-Ik;Lee, Soon-Hyuck
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.27-30
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    • 2008
  • Snapping triceps syndrome is a rare condition in which a distal portion of triceps and ulnar nerve dislocate over the medial epicondyle as the elbow is flexed or extended from flexed position. Because it is frequently misdiagnosed as other elbow pathologies, accurate diagnosis is essential and imaging study is often needed to confirm the abnormal movement of ulnar nerve and triceps. Ultraonography is a convenient and effective method which is able to allow continual visualization of soft tissue movement compared to the other imaging modality including MRI. We reported one patient of snapping triceps syndrome who was diagnosed with the use of dynamic ultrasonography and treated with ulna nerve anterior transposition and repositioning of medial head of triceps. And we also provide the usefulness of musculoskeletal ultrasonography for the diagnosis of snapping triceps syndrome.

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Subluxation of the Long Head Biceps Tendon Diagnosed by Dynamic Ultrasound (동적 초음파를 이용하여 진단한 견관절 상완 이두건 장두의 아탈구)

  • Park, Sang-Eun;Jung, Jae-Jung;Lee, Yeon-Soo;Kim, Young-Yul;Kim, Myung-Jin;Ji, Jong-Hun
    • Clinics in Shoulder and Elbow
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    • v.14 no.2
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    • pp.236-241
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    • 2011
  • Purpose: To report the usefulness of dynamic ultrasonography in subluxation of the long head of the biceps tendon, which is difficult to detect with static imaging such as plain radiography, static sonography, MRI and in a subtle physical examination. Materials and Methods: Two male patients suffered from subluxation of the long head of the biceps. This difficult diagnosis? was managed by surgery (biceps soft tissue tenodesis) with the aid of dynamic ultrasonography. At final follow up, we evaluated patients' symptoms and functional outcomes using KSS, UCLA and ASES scores. Results: We diagnosed and treated subluxation of the long head of the biceps easily using dynamic ultrasonography. At the final follow up, both patients' symptoms and functional outcomes were improved. There were no significant complications. Conclusion: Dynamic ultrasonography is a useful method in the difficult and subtle diagnosis of subluxation of the long head of the biceps.

Lipoma of the Tendon Sheath that Caused Peripheral Neuropathy (말초 신경병증을 초래한 건초주위 지방종)

  • Kim, Sehee;Lee, Yong-Suk;Kim, Jae Min
    • Clinical Pain
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    • v.20 no.1
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    • pp.20-24
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    • 2021
  • In this case report, we present a rare case of lipoma of the tendon sheath localized to the wrist which caused median entrapment neuropathy and was successfully treated with surgical excision. Dynamic examination using ultrasonography revealed the exact location of the lipoma. Electrodiagnostic study (EDX) was done before surgery to elucidate combined neuropathy, and surgery for ulnar neuropathy around elbow was also performed simultaneously. Diagnostic ultrasound can be used for dynamic examinations with real-time visualization.

Dynamic Parameter Visualization and Noise Suppression Techniques for Contrast-Enhanced Ultrasonography (조영증강 초음파진단을 위한 동적 파라미터 가시화기법 및 노이즈 개선기법)

  • Kim, Ho-Joon
    • Journal of KIISE
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    • v.42 no.7
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    • pp.910-918
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    • 2015
  • This paper presents a parameter visualization technique to overcome the limitation of the naked eye in contrast-enhanced ultrasonography. A method is also proposed to compensate for the distortion and noise in ultrasound image sequences. Meaningful parameters for diagnosing liver disease can be extracted from the dynamic patterns of the contrast enhancement in ultrasound images. The visualization technique can provide more accurate information by generating a parametric image from the dynamic data. Respiratory motions and noise from micro-bubble in ultrasound data may cause a degradation of the reliability of the diagnostic parameters. A multi-stage algorithm for respiratory motion tracking and an image enhancement technique based on the Markov Random Field are proposed. The usefulness of the proposed methods is empirically discussed through experiments by using a set of clinical data.

Ultrasonographic evaluation of extrusion of medial meniscus of the knee -A Case Report- (초음파를 이용한 슬관절 내측 반월상 연골 탈출의 진단 -1례 보고-)

  • Kim, Jung Man;Song, Chol
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.14-17
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    • 2008
  • Meniscal extrusion is defined as a distance of 3 mm or more between the peripheral border of the meniscus and the edge of the tibial plateau on the coronal plane, associated with degeneration or tear of meniscus, effusion, osteophyte, osteoarthritis. There are many advantages of ultrasonography, including cost, dynamic real-time assessment. We evaluated a patient with anteromedial mass of the knee by ultrasonography, which was proved to be the extrusion of medial meniscus. We report a case of extrusion of medial meniscus evaluated by ultrasonography with review of the related literatures.

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The Usefulness of Ultrasound Diagnosis of Acute Tendon Injury in Hand (급성 건 손상 환자에서 초음파의 유용성)

  • Choi, Chang Yong;Lee, Han Jeong;Choi, Hwan Jun;Kim, Mi Sun
    • Archives of Plastic Surgery
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    • v.35 no.6
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    • pp.729-734
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    • 2008
  • Purpose: The evaluation and management of a completely transected tendon of the hand is relatively clear. In most cases, the integrity is assessed by physical examination(eg, broken normal cascade, motion loss) but occasionally, It happens in troubles. because of pain, limited patient cooperation(eg, child, unconscious patient), and other associated injuries(eg, fractures, foreign bodies). Methods: From september 2006 to August 2007, 28 patients were evaluated with real time ultrasonography preoperatively and postoperatively. Twenty eight patients with injured tendon were evaluated using an HDI 5000 Sono CT(Philips Medical Systems, Bothell, WA) machine with a high resolution, 7.5MHz hockey stick linear probe. Dynamic evaluation was performed in real time. Results: Surgery was performed after the ultrasonographic evaluation. Sonographic diagnosis and intraoperative findings were correlated. Ultrasonographic findings show tendon discontinuity, gaps, and fluid collection. Conclusion: We conclude that ultrasonography is helpful in evaluating and managing acute tendon injury. Especially, in cases of completely lacerated tendon, ultrasonography can identify the location of the proximal tendon stump and partial lacerated tendon, ultrasonographic diagnostic tool can decrease misdiagnosis.

Ultrasonography for long-term evaluation of hyaluronic acid filler in the face: A technical report of 180 days of follow-up

  • Rocha, Luiz Paulo Carvalho;Rocha, Tania de Carvalho;Rocha, Stephanie de Cassia Carvalho;Henrique, Patricia Valeria;Manzi, Flavio Ricardo;Silva, Micena Roberta Miranda Alves e
    • Imaging Science in Dentistry
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    • v.50 no.2
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    • pp.175-180
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    • 2020
  • Purpose: In this study, we used ultrasonography to monitor the use of hyaluronic acid (HA) as a filler in the face for esthetic reasons. We monitored changes in the filler shape, distribution, and relationship with adjacent anatomical structures over a 180-day period. Materials and Methods: Two patients each received an ultrasound-guided injection of HA, with different products and application sites for each patient. In 1 patient, the injection was administered in the angle of the mandible, while in the other, it was administered in the zygomatic region. The injection sites were monitored via ultrasonography at 24 hours, 30 days, and 180 days, at which times the imaging characteristics of the filler were observed. All injections were performed by the same professional, as were the ultrasound exams, which were conducted using the same equipment. Results: In both cases, the HA fillers were visualized using ultrasound at all time points. Some differences were observed between the cases in the images and the distribution of the pockets of filler. In 1 case, the filler appeared as a dark hypoechoic region with well-defined contours, and the material was observed to have moved posteriorly by the 180-day mark. In the other case, the material appeared hyperechoic relative to the previous case and presented no noticeable changes in its anteroposterior distribution over time. Conclusion: Based on these 2 cases, ultrasonography can be a complementary tool used to monitor facial fillers over the long term, allowing for the dynamic observation of different fillers.