• Journal of Preventive Medicine and Public Health
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• 제34권4호
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• pp.408-416
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• 2001

Objectives : To evaluate the diagnostic value of quantitative ultrasound (QUS) in the prediction of osteoporosis as defined by dual energy x-ray absorptiometry (DEXA) in postmenopausal women. Methods : Questionnaires and height and weight measurements were used in the investigation of 176 postmenopausal women. QUS measurements were taken on the right calcaneus while bone mineral density (BMD) measurements of the lumbar spine and femoral neck were made with DEXA. The areas under the curves (AUC) of the speed of sound (SOS) for osteoporosis in the lumbar spine and femoral neck were obtained through receiver operating characteristic (ROC) analysis and evaluated. A comparison was made, for osteoporosis in the lumbar spine and femoral neck, between the AUCs of the logistic model with clinical risk factors and SOS. Results : Pearson's correlation coefficients of SOS and lumbar spine BMD, and of SOS and femoral neck BMD were 0.26 and 0.37. The AUC for the logistic model in its discrimination for lumbar spine osteoporosis was 0.764, and for SOS 0.605. The AUCs for the logistic model in its discrimination for femoral neck osteoporosis and for SOS were 0.890 and 0.892, respectively. Conclusions : These results suggest that the diagnostic value of QUS as a screening tool for osteoporosis is moderate for the femoral neck, but merely low for the lumbar spine and that the predictability provided by SOS is no better than that by the sole use of clinical risk factors in postmenopausal women.

• Journal of Acupuncture Research
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• 제26권2호
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• pp.91-101
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• 2009

Objectives: Osteoporosis is the most common metabolic disease of the bone, and is one of the most important major public health problems world wide. It is more occurred in female than male, but as the osteoporosis of men is increasing, therefore bone fractures of men are increasing. So we investigated the factors which are related to Bone Mineral Density(BMD) of male for prevention of osteoporosis. Methods: We measured the Bone Mineral Density(BMD) of lumbar spine($L_2$-$L_4$) and femoral neck in 5198 male, using dual energy X-ray absorptionmetry(DEXA; DPX-alpha). And then we analysed the 8 factors - age group, bone mass index(BMI), amount of smoking, drinking, exercise, and fast blood sugar, gastric disease, thyroid disease - which are related to BMD of male. Results: 1. In age group according to ${\ll}$Hwangjaenaekyong Somun, 黃帝內徑 素問${\gg}$, T-score was the highest at 17-24(三八歲) years group and decreased rapidly after 57-64(八八歲) years group in both lumbar spine($L_2$-$L_4$) and femoral neck. Therefore we concluded that T-score of male in lumbar spine($L_2$-$L_4$) and femoral neck change according to age group in ${\ll}$Hwangjaenaekyong Somun, 黃帝內徑 素問${\gg}$. 2. In BMI(body mass index), T-score of lumbar spine($L_2$-$L_4$) and femoral neck were the highest in obese group than non-obese group. In comparison of age group according to BMI, T-score of lumbar spine($L_2$-$L_4$) was significant difference in 17-72 years group and T-score of femoral neck was in 25-72 years group. 3. In exercise, T-score of lumbar spine($L_2$-$L_4$) and femoral neck was increasing as exercising more. In comparison of age group according to exercise, Both T -score of lumbar spine and femoral neck were significant difference in 25-72 years old. 4. T-score of lumbar spine($L_2$-$L_4$) was the highest in men who have taken exercise daily, and T-score of femoral neck was the highest in men who have taken exercise 1-3 times for a week. Conclusions : The age group in ${\ll}$Hwangjaenaekyong Somun, 黃帝內徑 素問${\gg}$ is related to BMD of men. And risk factors - BMI, exercise - are related to BMD of men. Therefore we expect that this study will help for prevention of osteoporosis of men.

• 대한영상의학회지
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• 제82권1호
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• pp.173-181
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• 2021

목적 대퇴골 경부 골절 환자를 대상으로 골다공증 평가를 위해 다중검출 전산화단층촬영(multidetector computed tomography; 이하 MDCT)에서의 감쇠 계수(Hounsfield unit; 이하 HU)와 이중 에너지 X선 흡수 계측법(dual energy X-ray absorptiometry; 이하 DXA)을 비교하였다. 대상과 방법 2016년 6월부터 12월까지 MDCT와 DXA를 모두 시행한 42명의 대퇴골 경부 골절 환자가 본 연구의 대상으로 포함되었다. MDCT에서는 정상 대퇴골 경부의 해면골에서 HU를 측정하였으며 DXA에서는 동 부위의 골밀도 및 T 값을 얻었다. HU와 골밀도 및 T 값의 상관관계를 Spearman 상관계수를 이용하여 분석하였다. 결과 대퇴골 경부 골절 환자의 골밀도와 T 값의 평균은 각각 0.650 g/cm²과 -2.4이었다. 정상, 골감소증, 골다공증 환자 군의 HU의 평균은 각각 131.9, 98.9, 41.3이었다. HU는 골밀도(r² = 0.670; p < 0.001) 및 T 값(r² = 0.676; p < 0.001) 모두와 양의 상관관계를 보였다. 결론 다중검출 전산화단층촬영에서 감쇠계수의 측정은 골다공증 선별검사를 위한 유용한 진단적 도구가 될 수 있다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제11권12호
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• pp.6054-6068
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• 2017

In this paper, we defined the relative cross-sectional area of forearm cortical bone and investigated its correlation with hip bone mineral density values of total femur, femoral neck, femoral trochanter, femoral inter-trochanter and femoral ward's triangle, respectively. Based on the correlations, we established a linear transformation between the relative cross-sectional area of forearm cortical bone and each hip bone BMD. We obtained forearm images using CBCT and hip bone BMDs using dual-energy X-ray absorptiometry (DXA) for 28 subjects. We also investigated the optimal forearm region to provide the strongest correlation coefficient. We used the optimized forearm region to establish each linear transformation to estimate BMD values for total femur, femoral neck, femoral trochanter, femoral inter-trochanter and femoral ward's triangle from the relative cross-sectional area of forearm cortical bone, respectively. We observed the strong correlations with total femur (r=0.889), femoral neck (r=0.924), femoral trochanter (r=0.821), femoral inter-trochanter (r=0.867) and femoral ward's triangle (r=0.895), respectively. The strongest correlation was observed in the forearm mid-shaft regions. Our results suggest that the hip bone BMD values can be simply estimated from forearm CBCT images in a convenient sitting position without X-ray exposure on a hip including genital organs, and may be useful for screening osteoporosis.

• Journal of Trauma and Injury
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• 제31권3호
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• pp.181-188
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• 2018

Urgent reduction is required in cases of traumatic hip dislocation to reduce the risk of avascular necrosis of the femoral head. However, in cases of femoral head fractures, the dislocated hip cannot be reduced easily, and in some cases, it can even be irreducible. This irreducibility may provoke further incidental iatrogenic fractures of the femoral neck. In an irreducible hip dislocation, without further attempting for closed reduction, an immediate open reduction is recommended. This can prevent iatrogenic femoral neck fracture or avascular necrosis of the femoral head, and save the natural hip joint.

• Clinical Pain
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• 제18권2호
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• pp.126-129
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• 2019

Bilateral femoral neck stress fractures have been rarely reported. When diagnosed, they are usually limited to athletes or military personnel. A 35-year-old man, previously healthy, visited the emergency department for right inguinal pain. On physical examination, no external wound, tenderness or limitation of motion were found in either lower extremity. Plain radiography showed normal findings but an magnetic resonance image showed a linear fracture in the femoral neck. In this case, bilateral femoral neck stress fractures were found in a young non-athlete adult with no prior medical history of related injuries. Surgery is generally not performed for stress fractures but considering the patient's early mobilization and the need for quick reintegration into society, surgery was done in this case.

• The Journal of Korean Physical Therapy
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• 제10권2호
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• pp.97-104
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• 1998

The Purpose of this study was ta investigate the change of bone density by Partial weight bearing and non-weight bearing exercise. Twelve female volunteers in good health (between 20 and 30 years of age) were studied as subjects. Subjects were divided into three groups; an experimental group 1(n =4 swimming group), group 2(n = 4 bicycle group) and control group=4. Before and after 11weeks(five times a week), the subjects were examined for change of bond density using a dual energy X-ray absorptiometry. The results were summarized as fellows T . There was increase in bone density of femoral neck in the group that swam but there was no difference in lumbar, femoral neck and femoral ward's triangle region (P<0.05) 2. There was increase in hone density of femoral ward's triangle in the group that swam but there was no difference in lumbar, femoral neck and femoral ward's triangle region(P<0.05) 3. After a aerobic exercise by partial weight bearing and non-weight bearing , there was no difference in the part of excessive muscle's exercise but there is the increase of the bone density in figures.

• Journal of Acupuncture Research
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• 제30권5호
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• pp.175-183
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• 2013

Objjectives : The purpose on this report is to show the clinical efficacy of korean medical treatments for femoral neck fracture treated non-operatively. Methods : The patient with femoral neck fracture was treated using acupuncture, herbal medication, And the efficacy of treatment had been measured in visual analog scale(VAS) scores and Harris hip scores(HHS) per one month for seven months. Results : After treatment, HHS score had been increased from 0 to 74 and VAS of femoral pain had been decreased form 10 to 1.5. Conclusions : From the above results, It is demonstrated that korean medical treatments is effective on patient with femoral neck fracture treated non-operatively.

• 전기학회논문지
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• 제63권7호
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• pp.956-961
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• 2014

Due to the increasing needs of anti-fall device for elderly, it is required to develop the test rigs for fall simulation. The femoral bone model consists of silicone and steel is used as an effective device to simulate falls. In this work, we propose five different femoral bone models and analyse them by using a commercial FEA tool. It has been shown that two kinds of simplified models exhibit the simulated side falls with an error range of ~1% in the impact load of femoral neck compared with full model. Especially, the upper tissue model is found to provide us with the best efficient test environment, attributable to its simple structure.

• 전기학회논문지
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• 제59권4호
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• pp.823-830
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• 2010

This study was designed to examine the morphological measurement and characteristics of trabecullae based on femoral radiographic image for prediction of osteoporosis. Study subjects were 34 females (average age of 62.1 years) and 6 males (average age of 60.1 years), they were categorized into normal group and osteoporosis group in accordance with the T-score value. Measurement of the bone density of femoral bone was measured with DEXA(Dual Energy X-ray absorptiometry). ROI(Region of interests) was selected on femoral neck and trochanter. Characteristics of trabecullae was analyzed by using the skeletonization analysis of trabecular image. Morphological measurement was analyzed through femoral radiographic image in order to examine the correlation with osteoporosis. The result demonstrated statistically significant correlation between neck cortical thickness, shaft width, shaft cortical thickness, periphery, mean gray level and trabeculae area with BMD average (T-score) of femoral part. The results show that morphological measurement and characteristics of trabecullae based on femoral radiographic images for osteoporosis prediction could be effective.