• Title/Summary/Keyword: Femoral Neck

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Comparative Study for the Measurement of Fermoral Anteversion by Manual Method and Image Viewer (대퇴골 전염각 측정을 위한 수 작업 방법과 Image Viewer 방법과의 비교 연구)

  • Gwon, Dae-Cheol;Park, Beom
    • Journal of the Ergonomics Society of Korea
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    • v.20 no.3
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    • pp.27-35
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    • 2001
  • The measurement of the fermoral anteversion is an important factor in the practice of orthopedic surgery. The anteversion is measured by means of the axis of head and neck of the femur. In this study. widely used computed tomography method of measuring anteversion was tested on femoral necks of patients. Measurement by the manual method and image viewer of computed tomography to determine the anteversion of femoral head were carried out on both femurs. In January and February 2001, 30 patients 3 to 6 years of age were randomly selected from Seoul National University Hospital. the purpose of this paper was to introduce a new method to measure femoral anteversion angle utilizing image viewer program. This new method was more accurate and convenient than the conventional manual method. No significant difference was observed between the manual method and the image viewer measurement of femoral anteversion. In conclusion, image viewer program was statistically more reliable in determining the angle of the fermoral anteversion.

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Spontaneous Femoral Capital Physeal Fracture with Proximal Tibial Epiphyseal Dysplasia in a Cat

  • Yoo, Saejong;Kim, Dae-Hyun;Lee, Yunsub;Yeo, Seungyeob;Kim, Hwi-Yool
    • Journal of Veterinary Clinics
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    • v.36 no.2
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    • pp.112-115
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    • 2019
  • An 11-month-old, 5.6 kg, grade 4 on a 5-point scale body condition score, castrated male Korean short hair cat was presented with right hindlimb lameness for 3 days without trauma. On physical examination, severe pain with crepitation was elicited at the hip region but not at the stifle. Radiographic examination and computed tomography revealed a Salter-Harris type 1 fracture of the femoral capital physis and dysplasia of the proximal tibial epiphysis. Spontaneous femoral capital physeal fracture was suspected and femoral head and neck osteotomy was performed. Treatment for proximal tibial dysplasia was not performed. On histopathologic examination of femoral head, a cluster of chondrocytes in a proliferative zone at the epiphyseal plate was observed. Therefore, spontaneous femoral capital physeal fracture was diagnosed. The patient recovered his gait, and no related clinical signs were observed during 6 months of follow-up.

A Study of Related Factors in the Bone Mineral Density of the Institutionalized Elderly (시설노인의 골다공증 관련요인 연구)

  • Kim, Hee-Ja
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.31-44
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    • 1997
  • The purpose of this study was to measure and determine the relationship of femoral neck and lumbar bone mineral density with their and related factors. It were measured and determined the relationships among bone mineral density, bone mineral content in the lumbar and femoral neck, muscle strength (arm, back, leg), muscle endurance, instrumental activity of daily living (IADL), quality of life, cognitive perceptual variables(self efficacy, perceived health status), age, age at menopausal period. The twenty five subjects participating in this study consisted of twelve males and thirteen females at a C-institution in Chung Buk province. The mean age of subjects was 73.64 years. The data was collected from August, 1993 to September, 1993. The data was analyzed with $x^2-test$, t-test, Correlation, multiple regression using a SPSS pc+ program. 1. The mean femoral neck bone mineral density was $0.636g/cm^2$, 66.7% of young bone mineral density, the mean lumbar($L_2-L_4$) bone mineral density was $0.807g/cm^2$, 79.86% of young bone mineral density. The mean fermoral neck bone mineral content was 2.906g and the mean lumbar bone mineral content was 36.898g. 2. The mean muscle strength was 17.14kg(grip strength), 32.05kg(back lift strength), 17.14kg (leg lift strength) and the mean muscle endurance was 9.92times. 3. Men showed a significantly higher score (p<0.01) in muscle strength and muscle endurance than women, as well as a significantly higher score on self efficacy and perceived health status(p<0.05). 4. The femur neck bone mineral density had a significant correlation(p<0.0l) with leg lift strength, back lift strength, and their was a significant correlations (p<0.05) with arm strength and muscle endurance. Lumbar ($L_2-L_2$) bone mineral density had a significant correlation(p<0.05) with muscle endurance, grip strength and IADL. 5. With the multiple regression analysis the most significant predictor for lumbar bone mineral density were IADL, the most significant predictor for femoral neck bone mineral density was leg strength. This study concluded: As the mean bone mineral density and bone mineral content were low, the aged showed osteopenia. Bone mineral density, muscle strength and IADL were correlated. The aged could pro mote muscle strength, bone mineral density and IADL through Leg Press exercise which was safe and efficient for the aged. This Leg Press exercise contributed to prevention of osteoporosis and promoted the health of the aged.

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Clinical Application of Great Saphenous Vein Graft in the Oral and Maxillofacial Reconstruction (구강악안면 재건을 위한 대복재정맥의 유용성)

  • Park, Jung-Min;Kim, Soung-Min;Seo, Mi-Hyun;Kang, Ji-Young;Myoung, Hoon;Lee, Jong-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.2
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    • pp.140-147
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    • 2012
  • Microvascular reconstruction, in the oral and maxillofacial regions, is a widely accepted as the best way to overcome the complex oral cavity defects. Many patients requiring composite reconstructions have been treated previously with radiation therapy, chemotherapy, selective and/or functional neck dissection or any of these combinations. In many cases of these patients, inadequate neck vessels for the microanastomosis of free flap are available, due to a lack of recipient vessels in the neck, poor vessel quality or vessel caliber mismatch. To achieve a tension-free anastomosis, vein grafting must be considered to span the vessel gap between the free flap pedicle and the recipient neck vessels. Although most microsurgeons believed that interpositional grafts are to be avoided due to vessel thrombosis and increased number of necessary microanastomosis, we, authors have some confidence of equivalency between reconstruction with and without interpositional saphenous vein graft. The great saphenous vein, also known as the long saphenous vein, is the large subcutaneous superficial vein of the leg and thigh. It joins with the femoral vein in the region of femoral triangle at the saphenofemoral junction, and coursed medially to lie on the anterior surface of the thigh before entering an opening in the fascia lata, called the saphenous opening. For a better understanding of the great saphenous vein graft for the interpositional vessel graft in the oral cavity reconstructions, and an avoidance of any uneventful complications during these procedures, the related surgical anatomies with their harvesting tips are summarized in this review article in the Korean language.

An Analysis of Femoral Bone Remodeling Using Topology Optimization Method

  • Choi J. B.
    • Journal of Biomedical Engineering Research
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    • v.26 no.6
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    • pp.365-372
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    • 2005
  • Topology optimization method has a great advantage and capability over a conventional shape optimization technique because it optimizes a topology as well as a shape and size of structure. The purpose of the present study, using topology optimization method with an objective function of minimum compliance as a mechanism of bone remodeling, is to examine which shape factors of femur is strongly related with the curvature of femoral shaft. As is expected, the optimized curvature increased definitely with neck angle among the shape factors and showed a similar trend with the measured curvature to neck angle. Therefore, the topology optimization method can be successfully applied in the analysis of bone remodeling phenomenon in the subsequent studies.

BMD Analysis according to the Obesity Index in a Group of Adults (비만도에 따른 성인들의 집단별 골밀도 분석)

  • Kim, Sun-Geun;Kweon, Dae-Cheol;Oh, Chan-Ho;Song, Woon-Heung
    • Korean Journal of Digital Imaging in Medicine
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    • v.10 no.1
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    • pp.51-58
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    • 2008
  • Obesity which causing many physical and psychological problems is difficult to treatment. The purpose study was investigate relationships between weight, height, body mass index (BMI) and BMD of according to the low, normal, over, obesity, high group. According to obesity index, each group was divided into five proup. Study subjects were man(n=135) and woman(n=145). We checked the BMD of femoral neck and lumbar spine by using dual energy X-ray bone densitometry. Weight was positively correlation with height (p<0.05) by Pearson's correlation matrix. There was a significant difference in BMD of femoral neck and lumbar spine between four(low, normal, over, obesity) groups except for high obesity groul.

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A Study on Bone Mineral Density, Anthropometric Measurements, Maternal Factors, and Exercise and Their Correlation in Premenopausal and Postmenopausal Women in Gyeonggi-do Korea (경기 지역 폐경 전.후 여성들의 골밀도와 신체 계측, 모성요인 및 운동과의 상관성 연구)

  • Choi, Yun-Hee;Kim, Hyun-Oh
    • The Korean Journal of Food And Nutrition
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    • v.24 no.4
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    • pp.630-638
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    • 2011
  • This study was performed to assess the relationships among bone mineral density, anthropometric measurements, maternal factors and exercise in premenopausal and postmenopausal women. Anthropometric measurements were taken by a trained practitioner and the maternal factors of the 78 subjects in Gyeonggi-do were acquired by an interview questionnare. The BMD of the lumbar spine(L2~L4), femoral neck, Ward's triangles and trochanters were measured by dual energy X-ray absorptiometry. The mean age of the premenopausal women was 45.23 years and that of the postmenopausal women whose ase of menopause was 49.37 years was 61.27 years. The age, waist and waist to hip ratio of postmenopausal women were significantly higher than those of premenopausal women. BMD of the lumbar spine(L2~L4) in postmenopausal women was significantly higher than that of premenopausal women. Number of children and age at last delivery were significantly higher in postmenopausal women than those in premenopausal women. The BMDs of the lumbar spine and femoral neck of premenopausal women was positively correlated with weight, body mass index, waist and WHR and the BMDs of these two sites in postmenopausal women were positively correlated with height, and weight. In postmenopausal women, BMD of the lumbar spine was negatively correlated with duration time after menopause and BMD of the femoral neck was positively correlated with age at last delivery. These results suggest that it is necessary to maintain adequate body weight. Health management and education about performing more exercise are recommended for postmenopausal women to prevent osteoporosis.

Community periodontal index and osteoporosis relevance (지역사회치주지수와 골다공증 관련성)

  • Jang, Yun-Jung;Kim, Nam-Song
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.5
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    • pp.943-952
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    • 2012
  • Objectives : The purpose of this study was to examine the impact of the systemic osteoporosis of Korean adults on their periodontal diseases and CPI index based on the data of their systemic osteoporosis. Methods : The third-year raw data of the 4th 2009 National Health & Nutrition Survey that turned out to be representative and reliable were utilized. The subjects in this study were 7,285 adults who were over the age of 19 and got both of health and dental checkups. As for data analysis, the statistical packages PASW 19.0 and SAS 9.0 were employed. Results : The most periodontal diseases were found in those who had osteoporosis in the entire parts, entire femur, femoral neck and spiral bone, but there was no significant relationship between periodontal diseases and osteoporosis. As for the connections between peridontal diseases and osteoporosis, the adults who had femoral neck osteoporosis had a 2.057-fold less bone mass than those who had a normal bone density in this part, and the former's periodontal diseases increased in proportion to that. There was consequently a statistically significant relationship between the two(p<0.05). Among the prevalence factors of osteoporosis, a lower entire femur bone mineral density led to a lower CPI index(p<0.01), and a lower femoral neck bone mineral density led to a higher CPI index(p<0.05). Thus, there was a significant relationship between osteoporosis and the oral health indicator. Conclusions : The above-mentioned findings confirmed that in terms of the relationship among the periodontal diseases, CPI index and osteoporosis of Korean adults, a higher risk of osteoporosis affected the increase of chronic periodontal diseases.

Nutritional Factors Related to Bone Mineral Density in the Different Age Groups of Korean Men (한국 남자의 연령별 골밀도에 영향을 미치는 영양요인 분석)

  • 유춘희;이정숙;이일하;김선희;이상선;강순아
    • Journal of Nutrition and Health
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    • v.37 no.2
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    • pp.132-142
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    • 2004
  • Nutritional factors affecting bone mineral density (BMD) in the different age groups of Korean men were investigated to obtain baseline data for maintaining bone health. Information on diet and anthropometry was collected in 80 elementary school children, 83 high school students, 87 adults aged 25 to 35 years and 98 elderly people over 60 years of age. Data for food and nutrient intake were obtained by 24-hour recall method. BMDs of lumbar spine (L$_2$- L$_4$) and femoral neck were measured by dual energy x-ray absorptiometry. The relationship between BMD and nutritional factors were analyzed. In the femoral neck, 5.7% of adults was classified as osteopenia and 47.9% and 37.8% of the elderly were classified as osteopenia and osteoporosis. It was shown that plant protein, Ca, p, Fe, thiamin, riboflavin and vitamin C intakes were related with BMD in all age groups. As for the mean adequacy ratio (MAR) of nutrients, the lowest quartile group of BMD showed significantly lower MAR among children. The RDA percent of nutrients was a strong influential factor on BMD. Subjects who consumed below 75% of Korean RDA in energy, vitamin A, thiamin, and vitamin C showed lower BMD. Stepwise multiple regression analysis revealed that MAR in children, vegetable Ca in adolescents, and vitamin C in adults and elderly people were the highest influential factor on BMD. Therefore, the above results demonstrated that not only calcium but also other nutrients such as protein, iron, vitamin A, riboflavin, and vitamin C were necessary in order to keep the healthy bone status. In addition, although there were various dietary factors that influenced bone density, MAR was identified as the major factor that affected bone density. Thus, a balanced diet that includes all nutrients is necessary for a healthy bone density. (Korean J Nutrition 37(2) : 132-142, 2004)