• 대한정형외과학회지
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• 제55권5호
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• pp.359-365
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• 2020

소아 고관절 이형성증은 비구 또는 근위 대퇴골, 혹은 양쪽 모두를 포함하는 고관절의 부적절한 발달을 지칭하는 광범위한 개념이다. 초음파적 검사로 영아기의 고관절 탈구 진단이 간과되거나 수술적인 치료가 필요한 경우는 감소하고 있으나 모든 고관절 이형성증을 찾아내지는 못하고 있다. 아탈구가 없는 고관절 이형성증은 우연히 진단되며, 40대 이후 여자에서 퇴행성 관절염과 강한 연관성을 가진다. 아탈구를 동반한 고관절 이형성증은 아탈구의 정도에 따라 증상이 다양한 시기에 걸쳐 나타나며, 특히 여성에서 임신 중 발현되는 경우가 많다. 신생아에 대한 정확한 이학적 검사와 조기 치료는 이 질환의 양호한 결과를 위해 매우 중요하다. 진단의 간과를 막고 조기 치료의 기회를 제공하기 위해 저자는 고관절 이형성증이 의심스러운 2세 이하 영아 모두에게 고관절 검사를 추천한다. 본 연구에서는 고관절 이형성증의 진단 및 초기 치료에 대해 고찰해 보고자 한다.

• 한국임상수의학회지
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• 제20권1호
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• pp.104-109
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• 2003

This study was performed to evaluate the postoperative heating process according to lameness degree, swelling, and muscle atrophy after femoral head and neck ostectomy on Retriever dogs with hip dysplasia and hindleg lameness. Femoral head and neck ostectomy (FHO) was performed for the repair of hip dysplasia in 4 Retriever dogs (5 hips) referred in veterinary medical teaching hospital of college of veterinary medicine, Konkuk University. Age (Mean $\pm$ SD) of patients was 10.3 $\pm$ 3.0 months (range,7 to 16 months) and body weight (Mean $\pm$ SD) was 28.2 $\pm$ 3.4 kg (range, 25 to 34 kg). After FHO, all cases are treated with carprofen (2.2 mg/kg, PO bid, tapering at interval 1-2 weeks) and physical therapy including passive range-of-motion exercises. In all cases, lameness degree was showed V at the next day after surgery, IV at 5 to 7 days, II-III at 30 to 35 days, II at 60 days, and I at 105 to 114 days. These results suggested that femoral head and neck ostectomy was able to be performed on large breed dogs with hip dysplasia and hindleg lameness.

• 대한수의학회지
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• 제48권3호
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• pp.375-379
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• 2008

Hips of the Golden and Labrador retrievers in Korea were evaluated with the University of Pennsylvania Hip Improvement Program (PennHIP) and the severity of joint laxity and degenerative joint disease (DJD) were compared to the PennHIP database. The distraction index (DI) of domestic Golden and Labrador retrievers was significantly higher than the DI of the PennHIP database. In the two breeds, the prevalence of DJD increased according to the DI. However, the severity of DJD did not show a positive correlation with the DI. Overweight dogs and dogs kept indoors showed more severe DJD and more prevalence of clinical signs. This report is thought to be the first case presentation of a large population of Golden and Labrador retrievers in Korea and the findings are representing the overall level of canine hip dysplasia (CHD) of domestic Retrievers, as the PennHIP method was not available in Korea until 2001. We can respect that the stock of retrievers can have a tighter hip joint through control of CHD using an accurate diagnostic method keyed to a phenotype especially concern for joint laxity using PennHIP method and an organized screening program. The clinical manifestation of dysplastic dog can be reduced through control of bodyweight and the environment with regular monitoring the hips with concern for joint laxity using PennHIP method.

• 한국임상수의학회지
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• 제27권1호
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• pp.50-54
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• 2010

This study was carried out to estimate the range of the hip score with 3 radiographic evaluation techniques and to identify the relationship among these methods in 71 Sapsarees (35 males and 36 females). Mean age of dogs was ranged from 4 to 73 months (averaged $24{\pm}18$ months). Hip joints were evaluated with OFA method, BVA/KC scoring scheme, and $PennHIP^{(R)}$ method. Hip joints were graded by the OFA grading system(only used for dogs over 24 month old age). The 64 joints evaluated were graded as good (17.2%), fair (46.9%), mild dysplastic (12.5%), moderate dysplastic (7.8%), and severe dysplastic (15.6%), respectively. In BVA/KC scoring scheme, the mean score of the 86 joints was recorded as $14.5{\pm}12.8$ (range from 2 to 52). The mean of Norberg angle in the 78 joints was $92.5{\pm}8.5$ degree (ranged from 63 to 110.5 degree). In $PennHIP^{(R)}$ method on the 126 joints, the mean DI was resulted as $0.60{\pm}0.16$ (ranged from 0.08 to 1.0). BVA/KC scores were gradually increased with age, positively correlated with OFA grade (r = 0.92, P < 0.001), but inversely proportional to Norberg angle (r = -0.79, P < 0.001). However, there was no correlation between BVA/KC and DI (r = 0.11). It was suggested that Sapsarees have high prevalence of cannine hip dysplasia, so selective breeding among sapsarees having normal hip joints might be necessary for preventing or controlling hip dysplasia.

• Journal of Animal Science and Technology
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• 제62권3호
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• pp.306-312
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• 2020

Korean army dogs are raised for special purposes and have contributed much to society. However, several diseases occur in dogs. Canine hip dysplasia (CHD) is a musculoskeletal disorder that occurs frequently in Korean army dogs and interferes with their activities. If we could control CHD, this would have a positive effect on their performance. This study performed a genome-wide association study (GWAS) in 69 Korean army dogs to find significant loci for CHD using 170K single nucleotide polymorphisms (SNPs). CHD was classified according to the Norberg angle criterion. The control group comprised 62 dogs classified as relatively normal, and 7 dogs with severe CHD formed the case group. From the GWAS analysis, we concluded that SNPs present on chromosome 4 might have a significant impact on the overall expression of canine hip dysplasia.

• 턱관절균형의학회지
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• 제9권1호
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• pp.12-17
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• 2019

Objectives: The purpose of this study is to report the effect of Postural Yinyang Correction of Temporomandibular Joint (Functional Cerebrospinal Therapy, FCST) on a patient with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis. Methods: A patient with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis was treated at Dept. of Acupuncture & Moxibustion, ○○ University Korean Medicine Hospital from Nov 8th, 2019 to Dec 6th, 2019 and received a Korean-Western medical treatment mainly managed with FCST. This study was measured with VAS (Visual Analogue Scale), ODI (Oswestry Disability Index) and questionnaire. Results: After treatment, the patient's pain was controlled and gait ability was improved, also VAS, ODI and questionnaire score were improved. Conclusions: Korean-Western Medical Treatment mainly managed with FCST may be helpful in controling pain with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis, but the further researches are needed.

• 한방재활의학과학회지
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• 제30권2호
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• pp.165-171
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• 2020

The purpose of this study is to report the effect of korean medicine treatment for developmental dysplasia of the hip (DDH) in adults. A patient diagnosed with DDH had been treated with acupuncture, electroacupuncture, cupping therapy and chuna manual therapy for 8 weeks. The patient was evaluated by using range of motion (ROM) of hip joint, muscle strength of lower extremity, leg length, numeric rating scale (NRS) and Korean version of hip disability and osteoarthritis outcome score (K-HOOS). After the treatment, the patient had an improvement in the symptoms, pain, and activities of daily living of K-HOOS, especially the quality of life. In addition, NRS decreased from 7 to 4 points, and ROM and muscle strength also improved. The results of this study show that korean medicine treatment is effective and meaningful as one of the conservative treatment for DDH in adults.

• 한국임상수의학회지
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• 제20권4호
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• pp.467-473
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• 2003

The pelvic radiographs of 47 clinically normal Jindoes (26 dogs and 21 bitches) were investigated to evaluate the coxofemoral joints, prospectively. The hip joints were graded according to the Orthopedic Foundation for Animals criteria of excellent, good, fair, borderline, mild canine hip dysplasia (CHD), moderate CHD, severe CHD. Of the 47 Jindoes evaluated, 8 (17%) were graded as dysplastic, 3 (6.4%) were mildly dysplastic, 3 (6.4%) were moderately dysplastic, and 2 (4.3%) were severly dysplastic. Of the 39 Jindoes graded as normal, 16 (34%) were classified as having excellent hip joint phenotype, 15 (31.9%) were classified as having fair, and 8 (17%) were classified as good. Each hip joint was scored based on the British Veterinary Association/The Kennel Club hip scoring system. The normal hip joint (excellent, fair, good) received score less than 5, while dysplastic hip joint (mild, moderate, severe CHD) received score form 5 to 29. Norberg angle (r=0.76) and femoral angle of inclination (r=0.6) were in inverse proportion to grade of the hip joint (P<0.01). The width of medial joint space was in proportion to grade of hip joint (r=0.7, P<0.01).

• 한국전문물리치료학회지
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• 제6권2호
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• pp.77-86
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• 1999

Developmental dysplasia or dislocation of the hip is the most pronounced form of a condition in which the femoral heads tends progressively to leave the acetabulum. In the young child the variability of findings and course suggest a spectrum of conditions in which there are a number of common features: restriction of movement, particularly of abduction in flexion; shortening; and abnormal radiology, including a sloping or dysplastic acetabulum and delay in the appearance of the upper femoral epiphysis. It is vital to make the diagnosis of a congenital dislocation as soon after birth as possible. Conservative treatment with an abduction brace before the child run begins to walk is completely adequate, but after the age of 4 even surgical repositioning is difficult and after the age of 7 it is almost impossible. The aim of the study was to gain insight into the value of physical therapy of developmental dysplasia or dislocation after operation.

• 대한정형외과 초음파학회지
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• 제1권1호
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• pp.31-39
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• 2008

초음파을 통하여 신생아 고관절의 형태와 안정성 여부를 관찰 할 수 있음이 알려진 이후 2개의 상반된 견해가 형성되었다. 신생아기에 관찰되는 관절 불안정이 치료를 필요로 하는 중요 병리라는 의견은 신생아기 비구이형성이 중요한 역할을 한다는 의견과 상충되어 왔다. Graf방법같이 신생아 비구이형성을 포함하여 치료의 필요성 여부를 판단하면 고관절 불안정성만을 기준으로 한 경우보다 치료와 추시를 하는 빈도가 훨씬 더 높았었다. 현재는 기술적 검사 방법의 발달과 질환의 적절한 이해로 그 차이는 크지 않은 것으로 여겨지고 있어 여러 방법은 유사한 결과를 보이고 있다. 중요한 것은 방법의 선택이 아니라 표준화한 검사를 할 수 있는 충분한 경험과 이해를 가지고 있어야 한다는 것이다. 이를 위하여 고관절 이형성증(DDH)의 진단에서의 여러 초음파 검사 방법과 의의, 치료시의 유용성에 대하여 논의 하였다.