• 치과방사선
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• 제22권2호
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• pp.315-327
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• 1992

The purpose of this study was to evaluate the utilization of the orthopantomograph as a diagnostic aid to observe maxillary sinus and adjacent structures. For achieving this goal. the lead plates were attached to the five walls of the maxillary sinus of a human dry skull. The dry skull was placed in fourteen different positions; standard. 20mm forward. 20mm backward. 10 degree upward. 10 degree downward. 20mm lateral. forward & upward, forward & downward. forward & lateral. backward & upward. backward & downward, backward & lateral. upward & lateral. downward & lateral position. The obtained results were as follows: 1. The image of the medial wall was observed very differently according to the head positions. 2. The image of the anterior wall was observed at medial third to half of the maxillary sinus in each head position. 3. the image of the posterior wall was always observed at lateral third of the maxillary sinus in all head positions and more obviously in the downward-lateral position. 4. The image of the superior wall was observed at the inferior third to half of the orbit in each head position. 5. The image of the inferior wall was always observed at the inferior third of maxillary sinus in all head positions and observed more obviously in the standard and downward-lateral positions. 6. The images of the zygomatic process. zygomatic arch and zygomaticotemporal suture were observed very well in the downward-lateral position.

• 치과방사선
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• 제18권1호
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• pp.81-136
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• 1988

The aim of this study was to determine whether T.M.J. tomographic examination yielded significant differences in condyle positions among asymptomatic, myalgia, derangement, and arthrosis groups of T.M.J. disorders. The author obtained sagittal linear tomograms of right and left T.M.Js. of 36 asymptomatic, 22 myalgia, 54 derangement, and 31 arthrosis patients taken at serial lateral, central, and medial sections in the intercuspal position after submentovertex radiographs analyzed. With the dual linear measurements of the posterior and anterior interarticular space, condyle positions were mathematically expressed as proportion. All data from these analysis was recorded and processed statistically. The results were obtained as follows. 1. In asymptomatic group, radiographically concentric condyle position was found in 50.0% to 65.4% of subjects, with a substantial range of variability. No significant differences existed between men and women and also between right and left T.M.Js. for condyle position. 2. In women, significant difference for mean condyle position of left lateral section of each diagnostic category existed between derangement and myalgia groups (P<.05). Also that of left central section existed between derangement and myalgia groups, and that of left medial section existed between derangement and myalgia groups (P<.05). 3. In main-symptom side, condyle position in myalgia group was more concentric, and condyle position in derangement group was more posterior. This showed significant differences between derangement and myalgia groups in lateral, central, and medial sections of main- symptom sides, and only between derangement and myalgia groups in central section of contra-lateral sides (P<.05). Condyle position in arthrosis group was broadly distributed among all positions. 4. In contra-lateral side, significant difference for mean condyle position of central section of each symptomatic group existed between derangement and myalgia groups (P<.05). Condyle position in derangement group was more posterior. The distribution of the condyle position of contra-lateral side in patients with unilateral symptoms was similar to that of main-symptom side in each symptomatic group. No significant difference existed between main-symptom and contra-lateral sides. 5. For internal derangement subgroups, condyle position in reducible disc displacement group was more posterior than non-reciprocal and locking groups, but there was no significant difference. 6. From 16 to 25 years, significant difference for mean condyle position of medial section of main-symptom side of each symptomatic group existed between myalgia and derangement groups (P<.05).

• 한국방사선학회논문지
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• 제8권5호
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• pp.255-260
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• 2014

본 연구에서는 통증제어가 거의 불가능한 급성요통 환자를 대상으로 바로 누운 자세를 할 수 없는 환자에게 불가피하게 자기공명검사를 받아야할 환자를 위해 기존촬영방법인 정상 체위 바로 누운 자세 대신 변형된 옆으로 누운 자세를 취하게 하여 기존 척추 전용 코일과 복부 전용 코일을 이용하여 요통을 경감시키고 불안정한 자세 보정과 움직임에 의한 인공물을 줄여 장시간 검사를 받는 환자에게 피로감을 감소시켜 자기공명검사의 성공률을 높이고자 한다. 평가방법으로는 영상의 질을 정성적 평가로 하였으며 결과로는 정상인 연구대상자 기존촬영방법인 바로 누운 자세의 평균 점수는 4.64점, 정상인 연구대상자 옆으로 누운 자세(A군)는 3.44점, 극심한 요통을 호소하는 비정상인 연구대상자 옆으로 누운 자세(B군)는 3.40점으로 나타났다. 결론적으로 정상인 연구대상자의 기존촬영방법인 바로 누운 자세에서 검사한 정성적인 평가는 예상대로 높게 나타났으나 정상인 연구대상자 옆으로 누운 자세와 극심한 요통을 호소하는 비정상인 연구대상자 옆으로 누운 자세로 검사한 영상의 정성적 평가는 거의 비슷하게 나타났다. 또한 극심한 요통을 호소하는 비정상인 연구대상자 옆으로 누운 자세(B군)의 영상평가에서 영상의학과 전문의의 영상판독에도 문제가 없는 것으로 나타났다. 이에 바로 누운 자세에서 검사를 진행함에 불편을 겪는 환자에게 이러한 기법이 보편화 된다면 임상에서 많이 활용될 것으로 사료된다.

• 치과방사선
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• 제28권2호
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• pp.329-338
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• 1998

The authors examined the condylar position and shape of condylar process from the transcranial radiographs and polytomographs of the 130 temporomandibular joints of 65 patients who complained symptoms of temporomandibular disorder and the followings were obtained; 1. The age and sex distribution of the 65 patients showed peak incidence in 2nd decade (27.7％) followed by 3rd (18.5％) and 4th decade (18.5％) and female predominance (87.7％). 2. In polytomography 64 joints (49.2％) showed consistent condylar position from lateral to medial and 39 joints (30.0％) of them showed agreement with those of transcranial radiographs. Among the 66 joints (50.8％) which showed changes in condylar position. 48 joints (36.9％) showed agreement with lateral and central tomographic and transcranial radiographic position. 41 joints (31.5％) showed disagreement in condylar position between the polytomographic and transcranial radiographic images. 3. When the condylar position was classified as anterior, central and posterior. the posterior position was the most frequent position, that is . 42.3％ of the transcranial radiography and 42.3％.49.2％ and 38.5％ of the lateral, central and medial polytomographic radiographs. 4. In polytomography 84 joints (64.6％) showed consistent condylar shape from lateral to medial and 74 joints (56.9％) of them showed agreement with those of transcranial radiographs. Among the 46 joints (35.4％) which showed changes in condylar shape. 40 joints (30.1％) showed agreement with lateral and central tomographic and transcranial radiographic shape. 41 joints (31.5％) showed disagreement in condylar shape between the polytomographic and transcranial radiographic images.

• 대한정형도수물리치료학회지
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• 제17권2호
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• pp.1-9
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• 2011

Background: Injury or pain in the neck can affect proprioception. People who have a reduced proprioception are easily exposed to induce injury or pain. The aim of this study was to examine the reduced proprioception among people who had lateral flexion postural habit of neck in a sitting position. Methods: Twenty subjects with lateral flexion postural habit were compared with a matched control group. Relocation errors in 30 degree rotation to the right were measured three times with and without visual information randomly. Results: Relocation errors were higher in the lateral flexion postural group than the control group with (p<.01) and without (p<.005) the visual information. Visual information didn't affect the cervical relocation errors in the abnormal and control groups. Repetition is increased the relocation errors with (p<.01) and without (p<.001) visual information. Conclusions: The results support the hypothesis that subjects with lateral flexion postural habit have incorrect perception of their head position. It is necessary to realize the possibility of injury or pain found among people with lateral flexion postural habit.

• Clinics in Shoulder and Elbow
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• 제6권1호
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• pp.50-54
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• 2003

Object: To evaluate the efficiencies of the arthroscopic rotator cuff surgery which is Performed without the traction system in the lateral decubitus position. Methods: Twenty-nine cases of the arthroscopic rotator cuff surgery performed without the traction system in the lateral decubitus position were studied from February, 2002 to January, 2005. We performed a repair using the arthroscopic debridement and the arthroscopic rotator cuff repair, or using the mini-open incision technique after the confirmation of rotator cuff tear, then, the arthroscopic subacromial decompression was performed after the confirmation of subacromial lesions Results: We could easily find the subscapularis tear which was often overlooked in the arthroscopic rotator cuff surgery performed with the traction surgery by the relaxation of the subscapularis, as the arm position was internally rotate about 45 to 70 degrees from abducted position. We found that the operation time was reduced 14 minutes shorter than the operation time of the controlled group which had the surgery with the traction system on the average. We also found that there were no neurovascular complications from all cases. Conclusions: The arthroscopic rotator cuff surgery without traction system in the lateral decubitus position provided the better visual field, easy manipulation of the joint and reducing operation time.

• Hip & pelvis
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• 제30권4호
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• pp.254-259
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• 2018

Purpose: Internal fixation using compression hip screws (CHS) and traction tables placing patients in the supine position is a gold standard option for treating intertrochanteric fractures; however, at our institution, we approach this treatment with patients in a lateral decubitus position. Here, the results of 100 consecutive elderly (i.e., ${\geq}45$ years of age) patients who underwent internal fixation with CHS in lateral decubitus position are analyzed. Materials and Methods: Between March 2009 and May 2011, 100 consecutive elderly patients who underwent internal fixation with CHS for femoral intertrochanteric fracture were retrospectively reviewed. Clinical outcomes (i.e., Koval score, Harris hip score [HHS]) and radiographic outcomes (i.e., bone union time, amount of sliding of lag screw, tip-apex distance [TAD]) were evaluated. Results: Clinical assessments revealed that the average postoperative Koval score decreased from 1.4 to 2.6 (range, 0-5; P<0.05); HHS was 85 (range, 72-90); and mean bone union time was 5.0 (range, 2.0-8.2) months. Radiographic assessments revealed that anteroposterior average TAD was 6.95 (range, 1.27-14.63) mm; lateral average TAD was 7.26 (range, 1.20-18.43) mm; total average TAD was 14.21 (range, 2.47-28.66) mm; average lag screw sliding was 4.63 (range, 0-44.81) mm; and average angulation was varus $0.72^{\circ}$(range, $-7.6^{\circ}-12.7^{\circ}$). There were no cases of screw tip migration or nonunion, however, there were four cases of excessive screw sliding and six cases of varus angulation at more than $5^{\circ}$. Conclusion: CHS fixation in lateral decubitus position provides favorable clinical and radiological outcomes. This technique is advisable for regular CHS fixation of intertrochanteric fractures.

• 한국ITS학회 논문지
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• 제20권5호
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• pp.186-201
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• 2021

자율 주행 기술이 발전함에 따라 주행 주변 환경을 인식하는 데 차량 위치의 정확성은 매우 중요하다. 측위의 정확도를 높이기 위해 정밀지도를 사용한 지도 정합 측위기술(map-matching localization)이 연구되고 있다. 기존의 지도 정합 기법은 지도에서 차선의 중심으로 표현된 데이터를 기반으로 차량 위치를 추정하기에 차선 내 측면 거리의 편차를 반영하지 않는다. 따라서 본 논문에서는 정밀한 측위를 제공하기 위해 영상처리를 통한 차선 검출 기법과 정밀지도의 차선 위치 정보를 이용한 기법을 제안한다. 영상 처리 기법으로 IPM(inverse perspective mapping)과 다중 차선 검출 기법, 중앙선 검출 기법을 통하여 차선 번호를 검출하고 차선 이탈 감지 방법으로 차선 중심으로부터 차량의 측면 거리를 추정한다. 최종적으로 영상처리로 검출한 차선 번호와 GNSS / INS의 위치를 기반으로 정밀지도에서 위치 링크정보를 추출하고 추출된 링크에 측면 거리를 반영하여 차선 내 차량의 위치를 추정한다. 제안된 방법의 성능을 평가하기 위하여 실제 도로에서 실험하였다. 제안하는 방법은 GNSS / INS와 비교 시 약 1.0m 정도 정확도가 개선되며, 기존의 차선레벨 맵매칭 방법과 비교 시 구간별로 약 0.04m ~ 0.21m(7~30%) 정확도가 개선됨을 확인하였다.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2008년도 제16차 학술대회
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• pp.164-164
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• 2008

The beach-chair traction position is designed to allow the use of traction while allowing the surgeon to orient the shoulder in an upright position and convert to an open procedure, if necessary. The patient is placed in the beach-chair position under general anesthesia. A three-point shoulder holder (Arthrex, Naples, Florida) is attached to the rail of the operating table on the same side as the surgeon, whereas it is placed on the side opposite the surgeon in the lateral decubitus position. A shoulder traction and rotation sleeve (Arthrex) are affixed to the arm following the manufacturer's instructions. Positioning the thumb toward the closed side of the sleeve ensures a field for the anterior portion of the rotator cuff and prevents the tendency of the suspension apparatus to place the arm in internal rotation. The arm is maintained in 30 to 40 degree abduction and 30 to 40 degree flexion by controlling the length and height of the bar and the location of the universal clamp. The universal clamp allows multiple planes of adjustment to control abduction and forward movement of the arm. The sleeve is attached to the longitudinal traction cable using a sterile hook, and a lateral strap is secured around the proximal portion of the sleeve to the overhead traction cable to ensure a field for glenohumeral reconstruction. The use of a lateral strap permits ideal shoulder positioning for improved access to the anterior and inferior glenohumeral joint. The lateral strap can be released or removed to widen the subacromial space during subacromial decompression or rotator cuff repair. A 10-lb weight is attached to the longitudinal traction cable for an average-sized person.

• 대한한의학회지
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• 제28권3호통권71호
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• pp.45-56
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• 2007

Objectives : We investigated the possibility of cervical spine misalignment caused by scalenus anticus syndrome to find out how it affects cervical spine misalignments. Methods : 28 patients with scalenus anticus syndrome (sample group), along with 21 participants without neck pain (control group), who attended the Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-guk University from the 20th of June to the 30th of November, 2006 were investigated. After researching misalignments through neutrality, flexion and extension lateral x-ray examination views, we measured the difference of each length of cervical spine misalignment. We analyzed the relationships among the neutrality lateral, flexion lateral and extension lateral positions. Results : We found with statistical significance that there were differences in length of cervical spine misalignments between the sample and control groups. Furthermore, we found that C3 and C4 vertebra bodies were shown in lateral neutrality position, only C3 vertebra body in flexion lateral position, and C2, C3, and C4 vertebra bodies in extension lateral position. Conclusions : It is considered that scalenus anticus syndrome could increase cervical spine misalignment which could be a factor in causing cervical spine disease.