• Title/Summary/Keyword: Metaphysis

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CLINICAL STUDY ON TIBIAL BONE GRAFT (경골이식에 관한 임상 연구)

  • Kim, Sik;Kim, Su-Gwan;Kim, So-Young;Kim, Soo-Min;Park, In-Soon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.5
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    • pp.540-543
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    • 2000
  • The purpose of this retrospective study was to evaluate the treatment outcome of proximal tibial graft. Thirty-nine patients were grafted with proximal tibia for the repair of maxillofacial defect. Complications can be considered incidental and neglectable clinical significance. It is concluded that the proximal tibial metaphysis offers a promising alternative sources of cancellous bone for the repair of maxillofacial defect.

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Osteochondroma of the Proximal Phalanx of the Fourth Toe (A Case Report) (제4 족지 근위 지골에 발생한 골연골종(1예보고))

  • Kim, Hyong-Nyun;Kang, Jin-Kyu;Jang, Woo-Young;Park, Yong-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.220-223
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    • 2008
  • Osteochondroma is the most common benign bone tumor which commonly occurs in the metaphysis of the long bones such as proximal humerus, tibia, and distal femur. It is rarely found in bones of the foot. Although they are benign lesions, when they occur in the foot, they are typically identified earlier than other regions because of the low proliferation of subcutaneous tissue in the region and may cause symptoms. We experienced a rare case of osteochondroma in a 60-year-old male which cause pain and swelling of the fourth toe.

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Hallux Rigidus with Osteochondroma of the Hallucal Proximal Phalanx (A Case Report) (족무지 근위지절 골연골종과 동반한 무지 강직증 (증례보고))

  • Chae, Soo Uk;Kim, Yeung Jin;Jo, Hyang Jeong;Choi, Deok Hwa;Cha, Myoung Soo
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.1
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    • pp.60-63
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    • 2013
  • Small osteophytes are frequently encountered in the foot and ankle, and not to be confused with true osteochondromas, which are relatively uncommon in this region. Osteochondromas are the most common benign osseous neoplasm, occurs in the metaphysis of the long bone. It is rarely found in bones of the foot. Treatment of the osteochondroma is usually conservative, unless symptoms usually pain, are progressive rapid growth, and malignant transformation is suspected. We experienced a rare case of hallux rigidus with osteochondroma of the hallucal proximal phalanx which cause pain and corn of the plantar.

Scintigraphic Detection of Elbow Hygroma in a Dog Using $^{99m}Tc-MDP$ (개에서 $^{99m}Tc-MDP$를 이용한 주관절 수활액낭종의 핵의학적 진단)

  • 강성수;김중현;배춘식;최석화
    • Journal of Veterinary Clinics
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    • v.18 no.4
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    • pp.465-468
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    • 2001
  • Elbow hygroma and hypertrophic osteodystrophy were diagnosed in Doberman referred to Veterinary Teaching Hosptial of Chungbuk national University. Physical examination, plain radiography, and bone scan were performed in the patient. The radiography revealed soft tissue swelling on the caudal region of the elbow and irregular radiolucent zone involving the metaphysis subjacent and parallel to the distal radial and ulnar physes. The bone scan of the forelimbs revealed increased uptake in region where the soft, fluid-filled mass on the elbow was present. But the radiolucent areas (the distal radial and ulnar physes) were seen normal bone uptake. Therefore, hypertrophic osteodystrophy ruled out the diagnosis. $^{99m}Tc-MDP$ scan is suitable to routine clinical use for soft tissue inflammation and bone lesions detection.

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Aneurysmal Bone Cyst of the Rib -A Case Report- (늑골에 발생한 동맥류성 골낭종 -1례 보고-)

  • 한재열;박영식;김형국;김광호;한운섭
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.86-88
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    • 1998
  • Aneurysmal bone cyst of the rib is a rare benign tumor which resembles the giant cell tumor or fibrous dysplasia of the bone. It rarely develops in the rib although it affects the metaphysis of the long bone and facial bone. We have treated a 14 year old male patient who had the aneurysmal bone cyst in the legt 4th. rib. Wide surgical resection of the affected rib was carried out with good clinical result. He is well 16 months after the resection.

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Arthroscopic Excision of Intra-articular Osteochondroma of the Elbow: A Case Report

  • Jang, Suk-Hwan;Song, Han-Eui
    • Clinics in Shoulder and Elbow
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    • v.19 no.3
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    • pp.172-175
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    • 2016
  • Osteochondromas are one of the most common benign bone tumors usually involving extraarticular metaphysis of long bone. Solitary intra-articular osteochondroma arising from the elbow joint has rarely been reported. We present a case of 23-year-old female who had pain and limited motion of the left elbow as a result of intraarticular osteochondroma of the distal humerus. Arthroscopic excision of the osteochondroma yielded complete relief of symptoms. Absence of recurrence was confirmed radiographically at two years after surgery. To the best of our knowledge, this is the first report of osteochondroma of the elbow successfully treated arthroscopically.

Giant Cell Tumor involving the Ulnar Diaphysis

  • Kim, Ji-Hyeung;Han, Il-Kyu;Kang, Hyun-Guy;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.2
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    • pp.152-156
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    • 2007
  • Giant cell tumor of bone is relatively common neoplasm usually involving epiphysis of long bone. And rarely it involves the diaphysis or metaphysis without epiphyseal extension. We report on an 18-year-old girl with giant cell tumor of ulnar diaphysis. She was treated with wide excision and reconstuction with nonvascularized autogenous fibular graft. We harvested fibular fragment preserving fibular continuity to reduce donor site morbidity. Surgical outcome and functional result was excellent.

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Simple bone cyst which occurs in the metatarsal bone (중족골에 발생한 단순 골낭종 - 1예 보고 -)

  • Rha, Jong-Deuk;Park, Hyun-Su;Lim, Chang-Suk;Chung, Tae-Won
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.2
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    • pp.279-282
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    • 2003
  • Most simple bone cysts are found in the metaphysis of the long bone, such as proximal humerus or proximal femur. Appropriate treatment is aspiration of the cyst followed by instillation of methylprednisolone or curettage with bone graft. We experienced 1 case of the simple bone cyst of the metatarsal bone. This case was treated by curettage and inserting allograft into the defect.

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Primary Ostoegenic Sarcoma on Calcaneus - One Case Report - (종골에 발생한 원발성 골육종 - 1예 보고 -)

  • Cho, Duck-Yun;Yoon, Hyung-Ku;Kim, Jae-Hwa;Shin, Dong-Eun;Park, Hyung-Kun
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.233-237
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    • 2002
  • Osteogenic sarcoma is the most common primary malignant tumor of bone in which tumor cells form neoplastic osteoid or bone or both. Classic osteogenic sarcoma usually involves the metaphysis of the more rapidly growing long bones (distal femur, proximal tibia). Osteogenic sarcoma of the foot is rarely noted and only a few well documented cases have been reported. Osteogenic sarcoma of foot can clinically, radiographically, and histologically mimic several benign lesions and tumor-like lesions, so it sometimes leads to late diagnosis and delayed treatment. We experienced a case of primary osteogenic sarcoma on left calcaneus in 66-years-old female and report it with a review of references.

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Treatment of Osteoid Osteoma (유골 골종의 치료)

  • Han, Chung-Soo;Cho, Chang-Hyun;Cho, Young-Lin;Cho, Nam-Su;Lim, Chan-Teak
    • The Journal of the Korean bone and joint tumor society
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    • v.6 no.1
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    • pp.22-29
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    • 2000
  • Purpose : The purpose of the current study was to report the results of curettage and en bloc excision as well as to introduce how to excise the nidus percutaneously with Halo-mill. Material and Methods : Twenty patients(14 men and 6 women) were evaluated, who had operative treatments after diagnosed as osteoid osteoma from March 1990 to January 1998. These patients ranged in age from 7 to 42 years(average: 20.8 years). Locations were 9 femurs, 6 tibias, 2 vertebras, 1 ulna, 1 maxilla and 1 skull. Nine femoral lesions included 5 proximal metaphysis, 2 neck and 2 diaphysis, while 5 tibial lesions included 3 diaphysis, 1 proximal metaphysis and 1 distal metaphysis. We used simple radiography, bone scan, CT and MRI for the accurate diagnosis and localization. As for surgical treatments, while excision and curettage had to need open-exposure of lesion, the percutaneous excision of nidus did not need openexposure : guided Halo-mill into K-wire inserted to nidus under image intensifier. Results : Simple radiography showed that 10 cases had typical nidus and others had only cortical sclerosis. Bone scan was performed at 14 cases and all had hot uptake except one case. We used CT in 10 cases and MRI in 4 cases as diagnostic methods, of which 1 case didn't reveal nidus at CT. Surgical treatment consisted of 6 curettages, 11 excisions, 2 percutaneous excisions with halo-mill and 1 total elbow arthroplasty. We used 7mm sized Halo-mill. During the follow-up period, all patient relieved symptoms and there were no recurrences. All had histologically typical findings except one which had hyperostosis without nidus. Conclusion : Complete removal of the nidus is the most important factor in the treatment. We could excise the nidus percutaneously in 2 cases with the minimal injury to surrounding soft tissues. If we could evaluate the precise location, size of nidus and percutaneous acccesibility, the percutaneous excision of nidus with Halo-mill could be an alternative method as a treatment of osteoid osteoma.

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