• Title/Summary/Keyword: Musculoskeletal surgery

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Total en Bloc Spondylectomy in Metastatic Spine Tumor (전이성 척추종양에 대한 전 척추 절제수술 - 증례 보고 -)

  • Chung, So-Hak;Kim, Jae-Do;Jang, Jae-Ho;Park, Chan-Jae
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.148-154
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    • 2006
  • Purpose: Numerous operations on primary and metastatic spinal tumor have been performed and among those total en bloc spondylectomy has produced decent clinical result, This article introduce 1 case of metastatic spine tumor of C3,C4 who treated with total en bloc spondylectomy.

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Myositis unrelated to the inoculation site after COVID-19 vaccination: a case report

  • Jung Won Han;Jae Min Oh;Dae Hee Lee;Young Dae Jeon
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.208-211
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    • 2023
  • We describe the case of a 49-year-old right hand-dominant woman with myositis of the biceps brachii muscle unrelated to the inoculation site following Pfizer-BioNTech COVID-19 vaccination on the deltoid muscle of the left shoulder. Coronavirus disease 2019 (COVID-19) pandemic has involved global spread, and different vaccines including inactivated, protein, vectored, and nucleic acid vaccines have been developed and administered. Common side effects of COVID-19 vaccines include general manifestations such as headache, fever, and fatigue, and various musculoskeletal symptoms. Here, we present a case of myositis occurring in the biceps brachii muscle unrelated to the inoculation site, which has not been reported previously, accompanied by a literature review.

Narrative Review of Pathophysiology and Endoscopic Management of Basivertebral and Sinuvertebral Neuropathy for Chronic Back Pain

  • Hyeun Sung Kim;Pang Hung Wu;Il-Tae Jang
    • Journal of Korean Neurosurgical Society
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    • v.66 no.4
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    • pp.344-355
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    • 2023
  • Chronic lower back pain is a leading cause of disability in musculoskeletal system. Degenerative disc disease is one of the main contributing factor of chronic back pain in the aging population in the world. It is postulated that sinuvertebral nerve and basivertebral nerve main mediator of the nociceptive response in degenerative disc disease as a result of neurotization of sinuvertebral and basivertebral nerve. A review in literature is done on the pathoanatomy, pathophysiology and pain generation pathway in degenerative disc disease and chronic back pain and management strategy is discussed in this review to aid understanding of sinuvertebral and basivertebral neuropathy treatment strategies.

Limb Salvage Operation with Recycled Autogenous Bone Graft (자가골 재이식술을 이용한 사지 구제술)

  • Rhee, Seung-Koo;Kang, Yong-Koo;Suh, Yoo-Joon;Yoo, Jong-Min;Jung, In-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.2
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    • pp.96-106
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    • 2004
  • Purpose: To determine the usefulness of limb salvage operation with recycled autogenous bone graft in musculoskeletal malignant tumors. Materials and Methods: Twenty nine cases, who underwent limb salvage operation with recycled autogenous bone graft for the treatment of musculoskeletal malignant tumor between February 1990 and January 2003, were included. There were 18 males and 11 females and the mean age was 33 years (range, 10 to 65 years). The mean follow-up period was 51.8 months (range, 18 to 117 months). The Enneking stage was IIA in 10 cases and IIB in 19 cases. The recycling method of autogenous bone was deep freezing in 6 cases, autoclaving in 11 cases, pasteurization in 7 cases and the composite of autoclaving and vascularized fibular graft in 5 cases. The union of junctional site was evaluated radiologically and the functional results was analyzed by the grading systems of the International Symposium On Limb Salvages (ISOLS). Results: The mean union time was 7.2 months (range, 3 to 15 months). The union took 5.8 months (range, 4 to 8 months) in deep freezing, 9.7 months (range, 6 to 15 months) in autoclaving, 5.9 months (range, 4 to 8 months) in pasteurization, and 5 months (range, 4 to 8 months) in the composite of autoclaving and vascularized fibular graft. The mean functional evaluation percentage was 76.8% (range, 40 to 90%). It was 65.8% (range, 40 to 85%) in deep freezing, 76.6% (range, 40 to 90%) in autoclaving, 81.6% (range, 70 to 90%) in pasteurization, and 83.4% (range, 75 to 90%) in the composite of autoclaving and vascularized fibular graft. There were 6 cases of complications including 1 case of local recurrence, lung metastasis, infection, fracture, respectively and 2 cases of nonunion. Conclusion: The limb salvage operation with recycled autogenous bone graft is a useful treatment method for the musculoskeletal malignant tumors. Particularly, autoclaving is the most reliable sterilization method. The vascularized fibular graft can compensate decreased osteoinductivity and mechanical strength of recycled bone. So, the composite of autoclaving and vascularized bone graft seems to be a favorable treatment method for high grade malignant musculoskeletal tumors.

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Bilateral Achilles Tendon Xathoma without Hypercholesterolemia - A Case Report - (고지혈증이 동반되지 않은 양측성 종골건 황색종 - 1례 보고 -)

  • Jung, Byung-Hyon;Chung, Hyung-Jin;Kim, Dong-Soo;Sung, Yeol-Bo;Ahn, Jong-Guk;Kwon, Chil-Soo;Sim, Sung-Sil;Kim, Jin-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.3
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    • pp.194-196
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    • 1999
  • Xanthoma is a localized collection of tissue histocytes containing lipid. The majority of tendinous xanthomas probably occurs in the setting of hypercholesterolemia especially in bilateral Achilles tendon xanthomas. Xanthoma of the Achilles tendon is a rather rare, interesting orthopaedic condition that has important ramifications in internal medicine and dermatology because the lesion is associated with a specific disturbance of lipid metabolism. We experienced one case of normolipidemic and symptomatic Achilles tendon xanthoma. Surgical intervention was carried out for cosmetic and symptomatic reasons, the patient undergoing total resection and a reconstruction of the Achilles tendon by the combinedV-Y muscle flap and modified Lindholm technique.

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Osteochondroma in Cervical Spine - 1 Case Report - (경추에서 발생한 골연골종 - 1예 보고 -)

  • Na, Hwa-Yeop;Lee, Young-Sang;Choi, Joon-Cheol;Choi, Jun-Won;Kim, Woo-Sung;Song, Woo-Suk;Noh, Hyoun-Min
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.1
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    • pp.73-77
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    • 2008
  • Osteochondroma is the most common benign tumor in bone, consist of 40%, but, rare in spine area occupying only 2%. We report a case of osteochondroma that was in the 5th and 6th spinous process of cervical spine. We performed en bloc excisional biopsy of the bony mass. And the patient is doing well without evidence of local recurrence at 1 year after surgery. Further follow-up is necessary to observe local recurrence.

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Extracorporeal High Intensity Focused Ultrasound Therapy (체외강력집속초음파치료)

  • Han, Sang-Suk
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.1
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    • pp.17-24
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    • 2005
  • Local treatment for tumors has developed from extended radical surgery to function preserving surgery on the basis of modern biology. With the development of minimally invasive technique, it changed to be minimal-invasive surgery. And nowadays technical revolution made non-invasive surgery possible with appearance of several kinds of non-surgical knives such as gamma knife, cyber knife, and HIFU (high intensity focused ultrasound) knife. In this article, history, HIFU machine and treatment procedure, histological change and its mechanism, clinical applications, advantage, disadvantage, and future prospect of extracorporeal high intensity focused ultrasound therapy using HIFU knife will be reviewed.

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Ultrasound-Guided Femorosciatic Nerve Block (초음파 유도 대퇴좌골 신경 차단술)

  • Kang, Chan;Kim, Young-Mo;Hwang, Deuk-Soo;Kim, Joung-Hun;Park, Jun-Young;Lee, Woo-Yong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.74-78
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    • 2010
  • Since the extent of use of musculoskeletal ultrasound in orthopaedic surgery is expanding, popliteal block(sciatic nerve block) and femoral nerve block(saphenous nerve block) are easily and safely performed without complications such as nerve injury or incomplete block. Also, due to the expanding use of ultrasound, orthopaedic surgery of not only foot but also ankle and lower leg could be done without general anesthesia or spinal anesthesia. We describe a detailed technique for ultrasound-guided femorosciatic nerve block based on the experience over 120 cases.

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Reconstruction with Retrograde IM Nail and Pasteurized Bone in Distal Tibial Osteosarcoma - A Case Report - (원위 경골 골육종의 역행적 골수내 정과 저온 열처리 골을 이용한 재건 - 증례 보고 -)

  • Song, Won-Seok;An, Joon-Hwan;Lee, Soo-Yong;Park, Jong-Hoon;Cho, Wan-Hyung;Ko, Han-Sang;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.161-164
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    • 2006
  • Malignant bone tumor in distal tibia is a rare condition which has been treated by amputation. Although widely accepted, limb salvage surgery in this area poses difficulties with respect to reconstruction. We present one patient with distal tibial osteosarcoma treated by performing limb salvage and reconstructing with retrograde IM nail and pasteurized bone.

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Limb-salvage Operations for Sarcomas of the Extremities Involving Critical Artery (주요 혈관을 침범한 연부조직 종양의 사지구제술 - 치험 3례 보고 -)

  • Kim, Jae-Do;Choi, Sung-Woon;Park, Jung-Ho;Son, Young-Chan;Hong, Young-Gi;Son, Jeong-Hwan
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.1
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    • pp.105-112
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    • 1995
  • Soft tissue sarcomas are malignant tumors that arise in the extraskeletal connective tissues of the body. And the clinical behavior of soft tissue sarcomas is characterized by a tendency to extensively invade surrounding soft tissues as well as early metastatic dissemination. Difficulties were encounted when soft tissue sarcomas invade the major vessels. There are a few reprots about the reconstruction of the major vessels after resection of soft tissue sarcomas. We have treated 3 cases of the soft tissue sarcomas involving the major artery. After marginal excision of the tumor mass, the involved major artery was reconstructed with Gortex artificial vessel graft and we could salvage the patient's extremity.

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