• 제목/요약/키워드: Orthopedic

검색결과 3,912건 처리시간 0.03초

Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty

  • Troy Li;Akiro H. Duey;Christopher A. White;Amit Pujari;Akshar V. Patel;Bashar Zaidat;Christine S. Williams;Alexis Williams;Carl M. Cirino;Dave Shukla;Bradford O. Parsons;Evan L. Flatow;Paul J. Cagle
    • Clinics in Shoulder and Elbow
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    • 제26권3호
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    • pp.231-237
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    • 2023
  • Background: In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA. Methods: Among the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival. Results: At final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure. Conclusions: When controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidence: IV.

결핵성 아킬레스 건염의 수술적 치료 -증례보고- (Surgical Treatment of Tuberculous Achilles Tendinitis - Case Report -)

  • 차승도;김재영;이경태;양기원;김응수;박신이
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.201-203
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    • 2005
  • Although Achilles tendinitis is a relatively common disease, tuberculous involvement of Achilles tendon is rare. We report a case of tuberculous Achilles tendinitis, which was successfully treated with chemotherapy and a combined surgical procedure (Achilles tendon parital excision and FHL tendon transfer).

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재발한 족관절의 미만성 색소 융모 결절성 활액막염 (Recurred Diffuse Pigmented Villonodular Synovitis of Ankle Joint - Case Report -)

  • 김학준;김택선;서동훈;윤광섭;정국진;전승주
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.220-223
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    • 2005
  • Pigmented villonodular synovitis (PVNS) in ankle is relatively uncommon. This disorder results in increased proliferation of synovium causing villous or nodular changes containing histiocytes, fibroblasts, multinucleated giant cell, and hemosiderin. PVNS is classified into two different type : localized and diffuse. Diffuse type of PVNS in ankle is more common than localized type. Also, recurrence of diffuse type is more frequent. We report a case of diffuse type of PVNS which was recurred soon after the excision.

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Transarticualr portal를 이용한 주관절의 관절경술 (Transarticular Portal for Elbow Arthroscopy)

  • 김성재;박인섭;김주영;정재훈;류상욱;천용민
    • Clinics in Shoulder and Elbow
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    • 제6권2호
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    • pp.127-130
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    • 2003
  • Arthroscopy of the elbow is a very precise and demanding procedure due to the closeness of the recommended portals to neurovascular structures and complexity of articular geometry. So to establish safe portal is not always reproducible especially in case of stiff elbow, even for the experienced arthroscopist. We described new tip of elbow arthroscopy using a new starting portal. This procedure is almost always reproducible even in stiff elbow, and minimizes risk of damage to neurovascular structures.

한국 정형물리치료의 역사 (History of the Orthopedic Manual Therapy in Korea)

  • 박지환
    • 대한정형도수물리치료학회지
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    • 제6권2호
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    • pp.39-54
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    • 2000
  • PURPOSE; The main purpose of this article is to document correctly of the orthopedic manual therapy's history in Korea. Therefore this study aimed not only to know the root of the historical Korean OMT, but also to develope of the Korean manual therapy advanced in future. RESULT; The results of this study were as following; 1. The first introduction for OMT in Korea is the '1st International Orthopedic Physical Therapy Seminars' at Seoul National University Hospital by Prof. Russell M. Woodman etc(Quinnipiac college, USA), 1991. 1.16-1.21. 2. The first OMT study group in Korea is to establish the 'Korean Study Group of OMT at Hallym University Kangdon Sacred Heart Hospital, 1992.2.22. 3. The first OMT journal in Korea is the 'Jr. of KAOMT(1:1)', 1995.10.10.

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Pancoast Syndrome Accompanied by Rotator Cuff Tear

  • Nam, Seung Oh;Shin, Dongju;Park, Kihong;Kim, Tae Kyun;Kim, Han Sang
    • Clinics in Shoulder and Elbow
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    • 제18권1호
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    • pp.43-46
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    • 2015
  • Pancoast syndrome (PS) is characterized by a malignant neoplasm of the superior sulcus of the lung with destructive lesions of the thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves. The most common initial symptom of PS is shoulder pain; however, cough, dyspnea, and hemoptysis, signs often associated with lung cancer, are not as common. Investigation of PS can be difficult even with plain radiographs of the chest because it is surrounded by osseous structures such as the ribs, vertebral bodies, and manubrium. Due to these characteristics, orthopedic surgeons tend to make a misdiagnosis resulting in delay of appropriate treatment. Here we report on a patient who was supposed to undergo rotator cuff repair for his shoulder pain and weakness, and was eventually diagnosed with PS.

일측과 양측 발에 동시에 발생한 거종 및 종주상 결합 (Uni and Bilateral Dual Calcaneonavicular and Talocalcaneal Coalitions)

  • 박용욱;김도영;이상수;윤태경;노규철;손현일
    • 대한족부족관절학회지
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    • 제7권2호
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    • pp.263-268
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    • 2003
  • Tarsal coalition is a congenital failure of segmentation resulting in fibrous, cartilaginous, or bony union between tarsal bones. Although single tarsal coalitions are common, dual tarsal coalitions are a rare occurrence. We repport of unilateral and bilateral dual calcaneonavicular and talocalcaneal coalitions.

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부주상골을 동반한 이분 내측 설상골: 증례 보고 (Bipartite Medial Cuneiform Combined with Accessory Navicular: A Case Report)

  • 이태훈;남일현;문기혁;이영현;안길영;이영훈
    • 대한족부족관절학회지
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    • 제19권1호
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    • pp.32-34
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    • 2015
  • Accessory navicular is a congenital anomaly appearing in the secondary ossification center on the tuberosity of the navicular that may cause flatfoot. Bipartite medial cuneiform is another rare congenital anomaly occurring as two primary ossification centers in the medial cuneiform. The authors report a rare case of symptomatic bilateral accessory navicular with bipartite medial cuneiform and flatfoot deformity in a 19-year-old man with a review of the literature.

경비관절에 대한 생역학과 정형물리치료적 고찰 (A Study on Biomechanics and Orthopedic Manual Therapy for Tibiofibular Joints)

  • 김호봉
    • 대한정형도수물리치료학회지
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    • 제9권1호
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    • pp.5-17
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    • 2003
  • 경비관절은 문헌적으로나 임상적으로 소홀히 다루는 관절로써 알려져 왔다. 몇몇 연구자들에 의해 생역학적 원리와 병리학적인 무제가 정립되었고, 평가방법 및 정형도수적 치료방법 등이 개발되어 왔다. 무릎과 족관절부의 병변은 항상 경비관절에 문제를 야기시킬 수 있다는 것을 전제로 평가에서 포함하여 다루어져야 한다. 경비관절에서 유발되는 질환은 대개 정형도수적 치료방법이 매루 효과적으로 적용될 수 있다고 사료된다.

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발에 발생한 골내 결절종 - 2예 보고 - (Intra-osseous Ganglion of the Foot - Two Cases Report -)

  • 박용욱;정영기;유정한;박홍준;유선오;진현철
    • 대한족부족관절학회지
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    • 제5권1호
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    • pp.86-90
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    • 2001
  • Intra-osseous ganglion is an uncommon benign bone tumor caused by an intramedullary metaplastic event. Two cases of the intraosseous ganglion of the foot are presented; one in the metatarsus and the other in the talus. Follow-up averaged 14 months. Satisfactory results were obtained with curettage, cancellous bone graft from the ipsilateral calcaneus. No recurrence and complications occurred during the period of follow-up.

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