• Title/Summary/Keyword: Orthopedics

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Ultrasonographic Diagnosis of Ganglion of Medial Side of Knee Joint, Mimic to Tumor Mass - A Case Report - (종양과 유사한 슬관절 내측 결절종의 초음파를 이용한 진단 - 1례 보고-)

  • Kim, Jung-Man;Song, Chol
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.18-22
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    • 2008
  • A ganglion cyst contains clear high viscous fluid within dense fibrous connective tissue wall communicating with joint or tendon sheath, but is not frequent around the knee joint. A hard mass at the medial side of the knee joint of the 73 years old woman, mimic to hard tumor mass was diagnosed as the ganglion using ultrasonography. Ultrasonography was a useful diagnostic tool of the cystic lesion although the consistency of the mass was hard enough to be suspected as a tumor mass.

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Effect of Hemiplegia Induced by Sciatic Nerve Injury on both Tibia Trabecular Bone of C57BL/6 Mouse (궁둥신경손상으로 인한 하지의 편마비가 양측 정강 뼈 해면골에 미치는 영향)

  • Jung, Young Jin;Seo, Dong Hyeon;Kim, Han Sung;Ko, Chang-Yong
    • Journal of Biomedical Engineering Research
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    • v.33 no.4
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    • pp.207-212
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    • 2012
  • It is widely known that sciatic nerve injury (SNI) can negatively affect the biomechanical characteristics of the musculoskeletal system. However, there were no studies that evaluated and compared denervated side with another side limb at the same time. In this study, sixteen male 12-week-old mice were allocated into two groups: HEMI (Right Sciatic nerve denervated) and CON (Control). Both limbs were scanned using micro-CT at 0 week and 4 weeks. There were significant differences in relative variation (RV) of BMD and all structural parameters compared CON and HEMI in right tibia (p < 0.05). Tb.Th and Tb.Sp distributions were differed CON with HEMI in right tibia. In left tibia, there were significant differences in RV of BMD (p < 0.05) and Tb.Sp distribution. These result means that SNI can induce bone loss in the both side tibiae. However, there was a different profile of bone loss between left and right tibiae.

Calcific Tendinitis Occurred within Conjoined Tendon in a Patient with Rheumatoid Arthritis - A Case Report - (류마티스 관절염 환자에서 발생한 연합건의 석회성 건염 - 증례보고 -)

  • Lee, Chang-Hun;Kim, Sung-Jae;Lee, Seung-Hun;Koo, Min-Hoi;Lee, Bong-Gun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.31-35
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    • 2012
  • Calcific tendinitis usually occurs within the area where tendon inserts to bone. In the shoulder joints, most cases occur within the supraspinatus tendon just proximal to the greater tuberosity. We report a rare case of calcific tendinitis occurred within the conjoined tendon of coracobrachialis and short head of biceps brachii in a patient with rheumatoid arthritis, diagnosed by means of ultrasonographic evaluation.

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Synovial Sarcoma Misunderstanding as a Benign Soft Tissue Tumor Finding on Ultrasonography (초음파에서 양성 연부조직 종양으로 오인된 활막육종)

  • Min, Kyoung-Dae;Hwang, Seok-Ha;Kim, Wook-Joong;Park, Sang-Mo;Lee, Byung-Ill
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.22-26
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    • 2012
  • Ultrasonography is an effective first-line examination for soft-tissue masses. We reported a case who presented with superficial soft-tissue mass on the left distal thigh accompanying by pain. On ultrasonography, the lesion was determined as a benign mass. The patient, however, was diagnosed with synovial sarcoma based on the histopathologic result. Herein, we reported the case and reviewed of relevant literature.

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Ultrasound-Guided Regional Nerve Block in Lower Extremity (하지에서의 초음파 유도 국소 신경 차단술)

  • Kang, Chan
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.50-59
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    • 2012
  • In the domain of orthopaedic surgery, application of regional nerve block for surgery or pain control in upper and lower extremities has been increased. By performing regional block of popliteal (sciatic), femoral, proximal saphenous nerve and ankle block under guidance of ultrasound, not only the safety, but also success rate of the procedure has increased, and amount of local anesthetics could be used less, too. Since the perineural single injection or continuous catheterization of diluted local anesthetics was performed more precisely and easily by the guidance of ultrasound, postoperative pain could be controlled without complications of PCA such as nausea, vomiting, etc. We will discuss about this ultrasound guided regional nerve block.

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Compressive Neuropathy in Upper Extremity (상지의 압박 신경병증)

  • Park, Jong Woong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.2
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    • pp.99-106
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    • 2009
  • Compressive neuropathy in the upper extremity can be clinically diagnosed by careful history taking, physical examination of the involved nerve. Electrodiagnosis for the suspected nerve informs severity of compression of the involved nerve and indicates specific site of the lesion. In the early stage of the disease, non-operative treatment generally cures the symptom, however, if the conservative treatment fails, confirmation of the exact site of the lesion should be preceded before the operation. Recently, ultrasonography, as a supportive tool for the diagnosis of compressive neuropathy has increasing popularity for its ability to find space occupying lesion, anatomical change of the nerve, and the pathologic change in the nerve itself. For the successful treatment of the compressive neuropathy, these various diagnostic tools have to be introduced in the orthopaedic clinic.

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Role of Ultrasound in Acupuncture (침술에서 초음파의 역할)

  • Park, Gi-Young
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.2
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    • pp.94-98
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    • 2009
  • Acupuncture is a treatment method that originated more than 3,000 years ago in China and is practiced in most of the world. Acupuncture became the most popular complementary and alternative medicine modality. Ultrasound is useful for research and educational purposes, visualizing needle insertion at acupuncture points, especially next to vulnerable structures such as nerves or the pleura. Additionally, ultrasound is an ideal imaging method for evaluation the biomechanical effects of needle manipulation on tissue and has the distinctive advantage of yielding both images of tissue morphology and biomechanical information. Elastography take aim at quantifying a mechanical response or the mechanical property of tissues from a mechanical stimulus, generated internally or externally. Therefore, the combination of ultrasound and elastography analyses allows quantitative assessment of dynamic changes in the structure of human connective tissue.

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Character Analysis that influences to Surgical Gloves Punctures (수술장갑의 천공에 영향을 미치는 특성 분석)

  • Kim, Eu Jin;Koh, Myung Suk
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.99-110
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    • 2012
  • Purpose: The purpose of this study was to examine the puncture incidence of surgical gloves in an operational setting. Methods: The 277 surgical gloves were used collecting at one general hospital located in Seoul from February 1, 2011 to April 3. The data were analyzed by $x^2$ test, Fisher's exact test, and multiple logistic regression. Results: In the dental and orthopedic department, the puncture incidence were significantly higher than others. The time of wearing gloves demonstrated significant difference: The group 181-240 minutes had a significantly higher than those with under 90, 91-180, or over 240 minutes. The influencing factors were as follows. Compared to that of the 2nd assistants, the puncture incidence rates of the surgeons were 9.91 times, scrub nurses were 8.39 times higher respectively. The participants in work experience under 1 year showed a 4.58 times higher than those with over 7 years. In addition, compared to the puncture incidence rate of neurosurgery department, the 17.41 times in cardio-thoracic surgery, 13.89 times in dental surgery, 4.93 times in gynecology, and 4.97 times in orthopedics higher respectively. Conclusion: There is a need for training operational room personnels to occasionally exchange the gloves even during the procedure and to use double surgical gloves.

Recycling of flap pedicle in complex lower extremity reconstruction: A proof of free muscle flap neovascularization

  • Pafitanis, Georgios;Vris, Alexandros;Reissis, Dimitris;Sadri, Amir;Alamouti, Reza;Myers, Simon;Sadigh, Parviz
    • Archives of Plastic Surgery
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    • v.47 no.6
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    • pp.619-621
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    • 2020
  • This article portrays the authors' clinical experience of a complex case of lower extremity reconstruction using a recycled pedicle from 10 years old free latissimus dorsi musculocutaneous flap to supply a new free anterolateral thigh flap for proximal tibia wound defect reconstruction. It provides clinical evidence that muscle neovascularization occurs and supports the dogma peripheral tissue neovascularization. This case stipulates that recycling of pedicle is feasible, when used with appropriate strategy and safety and also provides evidence for the long-term survival of greater saphenous vein grafts in lower extremity reconstruction.

Laryngeal Cancer in Kazakhstan - Ethnic, Age and Gender Differences over Time

  • Igissinov, Nurbek;Zatoskikh, Vera;Moore, Malcolm Anthony;Igissinov, Saginbek;Aldiyarova, Gulmira;Tokmurziyeva, Gulmira;Valieva, Saule;Alpeissova, Sholpan;Sarsenova, Samal
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.7033-7037
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    • 2013
  • The purpose of the present study was to provide an assessment of the incidence of cancer of the larynx in Kazakhstan with especial attention to ethnicity and gender, as well as age. The retrospective design covered all new cases of laryngeal cancer in 11 years (1999-2009). The total number was 4,967 cases, 4,535 (91.3%) in males and 432 (8.7%) in women, with a gender ratio of 10.5:1. Patients of Kazakh (31.2%) and Russian (51.4%) ethnicity accounted for the vast majority (82.6%), with Russians predominating in both sexes, but particularly in females. Age peak in Kazakhs was 70 years and older ($14.6{\pm}0.70/0000$), and in Russians was 60-69 years ($21.6{\pm}1.30/0000$). In the dynamics, the rates had the tendency to decrease more markedly in Russian than Kazakh men, especially in the younger groups, while increase was noted in the youngest females of both ethnicities, but again greater in Russians, presumably reflecting change in underlying lifestyle factors.