• 제목/요약/키워드: Proximal surface

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제3족지 근위지골에 발생한 기괴성 방골성 골연골성 증식증: 1예 보고 (Bizarre Parosteal Osteochondromatous Proliferation in the Proximal Phalanx of the Third Toe: A Case Report)

  • 노행기;전호승;전승주;문찬삼;강서구;송경섭
    • 대한골관절종양학회지
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    • 제17권2호
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    • pp.91-94
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    • 2011
  • 기괴성 방골성 골연골성 증식증은 수부와 족부의 단관골의 표면에 발생하는 양성 종양이다. 치료는 일반적으로 변연부 절제술을 시행하지만 절제 후 국소적인 재발을 잘한다. 국내에서는 족부에 발생한 기괴성 방골성 골연골성 증식증에 대한 보고가 극히 드물다. 저자들은 44세 여자 환자에서 우측 제3족지의 근위지골에 발생한 기괴성 방골성 골연골성 증식증을 경험하고 이를 보고하고자 한다.

봉합사 고정을 이용한 Akin 절골술 (Fixation with Suture Material in Akin Osteotomy)

  • 양기원;이경태;김재영;차승도;김응수
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.138-141
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    • 2004
  • Purpose: The purpose of this study was to document the results of fixation with ethibond suture in akin osteotomy and its advantages. Materials and Methods: From May 2001 to January 2004, Akin osteotomy was performed in 218 patients. We reviewed 110 patients (114 feet) who were possible radiographic evaluation more than 6 months after operation. 110 feet had hallux valgus and 4 feet had hallux valgus interphalangeus. 105 patients were female and 5 were male. The average age was 43.8 years old (18 to 68 years old). The average follow up was 9 months (6 to 23 months). After performing the Akin osteotomy at 7 mm from the proximal articular surface of the proximal phalanx, one hole is made on either side of the osteotomy site with a K-wire. The passer was passed through the both holes and the ethibond was passed. And then, the ethibond was tied tightly. 2 sutures in 66 feet and 1 suture in 48 feet were made. Radiographic bone union at 6 months follow up was regarded as success and loss of the reduction, nonunion was regarded as failed. Results: In the radiographic evaluation, bony union were made at 6 months follow up in all feet. There was no difference between 2 sutures and 1 suture, and the knots were removed in 3 feet because of skin irritation. Conclusion: The fixation of the osteotomy site using suture material was an effective method in Akin osteotomy. The advantage of this procedure was unnecessity of the material removal.

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한국재래산양 코눈물관계통의 해부학적 및 방사선학적 연구 (Anatomic and radiographic studies of the lacrimal drainage system in Korean native goat)

  • 서강문;강태천;이흥식;이인세;남치주
    • 대한수의학회지
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    • 제36권1호
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    • pp.23-29
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    • 1996
  • This study was carried out to identify the gross anatomical and radiographic characteristics of the nasolacrimal system of the Korean native goat. The results were as follows : The nasolacrimal system are composed of two lacrimal ducts, two lacrimal, canaliculus, one lacrimal sac and one nasolacrimal duct. The nasolacrimal duct was divided into proximal, middle and distal portion. The nasolacrimal duct took a straight course to be paralleled with nasal bones and opened close to the nostril on the medial surface of the alar fold. The diameter of lacrimal punctum, the length of eyelid margin to lacrimal punctum, the length of canaliculus and the diameter of lacrimal sac were 0.82~0.90mm, 1.06~1.54mm, 5.65~6.30mm and 1.77~2.06mm, respectively. The length of proximal, middle and distal nasolacrimal duct were 36.84~40.00mm, 23.53~24.31mm and 14.55~14.73mm, respectively. The diameter of the orifice of nasolacrimal duct, the length of lateral margin of nostril to orifice of nasolacrimal duct and the length of dorsum to orifice of nasolacrimal duct were 1.29~1.33mm, 12.97~12.53mm and 15.24~16.11mm. The skull index of Korean native goat was not significantly different from the length of nasolacrimal duct.

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정상 한국 성인의 상완골과 관절와의 후경각 및 개방적 수술의 비교 (Humeral, Glenoid Retroversion and Bicipital Groove Distance of the Normal Korean Adults)

  • 김진섭;유정한;박주혁
    • Clinics in Shoulder and Elbow
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    • 제2권2호
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    • pp.151-156
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    • 1999
  • Purpose : Average humeral head retroversion was showed significant wide range from literatures based on variable measuring technique, We performed computed tomography(CT) study in an effort to define the specific anatomy relationships and evaluate their use. Materials and Methods : Two hundreds shoulders and distal humeri CT scan with no known pathology were examined. The study population was divided to 10 groups by gender and age (from third to seventh decade). The number of each group was twenty. Retroversion of proximal humerus and glenoid were measured using the lines that were connected the central axis of humeral head, central points of the humeral epicondyles paralleling to the trochlea, paralled to the glenoid surface, midpoint between the transverse glenoid diameter and medial edge of the scapular. We also measured the bicipital groove distance from the humeral central axis and scapulothoracic angle. Results: Retroversion of proximal humerus was highly variable, ranging in this study from 13 to 58 degrees(mean 28.73) These values correlated with sex, not age, height or hand dominance. Glenoid retroversion at the inferior sections showed average 1.3 degree, did not signigicant differences. The central axis was an average of l0mm(5-15mm) posterior to the posterior margin of the bicipital groove. Scapulothoracic angle was average 43 degrees(25-53 degrees) Conclusion: Anatomical reconstruction of retroversion angle should be individualized and bicipital groove could be useful as landmark for the lateral fin of the prosthesis to be positioned an average of 10mm posteriorly.

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Hybrid-Ceramic Crown과 금속 도재관의 파절강도 비교 (COMPARISON OF FRACTURE STRENGTH BETWEEN HYBRID-CERAMIC CROWN AND METAL-CERAMIC CROWN)

  • 구철회;양홍서
    • 대한치과보철학회지
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    • 제39권1호
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    • pp.14-24
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    • 2001
  • The purpose of this study was to compare the fracture strengths and the fracture patterns of several hybrid-ceramic crowns and metal-ceramic crown. Ten crowns were constructed for each group according to the manufacturer's instruction. Removable template of silicone rubber impression material was used for standardization of each crowns. Each crown was cemented on a metal die with hybrid glass ionomer cement. All crowns cemented were stored in distilled water, $36^{\circ}C$ for 24 hours prior to loading in an universal testing machine. The load was directed at 130 degrees the long axis of metal die. The fracture strengths were measured and the fracture patterns were observed. The following results were obtained from this study 1. The mean fracture strengths of $Artglass^{(R)}$, $Sculpture^{(R)}$ and $Targis^{(R)}$ were $57.5{\pm}9.5Kgf,\;62.7{\pm}12.2Kgf$ and $60.2{\pm}10.1Kgf$ respectively. There was no significant difference among each hybrid ceramic crown group. 2. The toad required to fracture hybrid-ceramic crowns was significantly smaller than metal-ceramic crowns($131.7{\pm}22.0Kgf$). 3. In the metal-ceramic crowns, labial porcelain detached partially from porcelain-metal junction of proximal side by load. 4. Hybrid-ceramic crowns showed a simple fracture pattern that fracture line began at the loading area and extended through proximal surface, perpendicular to the margin. The crown was separated into two parts of labial side and lingual side. Above results revealed that three kinds of the hybrid-ceramic crowns used in this study must have careful application in clinical use since the strength of hybrid-ceramic crown was lower(about 1/2) than that of metal-ceramic crown.

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Time-Lapse Live-Cell Imaging Reveals Dual Function of Oseg4, Drosophila WDR35, in Ciliary Protein Trafficking

  • Lee, Nayoung;Park, Jina;Bae, Yong Chul;Lee, Jung Ho;Kim, Chul Hoon;Moon, Seok Jun
    • Molecules and Cells
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    • 제41권7호
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    • pp.676-683
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    • 2018
  • Cilia are highly specialized antennae-like organelles that extend from the cell surface and act as cell signaling hubs. Intraflagellar transport (IFT) is a specialized form of intracellular protein trafficking that is required for the assembly and maintenance of cilia. Because cilia are so important, mutations in several IFT components lead to human disease. Thus, clarifying the molecular functions of the IFT proteins is a high priority in cilia biology. Live imaging in various species and cellular preparations has proven to be an important technique in both the discovery of IFT and the mechanisms by which it functions. Live imaging of Drosophila cilia, however, has not yet been reported. Here, we have visualized the movement of IFT in Drosophila cilia using time-lapse live imaging for the first time. We found that NOMPB-GFP (IFT88) moves according to distinct parameters depending on the ciliary segment. NOMPB-GFP moves at a similar speed in proximal and distal cilia toward the tip (${\sim}0.45{\mu}m/s$). As it returns to the ciliary base, however, NOMPB-GFP moves at ${\sim}0.12{\mu}m/s$ in distal cilia, accelerating to ${\sim}0.70{\mu}m/s$ in proximal cilia. Furthermore, while live imaging NOMPB-GFP, we observed one of the IFT proteins required for retrograde movement, Oseg4 (WDR35), is also required for anterograde movement in distal cilia. We anticipate our time-lapse live imaging analysis technique in Drosophila cilia will be a good starting point for a more sophisticated analysis of IFT and its molecular mechanisms.

무지 외반증에서 시행한 Scarf 절골술의 합병증 (Complications of Scarf Osteotomy for Hallux Valgus)

  • 남일현;안길영;문기혁;이영현;최성필;이태훈;이영훈
    • 대한족부족관절학회지
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    • 제18권4호
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    • pp.178-182
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    • 2014
  • Purpose: The purpose of this study was to evaluate the frequency of troughing and stress fracture, which are the major complications of scarf osteotomy, and to suggest methods to prevent these complications. Materials and Methods: We reviewed 243 cases of 137 patients treated with the scarf osteotomy for hallux valgus from January 2005 to December 2012. The mean follow-up period was 2.8 years. During the scarf osteotomy, a long oblique longitudinal osteotomy was performed in order to decrease the possibility of troughing and stress fracture. Radiographs of lateral view of the foot were obtained and the thicknesses of the first metatarsal base at the sagittal plane were measured and compared. Results: There was no troughing during fragment translation and screw fixation intraoperatively. Radiographs of lateral view of the foot taken preoperatively and at the last follow-up showed that the mean thickness of the first metatarsal was 22.4 mm preoperatively and 21.6 mm at the last follow-up, with a mean difference of 0.8 mm. And no stress fracture was observed. Conclusion: To prevent troughing and stress fracture, a long oblique longitudinal cut, parallel to the first metatarsal plantar surface, was performed, making both ends of the proximal segment truncated cone-shape, and securing the strong bony strut of the proximal segment. No troughing or stress fracture was experienced with scarf osteotomy.

우도응회과의 분출기기구와 분출과정 (Eruptive mechanisms and processes at Udo tuff cone, Udo Island, Korea)

  • Hwang, Sang-Koo
    • 암석학회지
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    • 제1권2호
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    • pp.91-103
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    • 1992
  • Eruptive mechanisms and processes at Udo tuff cone can be inferred from indicative characters of products, bedforms and lithofacies, and ring faults. In terms of bedforms and lithofa-cies in particular, massive lapilli tuff beds and chaotic lapilli tuff beds are derived from subaerial falls of aggregated tephra of wet tephra finger jets, occurring dominantly at the lower sequences of proximal part at the tuff cone. Crudely stratified lapilli tuff are derived from subaerial falls of slightly aggregated tephra of less wet tephra finger jets, whereas reversely graded lapilli tuff beds are from slightly disaggregated subaerial falls of continuous uprush. Both beds frequently occur in the middle sequences at proximal and near medial part of the tuff cone. Block and lapilli tephra lenses, ash-coated lapilli tephra beds(lenses) and thin-bedded tuff beds are derived from extremely disaggregated subaerial falls of dry tephra in the continuous uprush, frequently occurring at the upper sequences of medial part at the tuff cone. Udo tuff cone is a basaltic volcano emergent through the sea water surface while water could flood across or into the vent area. Emergence of the tuff cone was from the type-Surtseyan eruption characterized by earlier tephra finger jets and later continuous uprush columns of tephra with copious volumes of steam. Explosions began when boiling of wter produced a bubble column reducing the hydrostatic pres-sure, allowing exsolution of gases from the magma. This expansion of magma into a vesiculating froth fragmented the magma and permitted mixing of magma and water so that a more vigorous generation of steam could proceed. Tephra finger jetting explosions continued to build the crater rims, then remove water from the vent that their deposits flowed like slsurries until the continuous uprush explosion ensued. Continuous uprush explosions were associated with most rapid accumula-tion of tephra. The increasing volume rate led to partial removal of water from the vent area by the newly tephra ring so that more vigorous activity could be attended by a reducing water supply. This might restrain surplus of cold water entering the vent and thus enhance the vigour of the eruption by allowing optimal heat exchange. Eventually the crater became so deep and unsuported that piecemeal sliding, or massive subsidence on indipping ring faults, filled and closed the vent, and the cycle of explosions and collapse began anew.

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Digital Imaging Fiber-Optic Trans-Illumination을 이용한 초기우식의 탐지 (EARLY CARIES DETECTION WITH DIGITAL IMAGING FIBER-OPTIC TRANS-ILLUMINATION)

  • 이준석;김종수;유승훈
    • 대한장애인치과학회지
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    • 제3권2호
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    • pp.87-90
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    • 2007
  • $DIFOTI^{(R)}$ 가시광선 파장을 이용하여 방사선 노출 없이도 실시간으로 교합면, 인접면, 평활면 우식, 재발성 우식 및 치아 파절이나 불소증 등을 효과적으로 진단할 수 있는 영상 장비이다. 시진 및 방사선 사진에 비해 치아 우식 탐지에 있어서 민감도가 매우 높은 것으로 나타나고 있으며, 이를 통해 치아의 탈회를 조기 진단하여 보다 보존적인 치료가 가능하리라 사료된다.

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무지 외반증의 진단 및 병태생리 (Diagnosis and Pathophysiology of Hallux Valgus)

  • 장규선;김태완;김학준
    • 대한족부족관절학회지
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    • 제18권2호
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    • pp.43-47
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    • 2014
  • Hallux valgus is a lateral deviation of the first phalanx and medial deviation of the first metatarsal at the first metatarsophalangeal (MP) joint. Its incidence has increased due to developing footwear. The etiologies include fashion footwear, genetic causes, anatomical abnormality around the foot, rheumatoid arthritis, and neuromuscular disorders. Physiologic alignment of the first MP joint is maintained by congruent and symmetric alignment of the articular surface of the first proximal phalanx and first metatarsal head, physiologic relationship of the distal first metatarsal articular surface and the first metatarsal shaft axis, and stable balance of soft tissue around the first MP joint and stable tarsometatarsal joint. Several factors have been associated with hallux valgus, including pes planus, hypermobility of the first tarsometatarsal joint, flattened shape of the first metatarsal head, increased distal metatarsal articular angle, and deformation of the medial capsular integrity. History and physical examination are very important to diagnosis of hallux valgus. Simple radiography provides information on deformity, particularly in weight-bearing anteroposterior and lateral radiographs. Understanding the etiologies and pathophysiology is very important for success in treatment of patients with hallux valgus.