• Imaging Science in Dentistry
• /
• 제48권3호
• /
• pp.223-226
• /
• 2018

This report presents a case of cervical pneumatocysts as an incidental finding on cone-beam computed tomography. Pneumatocysts are gas-containing lesions of unknown etiology. They usually present in the ilium or sacrum, adjacent to the sacroiliac joint. In the literature, 21 case reports have described cervical pneumatocysts. Cervical pneumatocysts should be differentiated from other lesions, such as osteomyelitis, osteonecrosis, and neoplasms, as well as post-traumatic and post-surgical cases. Computed tomography, cone-beam computed tomography, and magnetic resonance imaging are appropriate tools to diagnose cervical pneumatocysts.

• 한국임상수의학회지
• /
• 제25권1호
• /
• pp.64-66
• /
• 2008

A castrated male, 9-year-old Yorkshire terrier was presented with a depression and bilateral hind limbs lameness. On physical examinations, upper motor neuron signs and stiffness of the hind limbs, back pain and progressive paresis were identified. Marked periosteal new bone formations and lysis include the first lumbar vertebra to the sacrum, bilateral iliums acetabulums and bilateral femoral heads were observed in survey radiographs. After death with septicemia suspected, renal infarction and the 5th vertebral osteomyelitis include pelvic periostitis were diagnosed in histological examination.

• The Korean Journal of Pain
• /
• 제8권2호
• /
• pp.293-297
• /
• 1995

Despite applying recent advances in research and technology and taking into acount proper histories and performing thorough physical examinations, a high percentage of patients with low back pain have no identifiable pathology. Problems especially of the sacroiliac joint are commonly missed. The purpose of this article is to describe the effects of sacroiliac injection of local anesthetics and corticosteroids on patients with acute sacroiliac sprain. The sacroiliac joints are essentially nonweight-bearing joints that allows a small amount of anteroposterior rotatory movement around transverse axis usually about 5 to 10 cm below the promontory of the sacrum vertically. The ligamentous portion of sacroiliac joint is vulnerable to rotatory movement particularly when the individual is in an awkward position. Injections of 3 ml of 2% lidocaine and 10 mg of methylprednisolone were given twice at two day intervals to 26 patients with acute sacroiliac sprain. Most of those patients obtained excellent results without any adverse effects.

• 대한핵의학회지
• /
• 제39권3호
• /
• pp.209-211
• /
• 2005

A tail-on-detector (TOD) view has been used to see the symphysis pubis or sacrococcyx in skeletal scintigraphy, but it is inconvenient to acquire because a patient must sit or lean on a detector. The TOD views are still frequently performed in training hospitals in Korea, although it is becoming almost impossible to sit on a camera in this age of dual-headed cameras. The authors show cases with lateral views obtained in supine position that were acquired for the same reason; they are easier and more useful than the TOD views.

• Journal of Trauma and Injury
• /
• 제35권2호
• /
• pp.131-138
• /
• 2022

Other than gunshot injuries, sacral penetrating injuries with a foreign body exiting to the other side are extremely rare. We encountered a case of sacral injury in which a long metallic pipe penetrated from the anus into the lower back of a patient. Since the pelvis contains various organs, management of a penetrating injury requires multidisciplinary treatment involving several medical specialties. Due to the infrequency of this type of injury, there are no definitive guidelines for effective management. We described our experience surgically treating a sacral penetrating injury and conducted a literature review. On this basis, we suggest a surgical strategy for treating this type of injury.

• Clinical Pain
• /
• 제20권1호
• /
• pp.35-38
• /
• 2021

Bertolotti's syndrome is a congenital abnormality in which the expanded lower lumbar transverse process articulates with the ilium or sacrum. It is an important cause of low back pain in children and adolescents that is frequently misdiagnosed. We describe the case of a 17-year-old girl with low back pain who had a 4-year history of juvenile idiopathic arthritis. She subsequently underwent plain radiography and magnetic resonance imaging and was eventually diagnosed with Bertolotti's syndrome. She was managed conservatively with 6 weeks of physical therapy and an exercise program, and her pain subsided. This case demonstrates the importance of considering anatomical and structural variants when evaluating low back pain in adolescents.

• 대한방사선치료학회지
• /
• 제15권1호
• /
• pp.29-33
• /
• 2003

I. 목적 외부방사선 치료와 같이 근접치료 시에도 재현성을 평가하기 위해 bone의 위치와 tandem, ovoid 간의 거리를 측정하여 치료 setting의 재현성을 평가함으로써 자궁경부암 환자의 근접치료시 치료의 재현성을 평가하고자 하였다. II. 대상 및 방법 1999년부터 2001년 10월까지 본원을 내원해서 근접치료를 시행한 자궁경부암 환자중 tandem, ovoid을 사용한 52명을 대상으로 근접치료시 촬영한 film(환자1명당 3회촬영)을 가지고 측정하였다. Os을 기준으로 환자의 center축을 잡고 tandem, ovoid의 위치와 pubic symphysis, sacrum, coccyx등과의 거리를 각각 측정하여 치료 setting의 재현성을 평가하였다. III. 결과 환자 52명에 대한 tandem, ovoid의 위치와 pubic symphysis, sacrum, coccyx등과의 거리에 대한 표준 편차 결과는 다음과 같은 분포로 나타났다. 1) 각 tandem angle 의 표준편차는 $0^{\circ}{\sim}2.89^{\circ}$이다. 2) pubic symphysis에서 Os까지의 높이는 $0cm{\sim}0.79cm$ 3) sacrum에서 tandem tip까지의 거리는 $0cm{\sim}0.9cm$ 4) Os level에서 coccyx까지의 거리는 $0.06cm{\sim}0.76cm$ 5) ovoid tip에서 Os까지의 거리는 오른쪽은 $0cm{\sim}0.53cm$ 6) ovoid tip에서 Os까지의 거리는 왼쪽은 $0cm{\sim}0.45cm$ 7) 첫번째 source위치에서 ovoid사이의 거리는 $0cm{\sim}0.36cm$ 8) tandem에서 ovoid tip까지의 거리는 $0cm{\sim}0.31cm$ IV. 결론 자궁경부암 치료에 있어 근접치료는 중요한 치료 방법이다. 환자 치료간에 재현성을 평가해본 결과 대체로 만족 할 만한 수치를 보였으며 고선량율 근접치료에서 재현성 평가는 중요할 것이고 계속적으로 평가할 필요가 있을 것이다.

• Journal of Acupuncture Research
• /
• 제17권4호
• /
• pp.139-148
• /
• 2000

Objectives : Hua-Tuo-Jia-Ji-Xue(華佗夾脊穴) is the Jing-Wai-Qi-Xue(經外奇穴) that is widely used in clinic and effective in Acupuncture and Moxibustion. But the location, number, acupuncture method, clinical application of Hua-Tuo-Jia-Ji-Xue have not been explained clearly and consistently; moreover, studies or clinical reports about this are insufficient. The purpose of this study is to investigate the location, number, acupuncture method, clinical apptication of Hua-Tuo-Jia-Ji-Xue. Methods : We investigated Hua-Tuo-Jia-Ji-Xue through survey of 11 books and 26 relevant journals published in China Results : 1. Hua-Tuo-Jia-Ji-Xue is located in about 0.5 Cun(寸) at both sides of spinous process of each vertebra. 2. There is differ as the number of Hua-Tuo-Jia-Ji-Xue is 34, 48, 56, 58 in each documents. Hua-Tuo-Jia-Ji-Xue located in first, second cervical vertebra and first sacrum is low in application frequency, Hua-Tuo-Jia-Ji-Xue located from third cervical vertebra to fourth lumbar vertebra is high in apptication frequency. Therefore, all of the acupoints located in about 0.5 Cun(寸) both sides of spinous process of cervical, thoracic, lumbar and sacral vertebrae are regarded as Hua-Tuo-Jia-Ji-Xue in wide meaning. 3. There are Kou-Ci-Fa(叩刺法), Qian-Ci-Fa(淺刺法), Yan-Pi-Ci-Fa(沿皮刺法), Shen-Ci-Fa(深刺法) in acupuncture method of Hua-Tuo-Jia-Ji-Xue. Acupuncturing depths, directions is differ in each location(cervical, thoracic, lumbar vertebra, sacrum) and have something to do with therapeutic effect of Hua-Tuo-Jia-Ji-Xue. The feeling that patient receive after acupuncture is the key to the treatment of disease. 4. The clinical application of each Hua-Tuo-Jia-Ji-Xue is mainly selected by distribution of meridians, nerve roots, vertebral segments which are attacked with a disease. The musculoskeletal diseases in treatment of disease by Hua-Tuo-Jia-Ji-Xue are the most common as 12 cases. Second, there are many reports about nervous system diseases. In addition, good therapeutic results by application of Hua-Tuo-Jia-Ji-Xue are reported in some diseases, for instance, diseases of five viscera and six entrails, organ, tissue Conclusions : Hua-Tuo-Jia-Ji-Xue is located in about 0.5 Cun(寸) at both sides of spinous process of each cervical, thoracic lumbar and sacral vertebra. Therapeutic effect of Hua-Tuo-Jia-Ji-Xue has something to do with acupuncturing depths, directions and feelings. Hua-Tuo-Jia-Ji-Xue is mainly selected by distribution of meridians, nerve roots, vertebral segments which are attacked with a disease and is mainly applied musculoskeletal diseases, nervous system diseases.

• 한국운동역학회지
• /
• 제26권2호
• /
• pp.167-174
• /
• 2016

Objective: The purpose of this study was to determine the interrelationship between ranges of motion of the knee and ankle joints on the sagittal plane and the attenuation magnitude of impact shock at high frequency (9~20 Hz) in the support phase during downhill running. Method: Fifteen male heel-toe runners with no history of lower extremity injuries were recruited for this study (age, $25.07{\pm}5.35years$; height, $175.4{\pm}4.6cm$; mass, $75.8{\pm}.70kg$). Two uniaxial accelerometers were mounted to the tuberosity of tibia and sacrum, respectively, to measure acceleration signals. The participants were asked to run at their preferred running speed on a treadmill set at $0^{\circ}$, $7^{\circ}$, and $15^{\circ}$ downhill. Six optical cameras were placed around the treadmill to capture the coordinates of the joints of the lower extremities. The power spectrum densities of the two acceleration signals were analyzed and used in the transfer function describing the gain and attenuation of impact shock between the tibia and the sacrum. Angles of the knee and ankle joints on the sagittal plane and their angle ranges were calculated. The Pearson correlation coefficient was used to test the relationship between two variables, the magnitude of impact shock, and the range of joint angle under three downhill conditions. The alpha level was set at .05. Results: Close correlations were observed between the knee joint range of motion and the attenuation magnitude of impact shock regardless of running slopes (p<.05), and positive correlations were found between the ranges of motion of the knee and ankle joints and the attenuation magnitude of impact shock in $15^{\circ}$ downhill running (p<.05). Conclusion: In conclusion, increased knee flexion might be required to attenuate impact shock during downhill and level running through change in stride or cadence while maintaining stability, and strong and flexible ankle joints are also needed in steeper downhill running.

• 대한골관절종양학회지
• /
• 제19권2호
• /
• pp.43-49
• /
• 2013

목적: 천골에 발생하는 드문 질환인 거대 세포종의 치료 방법에 따른 특성과 예후에 대하여 알아보고자 하였다. 대상 및 방법: 1990년부터 2012년까지 천골의 거대 세포종으로 진단받고 본원에서 치료받은 7명의 환자를 대상으로 하였다. 결과: 평균 연령은 23.6세였고, 남자가 2예, 여자가 5예였으며 평균 추시 기간은 52.3개월(15-73개월)이었다. 5명의 환자에서 병소내 절제술을, 1명의 환자에서 변연 절제술을 시행하였으며 수술적 치료를 시행하지 않은 1명은 방사선 치료만 시행하였다. 방사선 치료만을 시행한 환자와 변연 절제술을 시행한 환자는 국소 재발 없이 추시 중이다. 그 외 병소내 절제를 시행한 5명 중 1예는 한 번의 수술로, 다른 두 예는 두 차례 수술 후 재발 없이 추시 관찰 중이다. 나머지 두 예는 추가 치료에도 병변의 진행을 보였다. 결론: 천골 거대 세포종 환자의 치료법으로써 병소내 절제는 신경학적 손상을 최소화하면서 종양을 치료할 수 있는 방법 중 하나가 될 것으로 판단된다. 또한, 수술적 치료가 어려운 경우 방사선 치료가 대안으로 사용될 수 있다고 생각된다.