• Title/Summary/Keyword: TFCC

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The Comparative Analysis Study and Usability Assessment of Fat Suppressed 3D FSPGR T1 Technique and Fat Suppressed Isotropic 3D FSE T1 Technique when Examining MRI of Patient with Triangular Fibrocartilage Complex (TFCC) Tear (삼각 섬유성 연골(TFCC) 손상 환자의 자기공명영상 검사 시 Fat Suppressed 3D FSPGR T1 강조 기법에 대한 Fat Suppressed Isotropic 3D FSE T1 강조 기법의 비교 분석 및 유용성에 관한 평가)

  • Kang, Sung-Jin;Cho, Yong-Keun;Lee, Sung-Soo
    • Journal of the Korean Magnetics Society
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    • v.26 no.3
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    • pp.105-114
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    • 2016
  • In this study, For assessment of triangular fibrocartilage complex (TFCC) injury, we acquired images by fat suppressed 3D fast spoiled gradient recalled T1 and fat suppressed Isotropic 3D fast spin echo T1 techniques. For quantitative evaluation, measured signal to noise ratio and contrast to noise ratio and verified statistical significance between two imaging techniques by Mann-Whitney U verification. And for qualitative evaluation, marked 4-grade scoring (0: non diagnostic, 1: poor, 2: adequate, 3: good) on shape of TFCC, artifacts by partial volumes, description of the lesions by two radiologist, verified coincidence between 2 observer using Kappa-value verification. We used 3.0 Tesla MR equipment and 8-channel RF coil for imaging acquisition. As quantitative evaluation results, signal to noise ratio and contrast to noise ratio value of Isotropic 3D fast spin echo T1 technique is higher in every image sections, also between two imaging techniques by Mann-Whitney U verification was statistically significant (p < 0.05). As qualitative results, observer 1, 2 marked a higher grade on Isotropic 3D FSE T1 technique, coincidence verification of evaluation results between two observers by Kappa-value verification was statistically significant (p < 0.05). As a result, during MRI examination on TFCC injury, fat suppressed Isotropic 3D fast spin echo T1 technique is considered offering more useful information about abnormal lesion of TFCC.

Efficacy of Integrated Korean Medicines in the Treatment of Partial Triangular Fibrocartilage Complex Tears: A Case Report

  • Jae-Joon Ha;Myeong-Yeol Yang;Ji-Sun Kim;Hong-Wook Choi;Gyu-Bin Lee;Dong-Ju Yoon;Dong-Jin Kim;Do-Young Kim
    • Journal of Acupuncture Research
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    • v.40 no.4
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    • pp.382-388
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    • 2023
  • The triangular fibrocartilage complex (TFCC) is crucial for stabilizing the ulnar side of the wrist but can be partially torn due to degenerative changes, falling, or sudden injuries. However, only a few studies have focused on the use of Korean medicine treatments for TFCC-related wrist pain. This case report presents the successful outcomes of integrated Korean medicine treatment in a patient with a partial TFCC tear. The diagnosis was confirmed via magnetic resonance imaging, which revealed the tear. Subsequently, the patient received integrated Korean medicine treatments. The assessment of the pain scale scores revealed a significant reduction in wrist pain and an improvement in daily life activities. Based on the findings of this study, integrated Korean medicine treatments have been proven to be an effective treatment option for patients with a partial TFCC tear. However, further research is needed to determine the potential benefits and mechanisms of these treatments in managing TFCC-related wrist pain.

2 Gbit/s VLC Scheme Using Time-Frequency Color-Clustered MIMO Based on BCYR LEDs

  • Han, Phyu Phyu;Sewaiwar, Atul;Chung, Yeon-Ho
    • Journal of the Optical Society of Korea
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    • v.20 no.2
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    • pp.276-282
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    • 2016
  • A 2 Gbit/s visible-light communication (VLC) scheme using time-frequency color-clustered (TFCC) multiple-input multiple-output (MIMO) based on blue, cyan, yellow, and red (BCYR) light-emitting diodes (LEDs) is presented. In the proposed scheme, BCYR LEDs are employed to form four different color clusters. Data transmission using the four color clusters is performed in MIMO, so that the scheme achieves a very high speed of data transmission. Moreover, the scheme employs the TFCC strategy to yield high performance in terms of bit error rate (BER). TFCC operates in such a way that the original data and the two delayed versions of the data are multiplied by orthogonal frequencies and then transmitted using a specific color of the BCYR LED. In the receiver, color filters are employed to detect the data transmitted from the desired cluster. Selection combining (SC) is also performed to yield a diversity effect within each color cluster, to further improve the performance. Performance evaluation demonstrates that the proposed TFCC MIMO VLC offers a data rate of 2 Gbit/s and a bit error rate of 4×10-5, at an Eb/No value of merely 3 dB.

Trends in Domestic and International Clinical Research on Korean Medicine Treatments for Triangular Fibrocartilage Complex Injury (삼각섬유연골 복합체 손상의 한의학 치료에 대한 국내외 임상 연구 동향)

  • Sang-Min Park;Tae-Gyeong Kwon;Jee-Hoon Baek;Min-Joo Lee;Sae-Rom Choi;Jee-Yeun Choi
    • Journal of Korean Medicine Rehabilitation
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    • v.34 no.2
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    • pp.71-83
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    • 2024
  • Objectives The purpose of this study is to analyze the trends in domestic and international clinical research on the Korean medicine for triangular fibrocartilage complex (TFCC) injuries and to contribute to future domestic research. Methods In this study, clinical studies on TFCC injuries treated with Korean medicine were searched through databases such as Research Information Sharing Service, ScienceON, DBpia, China National Knowledge Infrastructure, PubMed, Medline, and Embase. Fifteen clinical studies were selected, of which publication years, intervention methods, assessment tools, and various other factors were analyzed, including potential side effects. Results Among the selected 15 studies, total of 13 intervention methods were used. Electroacupuncture was the most frequently used method (40%), followed by herbal medicine (33%), acupuncture (26.7%), chuna manual therapy (26.7%), pharmacopuncture (20%), acupotomy (13%), herbal ointment (13%), hot medicinal compress therapy (13%) and etc. Most studies showed that Korean medicine treatments effectively alleviated TFCC injuries, with visual analogue scale being the most commonly used assessment tool. Conclusions Korean medicine treatments for TFCC injuries appears to be effective; however, further research is needed to enhance understanding. Large-scale clinical trials comparing the efficacy of Korean medicine treatments, along with investigations into side effects and recurrence rates are necessary. By doing so, the safety and efficacy of Korean medicine treatments for TFCC injuries can be further established.

Arthroscopic Management of the Triangular Fibrocartilage Complex Injuries (삼각 섬유 연골 복합체 손상의 관절경적 처치)

  • Moon Young Lae;You Jae Won;Oh Jong Ho;Jin Dae Sik
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.1
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    • pp.32-35
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    • 2001
  • Purpose : To evaluate the efficacy of arthroscopic management of the triangular fibrocartilage complex(TFCC). Materials and Methods : Thirteen patients(14 wrists) with acute or chronic traumatic triangular fibrocartilage complex lesions were included in the study. The mean patients' age was 28.3 years, with a range of 21 to 45 years. All patients were diagnosed by physical examination, arthrographic or magnetic resonance imaging studies. Eight of the 14 wrists had central TFCC tear while 6 wrists had peripheral tear. Under arthroscopic control, injuries to the central portions were treated by debridement and excision of unstable tissue fragment while peripheral tears were repaired. The follow-up period averaged 28 months. The results were analyzed clinically using the Mayo modification of the Green and O' Brien wrist scoring system. Results : Nine of the 14 wrists were rated excellent,3 good and 2 fair Overall, 12 of the 14 patients rated as satisfactory and returned to sports or work activities. Conclusion : Arthroscopic treatment of TFCC resulted in a high degree of patient satisfaction and an increase in the ability to perform at workshop.

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Arthroscopic Outside-in Repair of Tears of the Triangular Fibrocartilage Complex (삼각 섬유연골 복합체의 파열에 대한 관절경적 Outside-in 봉합술)

  • Byun, Jae-Yong;Kang, Shin-Taek;Kim, Bo-Hyun;Hwang, Chan-Ha;Choi, Seung-Woog;Jung, In-Ho
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.83-86
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    • 2006
  • Purpose: We repoted the clinical results and introduction of surgical techniques for the patients with tears of the triangular fibrocartilage complex (TFCC) who had arthroscopic management. Materials and Methods: According to Palmer classification, nine patients(9 wrists) with type 1B lesions of the triangular fibrocartilage complex from 2001 to 2004 were included in this study. The mean follow-up period was 28 months. Six were male and three were female, right side was in seven cases and left side in two cases. Nine patients received arthroscopic debridement and repair by outside-in technique. To assess the clinical outcomes, the visual analogue pain scale(VAPS), grip strength, range of motion were investigated. Results: The average of VAPS improved from 6.2 to 1.4. The grip strength of wrists of all nine patients improved after surgery and the range of motion of all wrists reached full range. Conclusion: Arthroscopic repair of type 1B tear of the triangular fibrocartilage complex has satisfactory results. The repair by outside-in technique was simple and we could have secure fixation.

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Evaluation of Distortion in Measuring the Stability of Distal Radio-ulnar Joint in Wrist PA-Grip View (Wrist PA-grip view에서 먼쪽노자관절의 안정성 정도 측정 시 왜곡도 평가)

  • Shim, Jina;Lee, Youngjin
    • Journal of the Korean Society of Radiology
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    • v.15 no.3
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    • pp.321-327
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    • 2021
  • Wrist PA-grip view is used to diagnose triangular fibrocartilage complex (TFCC) tear because it can easily diagnose damage to the surrounding wrist ligaments. However, despite advances in radiology equipment, distortion of images due to geometric elements still has many limitations. In this paper, we propose a method that can minimize the distortions of images by analyzing the distortions occurring in the wrist PA-grip view. A source of image distance (SID) were set at 130 cm and 150 cm for comparison with 110 cm. Depending on the SID, the phantom of wrist was moved at 0, 2, 4, 6, 8, and 10 cm in the X-axis and Y-axis directions, respectively. For quantitative evaluation, the difference of distance between the radius and ulna was measured in picture archiving and communication system (PACS) system. As a qualitative evaluation, survey was conducted among 20 radiologic technologists who examined the Wrist PA-grip view. The Kruskal Wallis test was performed to compare the distortion according to the phantom movement in the X-axis and Y-axis directions based on the SID, and the Tukey test was performed as a post-test. In the quantitative evaluation results, the measured values obtained in the X-axis was not significantly different in all groups (p>0.05). The measured values obtained in the Y-axis was significantly different in the most groups (p<0.05). Therefore, to reduce distortion while maintaining image quality, we recommend what examine the SID at 150 cm than 110 cm.