• 대한정형외과 초음파학회지
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• 제4권1호
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• pp.28-32
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• 2011

삼두근 탄발 증후군은 주관절을 굴곡할 경우 삼두근 내측두의 일부와 척골 신경이 내상과의 전방으로 탈구 되는 드문 질환이다. 드문 질환인 만큼 정확한 진단을 내리기에 어려운 점이 많아 척골 신경 탈구 등의 다른 주관절 질환으로 오진되는 경우가 많다. 역동적 초음파 검사로 삼두근과 척골 신경의 동적인 상태를 주관절 굴곡, 신전시 관찰 할 수 있다. 2명의 환자에 대해 역동적 초음파 검사를 실시함으로 주관절 삼두근 탄발 증후근을 확진하고, 척골 신경 전방 이전술과 삼두근 내측두 절제술 혹은 이전술을 시행하여 치료하였기에 이에 문헌 고찰과 함께 보고하고자 한다.

• 대한물리치료과학회지
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• 제31권1호
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• pp.88-97
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• 2024

Background: This study was to investigate effects of Correlation Analysis between Cervical-Vertebra Angle and Neck Range of Motion, Muscle Strength, Sternocleidomastoid Thickness of Patients with Forward Head Posture Design: Correlation Analysis. Methods: The subjects of this study were a total of 54 people in the forward head position and their ages were between 30 and 50 years old. The subjects cranio-vertebral angles, neck extension, neck flexion, neck rotation angles, neck flexor strength, neck extensor strength, sternocleidomastoid thickness were evaluated through measuring instruments. The thickness of the sternocleidomastoid muscle was measured using an imaging ultrasound diagnostic device (ultra sound, Versana Premier, GE Medical systems, China). CVA was measured by measuring the side photo of the subject was taken with a camera and evaluated.. neck joint range of motion was measured through digital inclinometer for extension, flexion, and neck rotation. neck muscle strength was measured by measuring the using a digital sthenometer. Data analysis in this study was statistically processed using SPSS version 26.0 (IBM SPSS Inc., USA). Correlation analysis was used and the statistical significance level was set at 0.05. Results: The results neck extension(r= 0.70^**), neck flexion(r= 0.67^**), neck rotation(r= 0.56^**), neck extensor muscle strengt(r= 0.85^**), neck flexor muscle strength(r= 0.66^**), sternocleidomastoid thicknes(r= -0.81^**) It indicates that there is a correlation. Conclusion:These results improve the Cervical-vertebra angle of patients with forward head posture should include a program to improve the thickness of the SCM. In the future, study can be used as an evidentiary material for treatment interventions to improve the Cervical-vertebra angle of patients with forward head posture.

• 대한정형외과 초음파학회지
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• 제5권2호
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• pp.102-105
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• 2012

족근 관절 및 하지 후방의 통증은 비교적 흔히 발생하는 증상으로 이를 유발할 수 있는 질환은 매우 다양하게 존재하며 대표적으로 아킬레스건병증이나 후방 구획을 형성하는 여러 근육 및 힘줄의 염증이나 파열 등이 있다. 신경초종은 신경집 기원의 양성 종양으로 크기 증가에 따른 주변 구조물의 압박으로 인해 여러 임상 증상을 일으킬 수 있다. 만성 아킬레스건병증과 유사한 임상 증상을 유발하는 후방 경골 신경초종은 초음파 등의 영상학적 검사에 의한 감별 진단을 시행치 아니할 경우 간과하기 쉬운 질환으로, 저자들은 이를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다.

• 대한정형외과 초음파학회지
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• 제5권1호
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• pp.31-35
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• 2012

석회성 건염은 건의 부착부 주변에 발생하는 병변으로 견관절에서는 주로 극상근의 대결절 부착 부위의 근위부에 발생하는 경우가 대부분이다. 저자들은 류마티스 관절염을 가진 환자에서 발생한 상완 이두근 단두건과 오구상완근의 연합건의 석회성 건염을 초음파 검사를 통해 진단한 증례를 경험하여 보고하는 바이다.

• 비파괴검사학회지
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• 제26권2호
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• pp.115-121
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• 2006

유한 요소 해석을 위해서는 형상과 경계, 하중 조건 그리고 물성을 결정하여야 한다. 그러나 살아 있는 인체에 대해서는 실험이 어렵기 때문에 정확한 형상과 물성을 얻기가 매우 어렵다. 본 논문에서는 한국인 표준체형을 가진 젊은 남성의 생체 자기 공명 영상(MRI : magnetic resonance imaging)을 이용하여 내부 장기를 38가지로 구역화 하고 이것을 이용하여 정밀 유한 요소 모델을 만들었다. 또한 인체를 이루고 있는 다양한 물질들 가운데 뼈에 대한 물성을 얻기 위한 연구를 시행하였다. 인체 뼈의 이방성을 표현할 수 있는 물성을 얻기 위해 성인 남성과 여성의 사체에서 얻은 대퇴골두 시편을 RUS(resonant ultrasound spectroscopy)를 사용하여 탄성 계수 행렬을 얻을 수 있었다.

• 한국임상수의학회지
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• 제39권5호
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• pp.253-257
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• 2022

A 5-year-old castrated male Golden Retriever dog weighing 15 kg presented with evidence of intestinal intussusception. The patient had cachexia and severe dehydration before being referred to our department. Ultrasound imaging revealed a target sign indicative of intestinal intussusception. Emergency surgery was performed shortly after diagnosis. After a successful surgery, the patient was hospitalised for postoperative care. Initial treatment was aimed at the reversion of dehydration and the provision of adequate nutrition. Fluid therapy and central parenteral nutrition were administered via the peripheral and central venous catheters, respectively. Ten days postoperatively, swelling and edema were observed in the head and neck. Ultrasound and computed tomography confirmed complete blockage of the cranial vena cava due to thrombosis, which consequently obstructed both the left and right jugular veins. For treatment, dalteparin and tissue plasminogen activator were administered. However, the patient lost all of its vital function on the daybreak of postoperative day 11. Venous thrombus formation secondary to central parenteral nutrition application via the central line is a rare but possible complication. Veterinarians who are concerned about taking care of patients receiving CPN through the central line should keep the possibility of venous thrombus formation in mind.

• 대한정형외과 초음파학회지
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• 제1권2호
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• pp.112-116
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• 2008

최근 견관절 질환에 대한 이해가 높아짐에 따라서 견관절에서 초음파의 유용성 또한 급격히 증가하는 추세이다. 초음파 검사는 비 침습적이며 검사 비용이 저렴할 뿐만 아니라 견관절에서는 유일하게 회전근 개의 움직임을 실시간으로 관찰할 수 있다는 큰 장점이 있다. 견관절 초음파 검사는 일반적으로 환자가 앉은 자세에서 실시하며, 검사 순서는 전방에서부터 시작하여 후방 관절 구조물들을 확인하면서 검사를 마친다. 초음파 검사는 견관절 주위의 여러 근육과 인대, 관절와 순, 골 구조 등을 확인할 수 있으며, 특히 회전근 개 질환의 진단에 큰 도움을 준다. 회전근 개는 견갑하근, 극상근, 극하근, 그리고 소 원형근의 네 개의 근육으로 이루어진 하나의 운동 단위이며, 견관절의 능동 운동시 지렛점으로 작용하여 견관절 운동을 원활하게 조종하는 역동적 안정 요소의 기능을 담당한다.

• Clinical Pain
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• 제18권1호
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• pp.24-30
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• 2019

Objective: Greater occipital nerve block (GONB) is a widely accepted treatment of primary headaches. Two ultrasound (US)-guided blockade techniques exist: 1) the classical distal nerve block technique performed medial to the occipital artery at the superior nuchal line, and 2) the new proximal nerve block technique performed at the obliquus capitis inferior muscle at the level of C2. Our study aim was to perform a head-to-head comparative study of these two US-guided techniques. Method: Forty-nine patients with primary headache treated in our university hospital were recruited. Patients were randomized into two groups of the classical nerve block and the new proximal nerve block techniques. The headache questionnaire was made to assess the intensity of the pain of headache attacks, number of days they experience headache, duration of headache, and amount of pain medication they consumed. Results: In both groups, a decrease in the severity and frequency of the headache was observed. There was no measurable difference in outcome between the two groups. Conclusion: Our study showed that the classic and new proximal techniques are equally effective in decreasing the headache severity and frequency.

• 대한두경부종양학회지
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• 제8권2호
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• pp.91-96
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• 1992

The efficacy of the fine needle aspiration biopsy and cytological examination(FNABC) under ultrasonographic(US) guides for the diagnosis of cervical tuberculous lymphadenitis was assessed. There were one hundred and one patients whose neck masses were proven to be tuberculous lymphadenites with cytologic and/or histologic diagnosis. The physical characteristics shown by US revealed that all the cases were multiple lesions. Multiregional lesions were found in 80 cases(79.1%) and 19 cases(18.8%) were the bilateral lesion. The region V was the most prevalent site(n=69, 68.3%). US findings revealed 92 cases(90.9%) showed hypoechoic lesions and 9(9.1%) showed mixed echo patterns. There was no hyperechoic lesion (p<0.05). The sensitivity of FNABC was 77.2% and specificity was 99.0%. Diagnostic accuracy was 85.0%. There was no complication during the procedures. FNABC for the diagnosis of cervical tuberculous lymphadenitis is a safe, convinient procedure and has a high specificity. The pitfall of FNABC the low sensitivity, seemed to be compensated by US evaluations.

• 한국전문물리치료학회지
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• 제25권2호
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• pp.62-70
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• 2018

Background: The craniocervical flexion (CCF) exercise is one of the effective exercise in correcting forward head posture (FHP). However, some people with FHP achieve CCF with compensatory movements, for example, low cervical flexion using superficial neck flexors such as the sternocleidomastoid (SCM) muscle. No study has yet investigated whether a dual­pres ure biofeedback unit (D-PBU) method to prevent low cervical flexion would be helpful in performing pure CCF movement. Objects: The purpose of this study was to compare the effects of the CCF using D-PBU method and the traditional CCF method on the cross-sectional area (CSA) of the longus colli muscle (LCM) and the activity of SCM muscle in subjects with FHP. Methods: Twenty­four FHP subjects (male: 16, female: 8) were recruited for this study. All subjects performed CCF using two different methods: the traditional CCF method and the CCF using D-PBU method. The CSA of the LCM was measured via ultrasound, and surface electromyography was used to measure SCM muscle activity. Results: The change in CSA of the LCM was significantly larger during the CCF using D-PBU method ($1.28{\pm}.09$) compared with the traditional CCF method ($1.19{\pm}.08$) (p<.05). The SCM muscle activity using the CCF using D-PBU method ($2.01{\pm}1.97$ %MVIC) was significantly lower than when using the traditional CCF method ($2.79{\pm}2.32$ %MVIC) (p<.05). Conclusion: The CCF using D-PBU method can be recommended for increasing LCM activation and decreasing SCM muscle activity during CCF movement in subjects with FHP.