• Title/Summary/Keyword: abnormal joint

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A Study for Hip Joint in Children with Cerebral Palsy (뇌성마비 아동의 엉덩관절에 관한 연구)

  • Oh, Tae-young
    • The Journal of Korean Society for Neurotherapy
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    • v.22 no.3
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    • pp.43-48
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    • 2018
  • Purpose The purpose of this study is to identify the prevalence, risk factors, characteristics, and interventions of hip joint problems in children with cerebral palsy, and to be able to serve as leverage for early detection, prevention, and function recovery. Method The electronic journal site was searched by the search terms "cerebral palsy", "hip joint", "hip joint dislocation", we analyzed and descript the cited articles from domestic and foreign papers in Pubmed 9, Science Direct 7, and K RISS analysis and analysis. Results Children with cerebral palsy showed the different prevalence according to their disability type, severity, and functional level, and we knew that abnormal neuromuscular control, stiffness, and biomechanical changes could be risk factors. Migration Index, Acetabolum Index, Neck shaft angle using by radiography and passive ROM test, special tests were available for the diagnosis and evaluation of the hip joint. Combination of physical therapy and orthopedic surgery was very important intervention, and complementary alternative therapy, orthosis, and postural assistant are effective. Conclusion We suggested that early detection and prevention is the most important periodic examination and that a multidisciplinary approach is a major factor in intervention.

A Study on the Relationship between the Deviation of the Intercuspal Position from the Retruded Contact Position and the Habitual Mandibular Closing and Opening Movements (중심교합위와 후방교합위 간의 편위와 습관성 하악개폐운동과의 관계에 관한 연구)

  • 송덕영;이승우
    • Journal of Oral Medicine and Pain
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    • v.9 no.1
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    • pp.77-92
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    • 1984
  • The purpose of this study was to investigate the relationship between the mandibular positions and the habitual mandibular opening and closing movements in normal subject using the newly developed electric mandibular movement analyzing device(Saphon Visi-Trainer C-II.Tokyo Shizaisha Inc. Tokyo, Japan) One of the cause of the temporomandibular joint dysfunction has been considered abnormal mandibular positions especially the abnormal deviation between intercuspal position from retruded contact position. The subjects in this study were consisted of 55 young adults in 20 decade who had normal occlusion, no prosthodontic restorations and no history of disturbance or pain on temporomandibular joint and masticatory muscles. The results were as follows : 1. The deviations of intercuspal position from retruded contact position were 0.23mm in frontal view and 1.02mm in sagirral view. 2. The larger the deviation of intercuspal position from the retruded contact position, the higher the proportion of uncoincidence of the habitual nandibular closing and opening trajectories was, and the proportion was higher in sagittal view than frontal view, 10mm opening than 5mm opening. 3. Correlation between the deviation of intercuspal position from retruded contact position and uncoincidence rate of the habitual mandibular closing and opening trajectories was higher in frontal view than sagittal view.

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Korean Guidelines for Diagnosis and Treatment of Tuberculosis in Children and Adolescents (소아청소년 결핵의 진료 지침)

  • Choi, Kyong Min;Kim, Nam Hee;Kim, Dong-Ho;Kim, Yae Jean;Kim, Jong-Hyun;Oh, Sung Hee;Eun, Byung Wook;Lee, Soo-Young;Lee, Taek Jin;Chun, Jin-Kyong;Hong, Jung Yun
    • Pediatric Infection and Vaccine
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    • v.18 no.1
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    • pp.1-14
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    • 2011
  • Tuberculosis is a disease with high morbidity and mortality in children worldwide. Despite the decrease in the incidence of tuberculosis in Korea, more than 30,000 new patients are diagnosed each year. Active tuberculosis is less frequent in children compared to adults but the risk of miliary tuberculosis and CNS tuberculosis is much higher. The diagnosis of tuberculosis in children and adolescents is difficult due to the nonspecific symptoms upon presentation. Diagnostic work up is based on the confirmation of tuberculosis infection by tuberculin skin test, abnormal radiologic findings, and contact with an adult with active tuberculosis. Anti-tuberculosis medications are prescribed according to the drug susceptibility of the index patient. Latent tuberculosis infection plays an important role in adult tuberculosis by reactivation. Thus, it is critical to accurately diagnose latent tuberculosis in children to prevent reactivation in adulthood. Korean guidelines for diagnosis and treatment of tuberculosis in children and adolescents provide evidence based recommendations in the optimal diagnosis and treatment for active and latent tuberculosis in children and adolescents based on the current Korean situation.

A Study on the Multi-Joint Rehabilitation System of an Industrial Robot

  • Lee, Yong-Seok;Jang, Jae-Ho;Sim, Hyung-Joon;Han, Chang-Soo;Han, Jung-Soo
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.92-95
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    • 2004
  • This study proposes an industrial rehabilitation robot system which can exercise two joints in 3 dimensional spaces. The robot kinematics analysis and the results of studies on each joint for the rehabilitation robot could verify possibility of rehabilitation motion to exercise a joint. The force and torques sensor not only measures a rehabilitation performance of subjects between the abnormal limb and the manipulator, but also carries out an important function of safety device to prevent accidents. Also, limit sensors and emergency stop switch are used for high safety in this system. In this real test, the possibility of rehabilitation robot system is evaluated by C&R ARM I which is similar to upper-limb.

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Chronic dislocation of temporomandibular joint persisting for 6 months: a case report

  • Kim, Chul-Hwan;Kim, Dae-Hyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.5
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    • pp.305-309
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    • 2012
  • Temporomandibular joint (TMJ) subluxation and dislocation are uncommon but very unpleasant and distressing conditions to patients. Subluxation of the TMJ is an excessively abnormal condylar excursion secondary to flaccidity and laxity of the capsule. When the condyle head excurses anterior to the eminence upon wide opening, it can return to the fossa by self-manipulation or non-surgical conservative reduction. Surgery is recommended if a complete dislocation, so-called open lock, occurs as a chronic or recurrent protracted condition that cannot be reduced voluntarily. A range of surgical procedures can be performed to limit condylar hypermobility inclusing soft tissue tethering, creation of articular obstacles, removal of mechanical blockade and augmentation of articular eminence using different kinds of grafts. In the present case, a 74-year-old woman was diagnosed with a chronic TMJ dislocation that had lasted for 6 months. Bilateral condylectomy was performed and the post-operative results were good without functional limitations or recurrence.

Temporomandibular Joint False Ankylosis in a Cat: A Case Report

  • Sanghyeon Yoon;Jung-Ha Lee;Seo-Eui Lee;Hakyoung Yoon
    • Journal of Veterinary Clinics
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    • v.40 no.5
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    • pp.365-369
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    • 2023
  • Temporomandibular joint (TMJ) ankylosis is a rare disease impairing mandible movement and can either be intra-articular (true) or extra-articular (false). A cat presented with an inability to open its mouth, drooling, and facial asymmetry. Computed tomography (CT) confirmed an extracapsular abnormal TMJ fusion, and a surgical plan was devised based on the CT imaging. Post-surgery, the cat regained mouth mobility (indicating false ankylosis) and showed an improved prognosis. This case of CT-diagnosed and treated feline TMJ false ankylosis underscores the indispensable role of CT in diagnosing and devising surgical strategies for feline TMJ false ankylosis.

Evaluation of Data-based Expansion Joint-gap for Digital Maintenance (디지털 유지관리를 위한 데이터 기반 교량 신축이음 유간 평가 )

  • Jongho Park;Yooseong Shin
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.28 no.2
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    • pp.1-8
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    • 2024
  • The expansion joint is installed to offset the expansion of the superstructure and must ensure sufficient gap during its service life. In detailed guideline of safety inspection and precise safety diagnosis for bridge, damage due to lack or excessive gap is specified, but there are insufficient standards for determining the abnormal behavior of superstructures. In this study, a data-based maintenance was proposed by continuously monitoring the expansion-gap data of the same expansion joint. A total of 2,756 data were collected from 689 expansion joint, taking into account the effects of season. We have developed a method to evaluate changes in the expansion joint-gap that can analyze the thermal movement through four or more data at the same location, and classified the factors that affect the superstructure behavior and analyze the influence of each factor through deep learning and explainable artificial intelligence(AI). Abnormal behavior of the superstructure was classified into narrowing and functional failure through the expansion joint-gap evaluation graph. The influence factor analysis using deep learning and explainable AI is considered to be reliable because the results can be explained by the existing expansion gap calculation formula and bridge design.

Synovial Chondromatosis in the Temporomandibular Joint: Report of Two Cases

  • Ha, Yong-Chan;Kim, Chul-Hwan
    • The Journal of the Korean dental association
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    • v.55 no.10
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    • pp.706-714
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    • 2017
  • Background Synocial chondromatosis(SC), a proliferative disorder of the synovial membrane. The etiology or cause of SC remains unclear. SC usually occurs in large articular joints such as knee, hip, elbow, and ankle. SC of the TMJ is very rare. It is a benign disease that mainly affects unilateral side. It can form cartilagenous and calcified loose bodies of various sizes and cause abnormal function of TMJ. Case Report In this paper, we report two cases of SC in the upper joint space of the left TMJ. One complained that "Sometimes the left jaw joint feels disoriented" and the other had no symptoms. CT scan and MRI showed left TMJ space widening, multiple tiny calcified mass. After clinical and radiographic analysis, we performed surgical removal of the lesion under genereal anesthesia. In the histologic examination, synovial chondromatosis was diagnosed in both patients. Conclusions We report two cases of synovial chondromatosis in the upper joint space of the left TMJ. We performed surgical removal of the lesion. The two patients showed good prognosis without recurrence or pain up to date.

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Orthognathic surgery and temporomandibular joint symptoms

  • Jung, Hwi-Dong;Kim, Sang Yoon;Park, Hyung-Sik;Jung, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.37
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    • pp.14.1-14.11
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    • 2015
  • The aim of this article is to review temporomandibular joint symptoms as well as the effects of orthognathic surgery(OGS) on temporomandibular joint(TMJ). The causes of temporomandibular joint disease(TMD) are multifactorial, and the symptoms of TMD manifest as a limited range of motion of mandible, pain in masticatory muscles and TMJ, Joint noise (clicking, popping, or crepitus), myofascial pain, and other functional limitations. Treatment must be started based on the proper diagnosis, and almost symptoms could be subsided by reversible options. Minimally invasive options and open arthroplasty are also available following reversible treatment when indicated. TMD manifesting in a variety of symptoms, also can apply abnormal stress to mandibular condyles and affect its growth pattern of mandible. Thus, adaptive developmental changes on mandibular condyles and post-developmental degenerative changes of mandibular condyles can create alteration on facial skeleton and occlusion. The changes of facial skeleton in DFD patients following OGS have an impact on TMJ, masticatory musculature, and surrounding soft tissues, and the changes of TMJ symptoms. Maxillofacial surgeons must remind that any surgical procedures involving mandibular osteotomy can directly affect TMJ symptoms, thus pre-existing TMJ symptoms and diagnoses should be considered prior to treatment planning and OGS.

Pathophysiology of Temporomandibular Joint Arthritis: Review

  • Ju, Hye-Min;Kim, Kyung-Hee;Jeong, Sung-Hee;Ahn, Yong-Woo;Ok, Soo-Min
    • Journal of Oral Medicine and Pain
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    • v.46 no.3
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    • pp.69-74
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    • 2021
  • As for temporomandibular joint arthritis (TMJ OA), managing the contributing factors at an early stage through accurate diagnosis is necessary to prevent irreversible bone changes. TMJ OA, which is a multi-organ disease caused by various pathophysiological mechanisms, is developed mainly due to mechanical overload. It is a disease characterized by degeneration of articular cartilage and subchondral bone as a low-level inflammatory arthritis condition developed by dysregulation of catabolic and anabolic activity of chondrocytes. Age, mechanical overload sensing of cartilage, chondrocyte apoptosis, catabolic enzymes, inflammatory factors, abnormal remodeling of subchondral bone, and estrogens may be involved in the pathogenesis of arthritis. Therefore, a comprehensive evaluation is needed to diagnose and manage progressive cartilage degeneration, subchondral bone remodeling, and associated symptoms of TMJ OA.