• Title/Summary/Keyword: abnormal joint

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Mouth opening limitation caused by coronoid hyperplasia: a report of four cases

  • Kim, Sung-Min;Lee, Jin-Hyeok;Kim, Hak-Jin;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.6
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    • pp.301-307
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    • 2014
  • Coronoid process hyperplasia is a rare condition that causes mouth opening limitation, otherwise known as trismus. The elongated coronoid processes impinge on the medial surfaces of the zygomatic arches when opening the mouth, which limits movement of the mandible and leads to trismus. Patients with trismus due to coronoid process hyperplasia do not have any definite symptoms such as temporomandibular joint pain or sounds upon clinical examination, and no significant abnormal signs are observed on panoramic radiographs or magnetic resonance images of the temporomandibular joint. Thus, the diagnosis of trismus is usually very difficult. However, computed tomography can help with the diagnosis, and the condition can be treated by surgery and postoperative physical therapy. This paper describes four cases of patients who visited our clinic for trismus and were subsequently diagnosed with coronoid process hyperplasia. Three were successfully treated with a coronoidectomy and postoperative physical therapy.

Deep Learning-Based Companion Animal Abnormal Behavior Detection Service Using Image and Sensor Data

  • Lee, JI-Hoon;Shin, Min-Chan;Park, Jun-Hee;Moon, Nam-Mee
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.10
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    • pp.1-9
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    • 2022
  • In this paper, we propose the Deep Learning-Based Companion Animal Abnormal Behavior Detection Service, which using video and sensor data. Due to the recent increase in households with companion animals, the pet tech industry with artificial intelligence is growing in the existing food and medical-oriented companion animal market. In this study, companion animal behavior was classified and abnormal behavior was detected based on a deep learning model using various data for health management of companion animals through artificial intelligence. Video data and sensor data of companion animals are collected using CCTV and the manufactured pet wearable device, and used as input data for the model. Image data was processed by combining the YOLO(You Only Look Once) model and DeepLabCut for extracting joint coordinates to detect companion animal objects for behavior classification. Also, in order to process sensor data, GAT(Graph Attention Network), which can identify the correlation and characteristics of each sensor, was used.

The Relationship between Clinical Sign and Radiographic Findings in Temporomandibular Disorders (측두하악장애의 임상적 증상과 방사선적 소견과의 관계)

  • Byung-Il Park;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.14 no.1
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    • pp.57-66
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    • 1989
  • 66 patients with temporomandibular disorders were selected for experimental group, and 45 normal subjects who were Dental students were selected for control group. Average age of experimental group was 30.5 years, Male to Female ratio was 2 : 3, and their age distribution were teen-ages to seventh decades. Transcranial radiography (TR) with Denar Accurad 100 was used for each group to get the values of width in joint spaces and to investigate the bony changes of articular surfaces and relative condylar position to articular fossa. In addition to TR, clinical interview and routine charting about amount of mandibular movements and occlusal variations were carried out in experimental group. The obtained results were as follows : 1. The mean values of joint space with in control group were 2.15mm to anterior, 2.98mm to superior and 2.29mm to posterior and the value of relative condylar position to the deepest portion of articular fossa was 0.21mm to anterior. In experimental group, those values were 2.01mm, 2.14mm 2.22mm and 0.12mm to posterior in sequence, respectively. Joint spaces in experimental group, therefore, were inclined to decreased, and relative condylar position was inclined to retrude. Joint space in control group showed symmetric condylar position, but in experimental group showed asymmetry. 2. Non-affected joints with no bony changes in experimental group showed the narrowest joint spaces which were thought to manifest the abnormal stress to non-affected side to dysfunctional state of contralateral affected joints. 3. Amount of mandibular movements in experimental group were within normal values in lateral movements and in protrusive movement but in opening movement with or without passive stretch, those were lower than normal values. Frequency of occlusal variation, for example, protrusive posterior contacts, open bite, median line shift to lateral side were inclined to increase with bony changes and with crepitus.

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Experimental Study on the Seismic Behavior Simulation of Modular Expansion Joint (모듈러 신축이음장치 지진거동 모사 실험적 연구)

  • Lee, Jung-Woo;Choi, Eun-Suk
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.26 no.5
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    • pp.43-48
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    • 2022
  • In order to evaluate the seismic performance of the modular expansion joint known for its large expansion allowance and remarkable durability, this study conducts seismic response analysis and seismic simulation test. The bridge selected for the seismic response analysis is a cable stayed bridge with main span length of 1,000m. Three artificial earthquake were generated with respect to the design response spectra of the Korean Standards (KS), AASHTO LRFD and Eurocode, and applied to the selected bridge. The seismic simulation tests reproduced the artificial earthquakes using dynamic hydraulic actuators in the longitudinal and transverse directions. The test results verified the durability and safety of the expansion joint in view of its seismic behavior since abnormal behavior or failure of the expansion joint was not observed when the artificial earthquake waves were applied in the longitudinal direction, transverse direction and both directions.

RADIOGRAPHIC ANALYSIS OF TEMPOROMANDIBULAR JOINT ARTHROSIS (악관절증 X선사진분석에 관한 연구)

  • You Dong Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.14 no.1
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    • pp.141-152
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    • 1984
  • The author analysed the bone changes, the positional relationships between condylar head and articular fossa, and the interrelationship between the bone changes and the abnormal position of condylar head, from 1,036 radiographs of 259 patients with temporomandibular joint arthrosis, which were obtained by the oblique-lateral transcranial projection and orthopantomograms. The results were as follows: 1. Among the radiographic bone changes of the temporomandibular joint arthrosis, deformity was 36.90%(217 case), sclerosis 34.18% (20 cases), errosive chang 25.85% (152 cases) and marginal proliferation 3.06% (18 cases) respectively. 2. In the positional changes between condylar head and articular fossa, the downward positioning of condylar head in centric occlusion was most frequent(36.90%), of which frequency was signifiantly higher than forward positioning (11.22%) and backward positioning(4.76%) in same condition. Also, radiographs showed that the enlargement of articular space showed higher frequency than its narrowing. In the opening position of mouth, the restricted movement of condylar head within articular fossa was most frequent(35.03%). The forward positioning and the downward positioning was 15.65% and 9.52% respectively. Also, radiographs revealed that the incomplete movement or no positional change of condylar head was most frequent. 3. In the interrelationship between bone changes and abnormal position of condylar head, deformity was 42.79% in the cases of downward positioning of condylar head in centric occlusion and 37.50% in those of normal positioning of condylar head in same condition. This revealed that deformity was most frequent bone change in above condylar positionings. However, erossive change was 34.62% in the cases of downward positioning of condylar head in centric occlusion and 33.33% in those of forward positioning. In opening position of condylar head, and deformity in the cases of normal positioning, forward positioning and downward positioning of condylar head was 38.38%, 36.96% and 44.64% respectively. 4. Bone changes of condylar head was 47.11%, articular eminence 41.50% and articular fossa 11.39% respectively. This revealed that the frequencies of bone changes. were higher in the projected portion of bony structures of temporomandibular joint than their depressed portions. On the otherhand, in the bone changes of condylar head, deformity was 59.57% which was the most frequent. In the bone changes of articular eminence and articular fossa, however, sclersis was 41.39% and 65.67% respectively, which was the most frequent in those portions.

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Analysis of the Postaxial Polydactyly of the Foot (족부 축후성 다지증의 분석)

  • Lee, Ho-Seung;Yoon, Jun-O;Won, Choong-Hee;Kim, Yong-Min;Choi, Eu-Sung;Kim, Jong-Pil
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.1
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    • pp.7-14
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    • 2002
  • Purpose: We investigate the characteristic morphologic features and suggest proper treatment of postaxial polydactyly of the foot Materials and Methods: We analysed 37 cases of postaxial polydactyly. Mean post operative follow up period was 2 years 10 months. We analysed them according to morphological, radiological and operative findings. Patients were classified into extra 5th toe polydactyly and extra 6th toe polydactyly based on the abnormal extradigit, and subdivided into joint origin type, bone origin type and floating type based on duplication pattern. Results: 23 cases were extra 5th toe polydactyly and 14 cases were extra 6th toe polydactyly. Most common types were metatarsophalangeal joint origin type of extra 6th toe polydactyly. Compared with extra 5th toe polydactyly, extra 6th toe polydactyly originated from more proximal part and had not syndactylism. Conclusion: As the duplication level was more distal, degree of syndactylism and nail union was more severe. In case of syndactyly between 5th and 6th toe, abnormal extradigit was 5th toe.

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Kinematic and EMG Analysis of Sit-to-Stand With Changes of Pelvic Tilting (골반 자세 변화에 따른 일어서기동작의 운동형상학적 분석과 근전도 연구)

  • Choi, Jong-Duk;Kwon, Oh-Yun;Yi, Chung-Hwi;Kim, Jong-Man;Kim, Jin-Kyung
    • Physical Therapy Korea
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    • v.10 no.2
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    • pp.99-110
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    • 2003
  • The purpose of this study was to analyze the effects of three different pelvic tilts on sit-to-stand ativities and to suggest a new therapeutic approach for movement reeducation in patients who have difficulty with sit-to-stand activities. The three different pelvic tilts were: (1) comfortable pelvic tilt sit-to-stand (CPT STS), (2) posterior pelvic tilt sit-to-stand (PPT STS) and (3) anterior pelvic tilt sit-to-stand (APT STS). To analyze the kinematic component of STS, a motion analysis system (Zebris) was applied to the ankle, knee, hip joint, and thigh-off area. Also, to determine the onset time of muscle contraction, surface electrodes were placed to the rectus femoris muscle (RF), the vastus lateralis muscle (VL), the biceps femoris muscle (BF), the tibialis anterior muscle (TA), the gastrocnemius muscle (GCM), and the soleus muscle (SOL). One-way repeated ANOVA was used for the statistical analysis. First, significant differences were found in kinematic variables for the hip, knee, ankle joint, and thigh-off among the three activities. Second, there was significant difference in muscle activation pattern in TA. VL. and BF among three activities. In conclusion, the findings of this study suggest the following evaluative and therapeutic approach for STS activity: (1) Changes in knee and ankle joints should be prioritized and recruitment order differences in VL and RF can be generated to accomplish abnormal STS activity. (2) APT STS can be introduced for movement efficiency and functional advantage when abnormal STS is treated.

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Feature Extraction and Classification of Posture for Four-Joint based Human Motion Data Analysis (4개 관절 기반 인체모션 분석을 위한 특징 추출 및 자세 분류)

  • Ko, Kyeong-Ri;Pan, Sung Bum
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.6
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    • pp.117-125
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    • 2015
  • In the modern age, it is important for people to maintain a good sitting posture because they spend long hours sitting. Posture correction treatment requires a great deal of time and expenses with continuous observation by a specialist. Therefore, there is a need for a system with which users can judge and correct their postures on their own. In this study, we collected users' postures and judged whether they are normal or abnormal. To obtain a user's posture, we propose a four-joint motion capture system that uses inertial sensors. The system collects the subject's postures, and features are extracted from the collected data to build a database. The data in the DB are classified into normal and abnormal postures after posture learning using the K-means clustering algorithm. An experiment was performed to classify the posture from the joints' rotation angles and positions; the normal posture judgment reached a success rate of 99.79%. This result suggests that the features of the four joints can be used to judge and help correct a user's posture through application to a spinal disease prevention system in the future.

Alteration of Trabecular Bone Microarchitecure at Tibial Epiphysis due to Knee Joint Instability by Anterior Cruciate Ligament Rupture: Difference between Medial and Lateral Part (전방십자인대 손상으로 인한 슬관절 불안정성에 따른 경골 골단 해면골 미세구조 변화 : 내방과 외방에서의 해면골 미세구조 패턴 변화)

  • Lee, Joo-Hyung;Chun, Keyoung-Jin;Kim, Han-Sung;Lim, Do-Hyung
    • Journal of Biomedical Engineering Research
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    • v.33 no.2
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    • pp.78-88
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    • 2012
  • Knee joint instability by anterior cruciate ligament(ACL) rupture is allowing the abnormal loading condition at the tibial epiphysis locally, resulting in producing locally different bone bruise. The study examined difference between local alteration patterns of trabecular bone microarchitecture at medial and lateral parts of the tibial epiphysis by ACL rupture. Fourteen SD rats were divided into Control(CON; n = 7) and Anterior Cruciate Ligament Transection(ACLT; n = 7) groups. The tibial joints were then scanned by in vivo ${\mu}$-CT at 0, 4, and 8 weeks post-surgery. The results showed that alteration pattern on trabecular bone microarchitecture at medial part was significantly higher than that at lateral part of the tibial epiphysis in ACLT group from 0 to 8 weeks(P < 0.05). Tb.Th and Tb.Sp distributions were well corresponded with differences between aforementioned trabecular bone microarchitectural alteration pattens at medial and lateral parts of the tibial epiphysis in ACLT group from 0 to 8 weeks(P < 0.05). These findings suggest that the alteration patterns of trabecular bone microarchitecture should be locally and periodically considered, particularly with respect to the prediction of bone fracture risk by ACL rupture. Improved understanding of the alteration patterns at medial and lateral trabecular bone microarchitectures at the tibial epiphysis may assist in developing more targeted treatment interventions for knee joint instability secondary to ACL rupture.

ANALYSIS OF THE CLINICAL SYMPTOMS AND THE TEMPOROMANDIBULAR JOINT DISK BY MAGNETIC RESONANCE IMAGING AFTER CONSERVATIVE TREATMENT WITH ANTERIOR REPOSITIONING SPLINT (측두하악관절 환자의 전방재위치장치 치료 전후의 임상증상 및 자기공명영상을 이용한 관절원판 변화의 분석)

  • Myoung, Shin-Won;Park, Je-Uk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.2
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    • pp.136-142
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    • 2006
  • Temporomandibular joint(TMJ) disorders have characteristic clinical findings such as pain, joint sound, and abnormal jaw function. With the rapid progress in TMJ imaging techniques, magnetic resonance imaging(MRI) especially provides the clinician and researcher with the ability to evaluate TMJ disorders(effusion, anterior disk displacement) and the hard and soft tissue of the TMJ. In order to manage the internal derangement of TMJ such as anterior disk displacement, the so-called appliance therapy is commonly used. This technique became the treatment of choice before surgical intervention by many practitioners. The purpose of the present study was to evaluate and determine the efficacy of anterior repositioning splint by means of the change of the position of the disk through pre- and post-treatment MRI. MRI and clinical symptom were carefully recorded in TMJ disorder patients. The relationship between TMJ symptoms such as pain, clicking sound, and disk displacement and effusion in MRI were analyzed. Then, splint therapy was applied for 3 months according to our protocol; at day 1, patients should wear 24 hours, in order to accomodate the splint and then, wearing time is reduced to 12 hours per day for one month. During next 2 months, it is tapered to 8 hours per day according to the evaluation of the clinical symptoms. Post-treatment MRI was obtained after 3 month protocol. This treatment strategy improved the clinical symptoms of TMJ disorder, and effusion and articular disk position showed a significant change. In conclusion, a treatment modality using an anterior repositioning splint therapy is an appropriate method for temporomandibular disorder patients.