• 해부∙생물인류학
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• 제31권4호
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• pp.167-170
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• 2018

랑거겨드랑활은 겨드랑에서 흔히 나타나는 변이다. 랑거겨드랑활의 해부학적 그리고 임상적 중요성 때문에 이에 대한 관심이 많다. 학생실습과정에 68세 여성 시신의 오른쪽 팔에서 근육변이가 관찰되었다. 이 근육은 넓은등근의 가쪽모서리에서 근육의 형태로 일어났다. 그 후 힘줄의 형태로 겨드랑동맥과 정중신경을 가로질러 지나간 후 넓어지며 다시 근육의 형태로 큰가슴근에 부착되었다. 우리는 이 근육변이를 소개하고 이것의 임상적 의의에 대해 논의하였다.

• Physical Therapy Rehabilitation Science
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• 제11권4호
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• pp.464-470
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• 2022

Objective: Axillary web syndrome (AWS) is a condition comprising fibrous band-like cords that appear in the axilla of patients after axillary lymph node dissection (ALND) during breast cancer surgery and result in pain and reduced mobility. The cords appearing with AWS are hardened veins or lymphatic vessels. Manual therapy and stretching are recommended for pain control and mobility improvement. Therefore, this study investigated the effect of cytoskeletal manual therapy (CMT), which is a new soft tissue mobilization technique. Design: A case report Methods: A 41-year-old woman with AWS after breast cancer surgery and ALND visited a physical therapy clinic because of shoulder pain, decreased function, and decreased mobility. The cords were palpable and pain occurred 2 weeks after surgery. CMT was performed three times per week for a total of 6 weeks. Her pain intensity, range of motion (ROM), and shoulder function were measured. Results: Measurements were performed after 2 weeks and 6 weeks of CMT and evaluated using the numeric pain rating scale (NPRS). Her pain intensity largely decreased after 2 weeks (4-point score reduction) and after 6 weeks (5-point score reduction) of CMT. After CMT, her full ROM was restored and her shoulder function was improved (7-point score reduction). Conclusions: CMT is effective for pain control, mobility improvement, and functional improvement of patients with AWS.

• 대한영상의학회지
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• 제83권1호
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• pp.194-198
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• 2022

투명 세포 열선 종(clear cell hidradenoma; 이하 CCH)은 외분비 또는 아포크린 분화 땀샘의 드문 종양이다. 신체의 어느 곳에서나 발생할 수 있지만 일반적으로 머리, 얼굴, 몸통과 사지에서 발생한다. 여러 보고에서 CCH의 초음파 소견에 대해 언급하였지만 변형 탄성 초음파(strain elastography; 이하 SE) 소견에 대한 연구는 겨드랑이의 병변에 대해 보고한 한 경우밖에 없다. 우리는 표피 종양(epidermoid tumor)처럼 보였던 종아리에서 발생한 CCH의 사례를 초음파 소견과 SE 소견을 함께 보고하는 바이다.

• 대한영상의학회지
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• 제83권1호
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• pp.239-245
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• 2022

이시성 반대쪽 액와 림프절 전이는 유방암에서 드물게 발생하며, 현재 원격 전이로 분류되어 있다. 그러나 최근 연구들은 이것이 국소 질환으로 간주될 수 있기 때문에 적극적으로 완치를 위한 치료를 할 것을 제안했다. 이에 저자들은 유방암을 진단받은 지 22개월 후에 반대쪽 액와 림프절 전이가 확인된 67세 여성의 증례를 영상 소견과 함께 보고하고자 한다. 환자는 액와 림프절 절제 수술 후 보조 항암화학요법 및 방사선치료를 받았다. 수술 6개월 후 추적검사에서 종양 재발이나 전이의 증거는 없었다.

• 대한영상의학회지
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• 제83권5호
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• pp.1189-1194
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• 2022

유방의 겨드랑꼬리에 발생한 악성 종양은 유방의 특정 해부학적 위치에서 발생하는 유방암의 한 종류이며 발생률은 0.3% 정도로 드문 질환이다. 이는 겨드랑이에서 발생하는 연부조직 종양, 액와부 부유방에서 발생한 유방암, 유방암의 림프절 전이 또는 다른 원발암의 림프절 전이 등과 감별이 필요하다. 저자들은 겨드랑이 종물을 주소로 내원한 47세 환자에서 유방촬영술, 초음파, 전산화단층촬영, 자기공명영상을 통해 겨드랑꼬리 유방암을 진단한 증례를 경험하여 보고하고자 한다.

• 한국의류산업학회지
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• 제14권5호
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• pp.853-865
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• 2012

This study has analyzed body size of adult women between 20~59 years old in 2010 conducted by Size Korea and the study method is as follow. (1) Distribution ratio of bust circumference per age and distribution ratio of differences of bust drops were analyzed. (2) Analysis of one-way design of experiment was carried out for 20 items of body sizes according to differences of bust drops with regard to age groups of 20 and 40 years old in consideration of tourists who are unspecified target and for the whole ages groups. (3) Comparison analysis of 20 items of body sizes per bust circumference and according to level of differences of bust drops was carried out and (4) t-test of the two groups based on the standard of 12.5 cm of the differences of bust drops was conducted and was analyzed. Tthe differences of bust drops below 10 cm were reduced according to ages. 12.5 cm was the most in the group of ages of 20s and under 7.5 cm was reduced as ages were higher. Body items according to the differences of bust drops per ages had meaningful differences between groups except (acromion height-axilla height), height and shoulder length for the group of ages of 20s and in the whole ages groups, there was meaningful difference between groups in all items except height and shoulder length. Comparisons according to the differences of bust drops per section of 5 cm of bust circumference showed meaningful differences between groups in general in items of BMI, bust point-bust point, neck circumference, bust circumference, underbust circumference, neck point to bust point and weight. As the result of comparing the two groups of the differences of bust drops based on the standard of 12.5 cm, all had meaningful differences except stature and shoulder length.

• The Journal of Korean Physical Therapy
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• 제29권4호
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• pp.169-174
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• 2017

Purpose: The purpose of this study was to resolve, in an efficient manner, the mechanoreceptor problems of the part far from the paretic upper extremity in stroke patients, as well as to provide clinical basic data of an intervention program for efficient neurodynamic in stroke patients, by developing a rhythmic neurodynamic exercise program and verifying functional changes depending on the increase in the upper extremity nerve conduction velocity. Methods: Samples were extracted from 18 patients with hemiplegia, caused by stroke, and were randomly assigned to either the experimental group I for the general upper extremity neurodynamic (n=9) and the experimental group II for rhythmic upper extremity neurodynamic (n=9). An intervention program was applied ten times per set (three sets one time) and four times a week for two weeks (once a day). As a pre-test, changes in the upper extremity nerve conduction velocity and functions were assessed, and two weeks later, a post-test was conducted to re-measure them in the same manner. Results: The wrist and palm sections of the radial nerve and the wrist and elbow sections of the median nerve, as well as the wrist, lower elbow, upper elbow, and axilla sections of the ulnar nerve had significant differences with respect to the upper extremity nerve conduction velocity between the two groups (p<0.05)(p<0.01), and significant differences were also found in the upper extremity functions (p<0.05). Conclusion: Rhythmic neurodynamic accelerated the nerve conduction velocity more in broader neural sections than the general neurodynamic. In conclusion, rhythmic neurodynamic was proven to be effective for improving the functions of upper extremity.

• Archives of Plastic Surgery
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• 제45권2호
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• pp.152-157
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• 2018

Background Intraoperative indocyanine green (ICG) lymphography can effectively detect functioning lymph vessels in edematous limbs. However, it is sometimes difficult to clearly identify their course in later-stage edematous limbs. For this reason, many surgeons rely on experience when they decide where to make the skin incision to locate the lymphatic vessels. The purpose of this study was to elucidate lymphatic vessel flow patterns in healthy upper extremities in a Korean population and to use these findings as a reference for lymphedema treatment. Methods ICG fluorescence lymphography was performed by injecting 1 mL of ICG into the second web space of the hand. After 4 hours, fluorescence images of lymphatic vessels were obtained with a near-infrared camera, and the lymphatic vessels were marked. Three landmarks were designated: the radial styloid process, the mid-portion of the cubital fossa, and the lower border of the deltopectoral groove. A straight line connecting the points was drawn, and the distance between the connected lines and the marked lymphatic vessels was measured at 8 points. Results There were 30 healthy upper extremities (15 right and 15 left). The average course of the main lymph vessels passed $26.0{\pm}11.6mm$ dorsal to the styloid process, $5.7{\pm}40.7mm$ medial to the mid-cubital fossa, and $31.3{\pm}26.1mm$ medial to the three-quarters point of the upper landmark line. Conclusions The main functioning lymphatic vessel follows the course of the cephalic vein at the forearm level, crosses the mid-cubital point, and travels medially toward the mid-axilla.

• 복식
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• 제56권7호
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• pp.33-45
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• 2006

This study was to provide the fundamental data for a scientific and rational clothing construction by investigating the length variation of the upper arm surface, using the method of surgical tape, and to understand the expansion and contraction of parts of body for the making of clothing adaptable to movement. The subjects were li early elementary schoolgirls in Busan area classified with three somatotypes, and arm-movements consisted of 6 types. The statistical analyses used in this study were mean, standard deviation and the ANOVA and LSD procedure. The results of the analysis of the length of the upper arm surface are as follows: By arm-movements, in the items of horizontal, upper arm length changed more in the front than in the back, and in the items of vertical, represented the opposite of horizontal items. In the items of upper arm, the anterior-posterior axilla length and under arm length were influenced by arm-movements, and the under length of the upper arm represented the maximum rate increase of 74.59%(3.20cm)$\sim$138.72%(4.28cm). In the somatotypes of early elementary schoolgirls, type II was more influenced by arm-movements, and for the making of clothing adaptable to movement, type III needed to reflect more surplus length(2cm) than the other types.

• 대한두경부종양학회지
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• 제11권1호
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• pp.3-8
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• 1995

Tuberculous cervical lymphadenitis is one of common cause of neck mass in young adult in Korea. Tuberculous cervical lymphadenitis known as scrofula was being treated by the 'Royal Touch' in the 5th century and by surgery in the 17th century, yet the principle of the treatment is still controversal. We report the clinical evaluation and therapeutic result about 121 tuberculous cervical lymphadenitis. The result were as follows: 1) The annual incidence(1985-1994) was 30.5 % (37 cases: 1985-1986), 17.7 % (21 cases: 1990-1992). 19.8%(24 cases: 1994). 2) The age of highest incidence was 20-29 year old age group in 41.3% (50 cases) and female predominated over male by 1.8 : 1. 3) The duration of disease was less than 6 months, in 85.9% (104 cases). 4) The most commonly involved LN group was superficial cervical group in 69.4% (84 cases), and difference between Rt & Lt, was not significant. 5) The most common symptom and local finding(P/E) were, painless swelling of LN in 74.3 % (90 cases) and single mass in 59.5 % (72 cases). 6) In seasonal variation, 85.9% (104 cases) was spring and summer. 7) Procedures except biopsy for evaluation were chest PA, AFB smear & culture(sputum), Mantoux test, USG, CT and, Associated extracervical tuberculous lesions were lung, axilla, breast. 8) In operation method (involving biopsy), Excision was 68.5 % (83 cases), neck dissection was 6.6% (8 cases). 9) The Modality, Duration and side effect of antituberculous medication: INH-Rifampin­Ethambutol was 66.1 % (88 cases), duration was 1 year in 84.3% (102 cases), side effects were severe GI trouble (24.8%), liver function damage (3.3%). 10) 3 cases recurred on the same site after 2 yrs(2 cases) and 4 months(1 case) and its treatment was curretage or I & D, with antituberculous medication.