• Title/Summary/Keyword: distal radius

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Delayed Diagnosis of Volar Dislocation of the Distal Ulna after Treatment of the Radial Shaft Fracture (요골 간부 골절 치료 후 지연 발견된 원위 척골의 전방 탈구)

  • Jeon, Suk Ha;Lee, Sanglim
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.427-432
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    • 2021
  • Delayed treatment of volar dislocation of the distal radioulnar joint can result in wrist pain, limited rotation of the forearm, and degenerative arthritis that could be managed only by salvage procedures. A 24-year-old male patient presented with wrist pain and a loss of forearm rotation after surgery for a radial shaft fracture. The shaft of the radius was fixed with a plate and screws with a volar angulation of 7°. The ulnar head was dislocated volar to the distal radius, and the bone defect in the ulnar head was impacted into the volar rim of the sigmoid notch of the radius, preventing the head from being reduced in the joint. Corrective osteotomy of the malunited radial shaft and sliding osteotomy of the proximal ulnar head were performed to fill the distal bone defect. Pain and range of the forearm rotation were improved at postoperative 19 months.

Development of the External Fixator for a Bone Fracture (골절치료용 체외고정기기 개발을 위한 연구)

  • 윤희열;한정수;한창수
    • Journal of Biomedical Engineering Research
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    • v.23 no.4
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    • pp.317-322
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    • 2002
  • In this paper, the problems of the external fixator that have developed for a distal radius fracture so far are analyzed, and accordingly, the characterizations, which must have a prototype, are arranged. C-Arm is used. This instrument makes it possible for the real play of the internal body by x-ray permeability. From this data. it is possible to induce important design factors Finally. a basic mechanism, which has to be applied, is decided, and the Solid Edge program, which uses a 3-D design tool, completes then total instrument design.

Giant Cell Tumor of the Distal Radius Treated with the Proximal Fibular Graft - A Case Report - (비골이식술로 치료한 요골 원위부의 거대세포종 - 증례 보고 -)

  • Jeong, Hak-Yeong;Yang, Seung-Wook;Shin, Seung-Joon;Song, Moo-Ho;Seung, Hyeong-Joon
    • The Journal of the Korean bone and joint tumor society
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    • v.4 no.2
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    • pp.103-106
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    • 1998
  • Giant cell tumor was described by Sir Astley Cooper in 1818. This tumor is considered to be a benign tumor but has problems of recurrence and metastatic change after treatment. Methods of operative treatment of this tumor have included currettage, currettage and bone graft, excision, resection, excision and graft and amputation. We experienced a case of giant cell tumor which involved the distal part of right radius and treated by wide excision and fibular graft. The postoperative courses have been satisfactory because of no recurrence or malignant change. After 6 years and 1 month follow up, the patient was able to return to daily life without any problem.

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Nutritional Status and Related Factors of Residents Aged Over 50 in Longevity Areas - II, Effect of Dietary Factors on Bone Ultrasound Measurements in Aged Men - (고령인구 비율이 높은 지역 장년, 노년층의 건강.영양상태 및 이에 영향을 미치는 인자에 관한 연구 - II. 남자의 골밀도와 이에 영향을 미치는 식이요인분석 -)

  • Choe Jeong-Sook;Kwon Sung-Ok;Paik Hee-Young
    • Journal of Nutrition and Health
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    • v.39 no.2
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    • pp.171-183
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    • 2006
  • This study was conducted to examine dietary factors affecting bone status in the rural aged men. Quantitative ultrasound measurements (QUS) of bone, that may reflect certain architectural aspects of bone, have been shown to be associated with bone mineral density and fracture. Information of diet and anthropometry was collected in 164 aged men. Dietary intake data were obtained by 24-hour recall method. Measurements of the speed of sound (SOS, m/s), at distal radius, mid-tibia, phalanx, were performed using Omnisense 7000S analyzer (Sunlight Ltd., Tel Aviv, Israel). T-scores for bone SOS measurements at distal radius, mid-tibia and phalanx were 0.60, 0.03 and -0.42 respectively. The prevalence of osteopenia by use of the WHO criteria was 17.7% at the mid-tibia and 25.3% of the subjects at the distal radius. Age were negative association with bone SOS at three sites. Osteopenia group of radius were significantly lower in total foods and vegetable intakes than normal group. After adjusted for age, vegetable intakes were significantly and positively related to bone SOS at the radius. The bone SOS of the tibia were significantly and positively related to vegetable protein, iron, folate and vegetable intakes, but negatively related to fat intakes. Multiple regression analysis showed that bone SOS of tibia was positively associated with folate intakes. Vegetable intakes were positively associated with the bone SOS at three sites. These results indicate that the consumption of vegetables, sources of folate, may have a effect on bone status of men.

Distal Radius Osteosarcoma (원위 요골 골육종)

  • Song, Won-Seok;Won, Ho-Hyun;Lee, Jeong-Dong;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.2
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    • pp.55-61
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    • 2010
  • Purpose: We analyzed the clinical outcome of osteosarcoma developed in distal radius and the effect of delayed treatment on prognosis. Materials and Methods: Twelve patients with distal radius osteosarcoma were analysed. We categorized patients into two groups of standard treatment or non-standard treatment. The patients of standard treatment group are all stage IIB and non-standard treatment group includes five stage IIB and one stage III. Results: Five-year overall survival and disease-free survival rates of standard treatment group were 100% and 83%. Five-year overall survival rate of non-standard treatment group was 44%. Between two group, there are differences in age, tumor size, surgery type, symptom duration. Conclusion: Distal radius osteosarcoma have good prognosis than other extremity osteosarcoma. Survival rate of non-standard treatment group were lower than standard treatment group. Although the prognosis of non standard treatment group is poorer, the duration till death was longer than that of other sites with similar condition. Further multi-institutional study should be needed.

Minimally invasive distal biceps tendon repair: a case series

  • Paul Jarrett;Anna-Lisa Baker
    • Clinics in Shoulder and Elbow
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    • v.26 no.3
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    • pp.222-230
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    • 2023
  • Background: Distal biceps tendon repairs are commonly performed using open techniques. A minimally invasive distal biceps tendon repair technique using a speculum and hooded endoscope was developed to improve visualization, reduce soft-tissue dissection, and minimize complications. This paper describes the technique and reports the outcomes of 75 minimally invasive distal biceps tendon repairs. Methods: The operation reports and outcomes of 75 patients who underwent distal biceps tendon repair using this technique between 2011 and 2021 were retrospectively reviewed. Results: Median time to follow-up was 12 months (interquartile range [IQR], 6-56 months). Primary outcomes were function as measured by the Disabilities of Arm, Shoulder and Hand Score (DASH) questionnaire, and rate of complications. Median DASH score was 1.7 of 100 (IQR, 0-6.8). There were 2 of 75 (2.7%) re-ruptures of the distal tendon. There were no cases of vascular injury, proximal radius fracture, or posterior interosseous nerve, median, or ulnar nerve palsy. Conclusions: In this series, minimally invasive distal biceps repair was safe and effective with a low rate of major complications. Recovery of function, as indicated by low DASH scores, was satisfactory, and inconvenience during recovery was minimized. Level of evidence: IV.

Radiographic Evaluation of Limb Bone Development in Miniature Porcine (미니돼지의 팔다리 뼈 성장에 대한 방사선학적 평가)

  • Chang, Jin-Hwa;Jung, Joo-Hyun;Choi, Min-Cheol
    • Journal of Life Science
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    • v.17 no.10
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    • pp.1315-1320
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    • 2007
  • Epiphyseal development in the long bones was studied radiographically in minipigs. Radiographs of the proximal and distal epiphyses of humerus, radius, ulna, femur and tibia were obtained at 4, 8, 12, 20, 40, 48, 96 and 144 weeks of age in total 58 minipigs. The assessment of maturity process was made in accordance with the criteria proposed by Owada and Sutow. The secondary ossification centers developed rapidly from 4 weeks of age to 40 weeks of age, and gradually thereafter until 96 weeks of age. The earliest epiphyseal fusion was apparent in the proximal radius, proximal and distal femur at 96 weeks of age. The complete fusion of the epiphyseal line in the long bones was evident on 144 weeks of age and was observed in most long bones such as the proximal humerus, the proximal and distal ulna and the distal radius, and the proximal tibia in minipigs.

The Effects of Kaltenborn-Evjenth Joint Mobilization of Application Count on Joint Mobility, Pain, Functions and Grip Strength in Patients with Distal Radius Fracture (먼쪽 노뼈 골절환자에게 적용한 칼텐본-에반스 관절가동술의 적용 횟수가 노자관절의 운동성, 통증, 기능과 악력에 미치는 영향)

  • Kim, Myoung-Jin;Seo, Dong-Kwon;Lee, Yeon-Seop
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.3
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    • pp.247-256
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    • 2022
  • Purpose : The purpose of this study was to investigate the effects of Kaltenborn-Evjenth (KE) joint mobilization of the distal radioulnar joints (RUJ) and proximal RUJ in distal radius fractures (DRFs) on range of motion (ROM), grip strength (GS), and patient-written wrist evaluation (PRWE) in each group once, thrice, or fivefold. Methods : Forty-two subjects participated in this study. We divided the subjects with DRFs into groups applying KE concepts RUJ mobilization once, thrice, and fivefold. The patients' ROM and GS were measured using a joint goniometer and dynamometer, respectively. Pain and function were also assessed using a PRWE. In the statistical analysis, all data were tested for normality using the Shapiro-Wilk test, and paired t-tests were performed for within-group before-and-after comparisons of each intervention. One-way analysis of variance was used for between-group comparisons of differences. All statistical significance levels were set at α=.05. Results : There were significant differences in the ROM in all three groups before and after the intervention (p<.05), but there were no significant differences between the groups. There were significant differences in the GS in the three groups before and after the intervention (p<.05), but there were no significant differences between the groups. In the pain part of the PRWE, all three groups had significant differences before and after intervention (p<.05), but there was no significant difference between the groups. In the functional part of the PRWE, there were significant differences in the three groups before and after intervention (p<.05), but no significant difference occurred between the groups. Conclusion : Based on the aforementioned results, there were no significant between-group differences in ROM, GS, and PRWE (pain and function) after the application of the K-E joint mobilization to DRFs once, thrice, and fivefold. Nevertheless, there were significant within-group differences in all the above.

Classification of Anteroposterior/Lateral Images and Segmentation of the Radius Using Deep Learning in Wrist X-rays Images (손목 관절 단순 방사선 영상에서 딥 러닝을 이용한 전후방 및 측면 영상 분류와 요골 영역 분할)

  • Lee, Gi Pyo;Kim, Young Jae;Lee, Sanglim;Kim, Kwang Gi
    • Journal of Biomedical Engineering Research
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    • v.41 no.2
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    • pp.94-100
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    • 2020
  • The purpose of this study was to present the models for classifying the wrist X-ray images by types and for segmenting the radius automatically in each image using deep learning and to verify the learned models. The data were a total of 904 wrist X-rays with the distal radius fracture, consisting of 472 anteroposterior (AP) and 432 lateral images. The learning model was the ResNet50 model for AP/lateral image classification, and the U-Net model for segmentation of the radius. In the model for AP/lateral image classification, 100.0% was showed in precision, recall, and F1 score and area under curve (AUC) was 1.0. The model for segmentation of the radius showed an accuracy of 99.46%, a sensitivity of 89.68%, a specificity of 99.72%, and a Dice similarity coefficient of 90.05% in AP images and an accuracy of 99.37%, a sensitivity of 88.65%, a specificity of 99.69%, and a Dice similarity coefficient of 86.05% in lateral images. The model for AP/lateral classification and the segmentation model of the radius learned through deep learning showed favorable performances to expect clinical application.