• Title/Summary/Keyword: joint dislocation

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Recurrent or Habitual Type TMJ Dislocation Case Managed with Yinyang Balance Appliance of FCST, a TMJ Therapy for the Balance of the Meridian and Neurological System (FCST의 음양균형장치를 활용한 만성 재발성 턱관절 탈구의 증례 보고)

  • Lee, Young-Jun;Lee, Sang-bae;Choi, Jae-min
    • Journal of TMJ Balancing Medicine
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    • v.4 no.1
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    • pp.21-26
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    • 2014
  • Therapeutic effect of Yinyang Balancing Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in recurrent or habitual type temporomandibular joint (TMJ) dislocation. One Recurrent or habitual type TMJ dislocation case was managed with the Yinyang Balancing Appliance on TMJ, combined with acupuncture. Clinical outcome measurement was based on subjective measures and clinical observations. The patient showed positive changes even after the initial treatment and this effect maintained over the follow-up period. Although it is not clear the effect is sustaining or temporary in its nature, a positive effect was observed and further clinical and biological research on FCST is expected.

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Arthrographic Evaluation in Developmental Dislocation of the Hip - Comparison Between Hip Arthrogram and Operative Findings - (발육성 고관절 탈구에서의 관절 조영술 -고관절 조영술과 수술소견과의 비교-)

  • Kim, Se-Dong;Lee, Yun-Seok
    • Journal of Yeungnam Medical Science
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    • v.15 no.2
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    • pp.263-274
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    • 1998
  • One of the main purposes in the treatment of developmental dislocation of the hip is to achieve and maintain concentric, congruent, and stable reduction. The arthrogram performs an important role in the diagnosis and treatment of developmental dislocation of the hip. The arthrogram provides much information about the soft tissue status of the hip joint. Limbus and ligamentum teres is exactly evaluated so that we can plan the reduction and treatment before operation. Eighteen preoperative hip arthrograms of 17 children treated for developmental dislocation of the hip from 1992 to 1998 were reviewed. The limbus, ligamentum teres and transverse acetabular ligament were compared with the pathoanatomy seen at the time of open reduction. Arthrography proved to be reliable in identifying the limbus and ligamentum teres. So we recommend that arthrography must be performed before closed or open reduction. Also, we recorded the radiographic parameters: acetabular index, acetabular floor thickness, center edge(CE) angle of Wiberg, and Y-coordinate. The center edge(CE) angle of Wiberg obtained from arthrography was measured more accurately than from simple roentgenograms because the ossification of the femoral head was frequently located eccentrically in the developmental dislocation of the hip.

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Development and use of Supporting Device for Patellar X-ray Imaging (슬개골 엑스선 영상 촬영을 위한 보조기구의 개발과 활용)

  • Rhee, Do-Byung;Seo, Seung-Jun;Choi, Hyun-Woo;Lee, Sang-Hun;Kim, Jong-Ki
    • Journal of Biomedical Engineering Research
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    • v.41 no.4
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    • pp.165-171
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    • 2020
  • In this study, it focuses on the development of radiographic devices for patellar imaging. On the previous X-ray examination of patella and patellofemoral joint, it analyzed the problems which could affect the results: unstable patients' pose, radiation exposure, and deterioration of image quality. The purpose of the research is to propose a future use of a developed device with an explanation of the process, function, and advantage of the device including the methods. The device is developed to focus on the diagnosis of the longitudinal and longitudinal fractures of the patella and patella/femoral joint, displacement such as dislocation, bone formation, stenosis of the patella/femorla joint, and cartilage wear. Due to the patient's anxious posture, it caused a shaking image, overlapping structures, and etcs, these factors challenge to diagnose accurately. In addition, the existing Settegast method and Hughston method, which are most frequently performed in the hospital field, are not suitable for the presence or absence of features or dislocation due to the heavy load on the patella of the patient. The developed device requires patients in a lying position and placing only their leg on the device, it increases the conveniences of the examination and decreases unnecessary radiation exposure of the patient except the patellar examination area. Moreover, one of the systems in the device fixes the detector, where the patients no longer need to hold the detector nor be in unstable posture, but describes the structure of the patella/femoral joint more clearly. Hoping the device will apply to more patients.

Horizontal instability after acromioclavicular joint reduction using the two-hole technique is preferred over the loop technique: a single-blind randomized clinical trial

  • Mardani-Kivi, Mohsen;Asadi, Kamran;Leili, Ehsan Kazemnejad;Hashemi-Motlagh, Keyvan;Izadi, Amin;Pishgahpour, Mona;Darabipour, Zohre
    • Clinics in Shoulder and Elbow
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    • v.25 no.3
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    • pp.224-229
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    • 2022
  • Background: Most acromioclavicular joint (ACJ) injuries are caused by direct trauma to the shoulders, and various methods and techniques are used to treat them; however, none of the options can be considered the gold standard. This study examines the horizontal stability of the ACJ after a complete dislocation was repaired using one of two Ethibond suture techniques, the loop technique and the two holes in the clavicle technique. Methods: In this single-blind, randomized clinical trial, 104 patients diagnosed with complete ACJ dislocation type V were treated using Ethibond sutures with either the loop technique or the two holes in the clavicle technique. Horizontal changes in the ACJ were radiographically assessed in the lateral axial view, and shoulder function was evaluated by the Constant (CS) and Taft (TS) scores at intervals of 3, 6, and 12 months after surgery. Results: The horizontal stability of the ACJ was better with the two-hole technique than the loop technique at all measurement times. CS and TS changes showed a significant upward trend over time with both techniques. The mean CS and TS at the final visit were 95.2 and 11.6 with the loop technique and 94.0 and 11.9 with the two-hole technique, respectively. The incidence of superficial infections caused by the subcutaneous pins was the same in the two groups. Conclusions: Due to the improved ACJ stability with the two-hole technique, it appears to be a more suitable option than the loop technique for AC joint reduction.

Microstructure analysis of pressure resistance seal welding joint of zirconium alloy tube-plug structure

  • Gang Feng;Jian Lin;Shuai Yang;Boxuan Zhang;Jiangang Wang;Jia Yang;Zhongfeng Xu;Yongping Lei
    • Nuclear Engineering and Technology
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    • v.55 no.11
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    • pp.4066-4076
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    • 2023
  • Pressure resistance welding is usually used to seal the connection between the cladding tube and the end plug made of zirconium alloy. The seal welded joint has a direct effect on the service performance of the fuel rod cladding structure. In this paper, the pressure resistance welded joints of zirconium alloy tube-plug structure were obtained by thermal-mechanical simulation experiments. The microstructure and microhardness of the joints were both analyzed. The effect of processing parameters on the microstructure was studied in detail. The results showed that there was no β-Zr phase observed in the joint, and no obvious element segregation. There were different types of Widmanstätten structure in the thermo-mechanically affected zone (TMAZ) and heat affected zone (HAZ) of the cladding tube and the end plug joint because of the low cooling rate. Some part of the grains in the joint grew up due to overheating. Its size was about 2.8 times that of the base metal grains. Due to the high dislocation density and texture evolution, the microhardnesses of TMAZ and HAZ were both significantly higher than that of the base metal, and the microhardness of the TMAZ was the highest. With the increasing of welding temperature, the proportion of recrystallization in TMAZ decreased, which was caused by the increasing of strain rate and dislocation annihilation.

A Review of Patellofemoral Angle (슬개대퇴골각에 관한 고찰)

  • Bae, Sung-Soo;Kim, Ho-Bong;Lee, Sang-Yong;Kim, Eun-Young
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.197-204
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    • 2001
  • Knee is a middle joint in lower extremity and has relationship with hip joint and ankle joint alignment. Therefore the knee joint alignment is very important in aspect of biomechanically. Knee joint alignment depend upon patellar stability. Instability of the patellofemoral articulation, in the form of patellar subluxation or dislocation may be associated with a number of factors. Normal range of patellofemoral angle is very different by the reporter and by the gender also.

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Clinical Observation and Treatment of Fracture-Dislocation of Talus (거골 골절 및 탈구의 임상적 고찰)

  • Lee, Dong-Chul;Kim, Se-Dong;Jung, Hae-Hoon
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.302-311
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    • 1992
  • Talus is a important structure of the ankle joint and its function is critical for ambulation and weight bearing. The talus fracture is rare, but the complications of fracture and dislocation are serious and resulting in avascular necrosis, osteoarthritis. So its treatment is carefully considered at initial status. Authors reviewed 11 cases of fracture and dislocation of the talus treated at Yeungnam university hospital from 1984 to 1991. The longest follow up was 8 years and shortest, 1 year. The results were as follows. 1. There were all males, the average age was 30 years old. 2. The most common cause was fall down(8 cases), and next traffic accident(2cases), sports injury(1 case). 3. According to Marti-Weber classification, 1 cases was type I, 1 in type II, 4 in type III and 5 in type IV. 4. The method of treatment were open reduction and internal fixation in 6 cases, the others were closed reduction in 5 cases. 5. Final results(by Hawkins grading system) were as follows, 3 cases were excellent, 4 cases were good, 1 case was fair and 3 cases were poor. 6. Complications were AVN in 2 cases, degenerative arthritis in 8 cases, malunion in 1 case. 7. The range of motion of the ankle joint was relatively preserved(74%), but in the subtalar joint it was decreased(43%).

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