• Title/Summary/Keyword: joint injury

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Comparative Analysis of Three Different Cervical Lateral Mass Screw Fixation Techniques by Complications and Bicortical Purchase : Cadaveric Study

  • Baek, Jin-Wook;Park, Dong-Mook;Kim, Dae-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.193-198
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    • 2010
  • Objective : The purpose of this study is to compare the incidence of possible complications of cervical lateral screw fixation and the achievements of bicortical purchase using the Roy-Camille, Magerl and the modified methods. Methods : Six fresh-frozen cervical spine segments were harvested. The Roy-Camille technique was applied to C3 and C4, and the Magerl technique was applied to C5, C6, and C7 of one side of each cadaver. The modified technique was applied to the other side of each cadaver. The nerve root injury, violation of the facet joint, vertebral artery injury, and the bicortication were examined at each screwing level. Results : No vertebral artery injury was observed in any of the three methods. One nerve root injury was observed in each cervical spine segment using the Roy-Camille method (8.3%), the Magerl method (5.6%), and the modified method (3.3%). Facet joint injuries were observed in two cervical spinal segments using the Roy-Camille method (16.7%) and three with the Magerl method (16.7%), while five facet joint violations occurred when using the modified method (16.7%). Bicortical purchases were achieved on ten cervical spinal segments with the Roy-Camille method (83.3%) and Magerl method (55.6%), while twenty bicortical purchases were achieved in the modified method (66.7%). Conclusion : The advantages of the modified method are that it is performed by using given anatomical structures and that the complication rate is as low as those of other known methods. This modified method can be performed easily and safely without fluoroscopic assistance for the treatment of many cervical diseases.

A Case Report of Complex Korean Medicine Treatments for Tetraplegia Caused by Spinal Cord Injury (척수손상으로 인한 사지마비 환자에 대한 복합 한방치료 효과 증례보고)

  • Kim, Eun-jung;Kim, Dong-hoon;Yoo, Sang-gu;Kim, Da-hye;Lee, Se-won;Bae, Ji-yun;Kim, Seon-woo;Park, Cheol-woo;Hur, Shin-chul
    • The Journal of Internal Korean Medicine
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    • v.41 no.2
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    • pp.122-131
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    • 2020
  • Background: This study aimed to determine the effects of complex Korean medicine treatments on a patient suffering from tetraplegia caused by spinal cord injury. Case Summary: A 64-year-old female patient diagnosed with tetraplegia was treated using acupuncture, electroacupuncture, pharmacopuncture, knee joint motion style treatment (MST), and herbal medicine. Clinical symptoms were measured using the numeric rating scale (NRS) and manual muscle test (MMT). After 67 days of treatment, the NRS score for lower back pain and knee pain decreased from 7 to 3. For the shoulder joint the MMT grade improved from 3+/4+(Rt./Lt.) to 4/5-; in the hip joint, it improved from 3-/3+ to 4/4+. No side effects were observed from the treatments used in this case report. Conclusion: The complex Korean Medicine treatments appeared to be effective in recovering muscle strength and reducing pain in patients with tetraplegia caused by spinal cord injury.

Clinical Study of Acupucture Effect on Microtraumatic Injuries of the Knee Joint (슬관절 미세손상환자의 침치료에 관한 임상적 고찰)

  • Woo, Young-Min;Lee, Jin-Heon;Kim, Jean-Moon;Nam, Young
    • Journal of Acupuncture Research
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    • v.17 no.4
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    • pp.88-99
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    • 2000
  • Objectives : This study was performed to evaluate the clinical effect of acupuncture on microtraumatic injuries of the knee joint. Methods : Among the outpatients with knee joint pain who visited to Department of Acupuncture & Moxibustion, National Medical Center from February 2000 to September 2000, we selected 15 cases that showed normal finding in both X-ray and neurological examination, and that were categorized into microtraumatic injuries by the physical examination based on the Cyriax's orthopedic medicine. During acupuncture therapy, the patients were ordered to move involved side actively. The effect was assessed through questionnaires of CNRS(Cincinnati Knee Rating System). Results : We investigated 11 female and 4 male patients. The most common distribution of age was 30's(40%). The most commom duration of symtoms was from 3 to 5 months(40%). The most common microtraumatic injury was pes anserinus bursitis(33.3%), and followed by iliotibial band friction syndrome(20%), and patellar tendinitis(20%). In the CNRS, the mean number of before treatment was 60.6 and after was 66.5. 10 cases among the 15 patients were improved(66.6%). Conclusions : These results suggest that the acupuncture therapy combined with active movements of involved side was effective treatment modality on microtraumatic injuries of the knee joint.

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Physical Therapy at Early Stage for Return to Work in The Hand Injury (수부손상 환자의 직업복귀를 위한 조기 물리치료)

  • Bae Sung-Soo;Kwack Jeong-In;HwangBo Gak
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.11-20
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    • 1999
  • We can sec the case of hand injury patient in the industry field. Hand injury has more particularity than other injury cases. Because it is densely a lot of muscle, tendon, bone, vessels, and in progressing speedily to fibrosis, adhesion, stiffness than other joints. If it has baud injury, it is important to the physical therapy in early stage after operation. Otherwise, it is difficult to recover the function. Hand malfunction intimately has to do with the return to work and the grade of disability. There are many different hand injury cases but, we want to investigate several cases. : fracture. joint injury, tendon injury, and want to looking for treatment tine and method about these. So, we'll understand hand injury of industry disaster. and acknowledge of the importance of physical therapy in the early stage through these.

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Fracture and Dislocation of the Midtarsal Joint: A Case Report (중족근 관절의 탈구 및 골절: 증례 보고)

  • Choi, Jun Cheol;Jung, Yu-Hun;Park, Sang Jun
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.3
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    • pp.108-112
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    • 2017
  • The midtarsal joint is composed of the talonavicular and calcaneocuboid joints. It is also known as the Chopart joint. Midtarsal joint fracture and dislocation are relatively rare and frequently missed or misdiagnosed. A proper understanding about the anatomy of the midtarsal joint is an essential part in comprehending the mechanism of injury and rationale for treatment. Anatomical reduction of midtarsal joint with correction of the column in length and shape are important; however, it is technically challenging and may require open procedure. Herein, we described a case of initial open reduction and internal fixation for midtarsal joint fracture and dislocation with a brief literature review.

Bilateral Asymmetric Traumatic Dislocation of the Hip Joint

  • Park, Hee Gon;Yi, Hyung Suk;Han, Kyoo Hong
    • Journal of Trauma and Injury
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    • v.31 no.1
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    • pp.43-50
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    • 2018
  • Traumatic hip joint dislocations account for 2-5% of total joint dislocations. Bilateral asymmetric hip joint dislocation with anteriorly and posteriorly dislocation is an even more rare case because it was according to G. Loupasis reported in 11 cases only since 1879. We want to report 2 cases of bilateral asymmetric hip joint dislocation with unilateral acatabulum fracture which happened in our hospital. Bilateral asymmetric dislocation of hip joint accompanied by unilateral fracture of acetabulum is a very rare case so statistical verification cannot be done. However, close examinations are required at early treatment and follow-up because the patterns of dislocation and fracture of hip joint are variable and an orthopedic emergent condition and several complications may occur at both hip joints.

Intervention Strategy Applied ICF Checklists for Sitting Cross-Legged in Patient with Multiple Ligament Knee Injury: Single Subject Study

  • Kim, Chan Yang;Kwon, Jung-Won
    • The Journal of Korean Physical Therapy
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    • v.33 no.3
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    • pp.168-177
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    • 2021
  • Purpose: This study applies the ICF to identify the patient's body function, structure, and participation, evaluates the patient's environmental factors and individual factors, and is a high level of movement to return to the society of patients with multiple ligament injury of the knee joint. Methods: Progressive strength training and ROM exercise were performed 30 minutes a day, 5 times a week for 6 weeks. The evaluation was performed by examining the ROM, length, MMT, instability, dynamic balance, pain and depression. Results: The ROM of the knee joint was improved from 110° to 135° after intervention, and the knee flexion length decreased from 69 cm to 45 cm. Knee flexor is Good after intervention from Poor-, and knee extensor is Good+ after intervention from Poor, and the plantar flexor of the ankle joint improved from Poor- before intervention to Good after intervention and dorsi-flexor of the ankle joint improve to Good from Poor. Pain index was moderate before and after the intervention, with a score of 3, 2 after the intervention, and when maintaining the sitting cross-legged, the before intervention score was 7 to 4 after the intervention. Conclusion: The patient's posture of sitting cross-legged was maintained from 30 seconds before intervention to 14 minutes after intervention. These results were able to set the hypothesis design, intervention method and goal that the multifaceted approach of environment and individual factors as well as body function and structure area, activity and participation area using ICF checklists, it is helped the patient to return to daily life.

The Efficiency of Short Track-related Sports Injury Prevention Program on Non-contact Injury Incidence for Elite Short Track Speed Skaters (쇼트트랙 관련 스포츠 손상 예방프로그램이 엘리트 쇼트트랙 스피드 스케이팅 선수들의 비접촉성 손상 발생에 미치는 영향)

  • Kim, Eunkuk;Choi, Hokyung
    • 한국체육학회지인문사회과학편
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    • v.58 no.2
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    • pp.405-416
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    • 2019
  • This study aimed to identify the efficiency of short track-related sports injury prevention program consisted of muscle strength and neuromuscular training on non-contact injury incidence and characteristics in knee and ankle joints and low back for elite short track speed skaters. Twenty-five short track athletes who belonged to G-City Team were participated in this study from Nov. 2017 to Jul. 2018. Information on their sports injuries occurred were collected and injury prevention program was applied in their warm-up every training sessions and competition. Also their symptom-level of knee and ankle joint and low back were measured by using OSTRC overuse injury questionnaire and Cumberland ankle instability(CAIT). The injury incidence rate after application of prevention program was 2.79 injuries/1,000 hour exposures(HEs), which was lower than before (3.04 injuries/1,000HEs). The OSTRC score (30.89±28.34 and 23.84±23.61, respectively) in knee and low back after application of prevention program were lower than before (58.47±26.77 and 52.36±21.55, respectively), and the CAIT score (13.47±6.07) in ankle joint after application of program was higher than before (16.26±7.28), which means that their symptom-level was alleviated with sports injury prevention program. In conclusion, the sports injury prevention program designed for short track's motion and characteristic can have positive influences on the occurrence of non-contact injury for short track speed skaters.