• Title/Summary/Keyword: orthopedic

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Three-dimensional Capsular Volume Measurements in Multidirectional Shoulder Instability

  • Jun, Yong Cheol;Moon, Young Lae;Elsayed, Moustafa I.;Lim, Jae Hwan;Cha, Dong Hyuk
    • Clinics in Shoulder and Elbow
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    • v.21 no.3
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    • pp.134-137
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    • 2018
  • Background: In a previous study undertaken to quantify capsular volume in rotator cuff interval or axillary pouch, significant differences were found between controls and patients with instability. However, the results obtained were derived from two-dimensional cross sectional areas. In our study, we sought correlation between three-dimensional (3D) capsular volumes, as measured by magnetic resonance arthrography (MRA), and multidirectional instability (MDI) of the shoulder. Methods: The MRAs of 21 patients with MDI of the shoulder and 16 control cases with no instability were retrospectively reviewed. Capsular areas determined by MRA were translated into 3D volumes using 3D software Mimics ver. 16 (Materilise, Leuven, Belgium), and glenoid surface area was measured in axial and coronal MRA views. Then, the ratio between capsular volume and glenoid surface area was calculated, and evaluated with control group. Results: The ratio between 3D capsular volume and glenoid surface area was significantly increased in the MDI group ($3.59{\pm}0.83cm^3/cm^2$) compared to the control group ($2.53{\pm}0.62cm^3/cm^2$) (p<0.01). Conclusions: From these results, we could support that capsular volume enlargement play an important role in MDI of the shoulder using volume measurement.

Nonunion of Tibial Eminence Fracture in Child - 2 cases Report - (소아 경골 극 골절의 불유합 - 2예 보고 -)

  • Hur, Yoon-Moo;Chung, Whan-Yong;Kim, Sang-Bum;Kim, Sung-Hun;Rhu, Seung-Reol
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.192-198
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    • 2006
  • The general consensus is that tibial eminence fractures have an excellent prognosis. But symptomatic nonunions requiring reduction and grafting have been reported. This report presents two cases of nonunion after tibial eminence fracture in eight years old boys which were treated with arthroscopy-guided reattachment and internal fixation and obtained good outcome.

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Arthroscopic Diagnosis of Polyethylene Wear of Meniscal Bearing in Unicompartmental Knee Arthroplasty - A Case Report - (인공 슬관절 단일구획 치환술 후 폴리에틸렌 마모의 관절경적 진단 - 증례 보고 -)

  • Kang, Kyu-Bok;Yoon, Jung-Ro;Park, Sung-Chul;Song, Seungyeop;Yang, Jae-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.190-194
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    • 2012
  • The role of arthroscopy for the diagnosis of polyethylene wear after total knee arthroplasty has been reported previously. In this report, we demonstrate a case of wear of meniscal bearing in unicompartmental knee arthroplasty (UKA) and recurrent meniscal bearing subluxation which was diagnosed by arthroscopy. Arthroscopic examination has its role in diagnosing the wear and subluxation of polyethylene bearing after UKA.

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Comparison of the Effects of Hand Massage Provided with Different Intervals and Periods on Pain and Sleep Disturbance after Orthopedic Surgery

  • Cho, You-Na;Kim, Inja
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.128-134
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    • 2015
  • Purpose: The purpose of this study was to compare the effects of hand massage provided with different intervals and periods on pain and sleep disturbance after orthopedic surgery. Methods: A non-equivalent control group pretest- posttest design was used. The subjects were admitted in an orthopedic hospital to get a surgery. They were divided into three groups. Group I (n=30) had hand massage every day. Group II (n=30) had hand massage every other day. Control group (n=31) had usual care. Data of all three groups were collected on the day before operation, POD (postoperative day) 6 and POD12. Hand massage was given for 2 and half minutes per hand. Results: Pain on POD6 of experimental group II was reduced more than those of control group. Pains on POD12 of both experimental groups were reduced more than those of control group. On POD6, only perceived sleep disturbance (PSD) was significantly different among groups. On POD12, PSD, total sleeping time, and sleep efficiency were more improved in the experimental groups. Conclusion: Hand massage was effective on the reduction of pain and sleep disturbance after orthopedic surgery. Applying hand massage on alternate day was effective enough. Also the effects were more obvious after 12 days.

The Effects of Maitland Orthopedic Manual Physical Therapy on the Digestive System

  • Koo, Ja Pung;Kim, Nyeon Jun
    • Journal of International Academy of Physical Therapy Research
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    • v.6 no.1
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    • pp.802-808
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    • 2015
  • The purpose of the present study is to apply Maitland orthopedic manual physical therapy to patients to examine the effects of the therapy on the digestive system through serum gastrin tests that can identify the motility of the digestive system and dyspepsia symptoms and can provide basic data for internal medicinal physical therapy. Maitland orthopedic manual physical therapy was implemented on 20 subjects in total, with 10 in a dyspepsia group and 10 in a control group, for 20 minutes per day, three days per week for three weeks, and the following results were obtained. In the control group, serum gastrin values significantly decreased between before and after treatment(p<.01), and among questionnaire items regarding dyspepsia, those regarding epigastric pain and belching showed significant decreases in these symptoms(p<.05). In the dyspepsia group, serum gastrin values significantly decreased between before and after treatment(p<.01) and all questions regarding dyspepsia showed significant decreases in all symptoms(p<.01). According to the analysis, the dyspepsia group decreased significantly more than the control group in serum gastrin values and all dyspepsia symptoms, except for belching(p<.001). Through the present study, it was identified that Maitland orthopedic manual physical therapy can improve dyspepsia symptoms and is an effective treatment method for internal diseases, such as dyspepsia, by improving gastric motility to become close to the normal state.

Brodie's Abscess on the Distal Tibia caused by Salmonella Infection - A Case Report - (경골 원위부에 발생한 살모넬라 감염에 의한 Brodie 농양 - 1례 보고 -)

  • Kang, Jae-Do;Kim, Kwang-Yul;Kim, Hyung-Chun;Jung, Kyung-Chil;Han, Sang-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.2 no.2
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    • pp.97-101
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    • 1998
  • Primary subacute pyogenic osteomyelitis, or Brodie's abscess has received much attention since its initial documentation in the literature in 1832 by Sir Benjamin Brodie. Brodie's abscess is a localized form of chronic osteomyelitis that occurs most often in the metaphyseal area of the long bones of the lower extremities of young adults, Intermittent pain of long duration is the presenting complaint, along with local tenderness over the affected area. Laboratory evaluation is unrevealing, with a normal white blood cell count and differential count. The erythrocyte sedimentation rate may also be normal. Roentgenogram shows a markedly varied appearance and an abscess may be easily mistaken for various neoplasm. The most common organism cultured from abscess is Staphylococcus species. Treatment includes curettage of the lesion and administration of antibiotics. We present a case report (with a 1-year follow-up period), demonstrating the successful surgical treatment of Brodie's abscess of the distal metaphysis of the left tibia caused by Salmonella cholerasuis in a 33-year-0ld male who had no hemoglobinopathy.

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Mid-term follow up of Total Ankle Replacement Arthroplasty (족근관절 전치환술의 중장기 추시)

  • Park, In-Heon;Song, Kyung-Won;Shin, Sung-Il;Lee, Jin-Young;Lee, Keon-Hyung
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.1
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    • pp.13-18
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    • 2000
  • Purpose: To show the results in term of pain and functional recovery in the mid-term follow up of total ankle replacement. Materials and Methods: We followed up 7 patients who had undergone total ankle arthroplasty during the periods between April 1990 and May 1997. They were evaluated after mean follow up of 3.6 years. Results: We reviewed these cases with regand to (in terms of) pain, function and alignment according to the Ankle-Hindfoot Scale designed by American Orthopaedic Foot and Ankle Society. The average point was 78. Conclusion: Total ankle replacement especially unconstrained type seems good alternative to arthrodesis in selected cases of ankle arthrosis.

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Secondary Septic Arthritis Due to Lateral Malleolar Bursitis -A Case Report- (외과 점액낭염에서 발생한 2차적 화농성 관절염 -증례보고 1예-)

  • Ji, Jong-Hoon;Kim, Weon-Yoo;Lee, Yean-Soo;Park, Sang-Eun;Ra, Ki-Hang;Kwon, Oh-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.274-278
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    • 2006
  • Lateral malleolar bursitis rarely progresses to septic arthritis. In our case, the 27 year old man visited due to progressive left ankle pain, despite the antibiotics treatment of lateral malleolar bursitis. 8 years ago, modified Brostrom procedure was performed owing to chronic ankle instability. Previous surgery altered anatomical structure of lateral ankle bursa, so it may cause the infection to spread to the ankle joint. We reported rare case of secondary septic arthritis caused by lateral malleolar bursitis.

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Postoperative Pain Control by Ultrasound-Guided Sciatic Nerve Catheterization - A Technical Note - (초음파 유도 좌골 신경 도관 삽입에 의한 수술 후 통증 조절 - 술기 보고 -)

  • Kang, Chan;Hwang, Deuk-Soo;Kim, Young-Mo;Hwang, Jung-Mo;Lee, Seung-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.2
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    • pp.97-101
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    • 2011
  • Intravenous Patient Controlled Analgesia (IV PCA0 after general or spinal anesthesia may be a method of postoperative pain control, but side effects such as nausea, vomiting, and sedation occurs in most patients. The following research is based on the ultrasound guided femorosciatic nerve block held on parts below the knee joint operation. Because this anesthesia is held locally on the sciatic nerve with continuous anesthesia performed through perineural catheterization, the complications of nausea, vomiting, and sedation may be reduced while postoperative pain caused by the sciatic nerve is controlled. The following report is held on this experience.

A cavernous Hemangioma After a Removal of a Pigmented Villonodular Synovitis in Mid-foot (A Case Report) (색소 융모 결절성 활액막염 제거 후 발생한 중족부 해면 혈관종(1예 보고))

  • Song, Kyoung-Won;Kim, Gab-Lae;Kim, Tae-Hwa;Park, Hyun-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.97-100
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    • 2010
  • Hemangioma are not rare tumors. They can be found in almost any of the vascular structures of the body. Hemangiomas involving the deep structures of the extremities may produce extremely difficult therapeutic problems for the orthopedic surgeon. Pigmented villonodular synovitis (PVNS) is a rare proliferative disorder that affects synovium, tendon sheath and bursa. Although the condition can present in any joint, knee joint is the most commonly affected site and only 2.5% of cases occur in foot and ankle joint. We have experienced a patient who has of foot and report an optimal method of surgical treatment. Authors report the result of hemangioma in mid-foot which arise from removal of a pigmented villonodular synovitis that has low out break rate of benign tumor in mid-foot with literature review.