• Title/Summary/Keyword: scapular

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A Case report of Idiopathic Scoliosis Patient : Comparison of X-ray and Digital Infrared Thermographic Imaging (특발성 척추측만증 환자의 X-ray와 적외선 체열촬영의 비교 1례)

  • Jo, Jun-Young;Kim, Jin-Woo;Park, Kyoung-Sun;Lee, Jin-Moo
    • Journal of Oriental Medical Thermology
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    • v.9 no.1
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    • pp.51-56
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    • 2011
  • Purpose : The purpose of this study is to report the comparison of X-ray and Digital Infrared Thermographic Imaging (DITI) of a patient with idiopathic scoliosis. Method: The patient in this case was a 25-year-old female. Her chief complaint was a pain in lumbar, scapular and shoulder regions. We examined her with DITI and X-ray. And then We compared DITI and X-ray. Results: Cobb's angle of thoracic spine was $24.78^{\circ}$ as a primary curve. Cobb's angle of thoracolumbar spine was $17.63^{\circ}$. Temperature on convex side of the thoracic spine was $0.3^{\circ}C$ higher than the other side. Temperature on convex side of cervical spine was $1.4^{\circ}C$ higher than the other side. There was no correlation curvature degree with temperature difference. Conclusion : There was a tendency that the temperature on convex side of the spine is higher than the other side of the spine. DITI is a useful assessment tool when it is used with X-ray as a diagnostic tool of idiopathic scoliosis. Further studies are needed.

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THE APPLICATION OF NECK DISSECTION IN THE TREATMENT OF ORAL CANCER (구강암 치료에 있어 경부곽청술의 응용)

  • Kim, Chin-Soo;Kim, Sung-Kook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.1_2
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    • pp.97-104
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    • 1992
  • This is a report of three cancer patients treated with the different methods of neck dissection considering the state of the each patient. 1. A 76-year old femals patient who showed $T2_N0_M0$ squamous cell carcinoma received the regional neck dissection with resection of primary lesion. The postoperative result was uneventful without recurrence for 3.6 years. 2. A 52-year old male patient who was diagosed $_T3_N1_M0$ squamous cell carcinoma was treated with the bilateral neck dissection and radical resection of primary lesion. Metastasis was noticed on the right scapular area 8 months postoperatively. We treated him with radiation and chemotherapy, but he died 13 months postoperatively. 3. A 55-year old male patient who showed $_T2_N1_M0$ squamous cell cvarcinoma was treated with the classical neck dissection and the radical resection of primary lesion. The postoperative result was good with no recurrence for 4 years.

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A Study on Setting Darts and Split Lines of Upper Bodice Pattern on 3D Parametric Model dressed with Tight-fit Garment (밀착의형 3차원 파라메트릭 모델을 활용한 상반신 원형의 다트 및 절개분리선 설정에 관한 연구)

  • Park, Soon-Jee;Kim, Hye-Jin
    • Fashion & Textile Research Journal
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    • v.12 no.4
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    • pp.467-476
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    • 2010
  • The purpose of this study was to develop a plausible methodology based on experimental data how to set up darts and split lines on 3D parametric body dressed with tight-fit garment. The results were as following: Through the process of making convex hull, the concave parts were straightened to make a convex hull, especially in the center part of bust, under breast part and scapular part. To figure out the optimum positions of darts and split lines, the inflection points of curve ratio were searched along the horizontal polylines of waist and bust. This procedures produced reliable results with low deviation. Using Rapidform, CATIA and Unigraphics, six patches of bodice patterns were drawn and aligned. Paired t-test results showed the outline and area between 3D surface and 2D were not significantly different, meaning this method could be adaptable when flattening 3D surfaces. The amount of waist dart measured on the pattern showed that the highest portion was allocated on 2nd dart(back), followed by 1st dart(back), 1st dart(front), 2nd dart(front)/side dart, and center back dart. A series of findings suggested that curve ration inflection point could be used as a guide to set up darts and split line on 3D parametric model with low deviation.

Effects of Combination Patterns of Proprioceptive Neuromuscular Facilitation on Cervical Alignment, Self-Awareness and Physique in Patients with Forward Head Posture

  • Oh, Dong Gun;Han, Sang Jin;Yoo, Kyung Tae
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.1018-1024
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    • 2016
  • The purpose of this study was to identify the effects of cervical alignment, pain, and physique to apply proprioceptive neuromuscular facilitation(PNF) techniques in patients with forward head posture (FHP). The subjects of this study were 24 patients diagnosed with FHP. They were randomly divided into two groups: a PNF group(n=12) and a control group(n=12). The intervention was performed a total of 24 times, 30 min a day, six times a week for four weeks. Data on cervical alignment(forward head displacement, FHD), pain(visual analog scale, VAS), and physique(height, weight, and body mass index) were obtained pre- and post-intervention. Two-way repeated measures ANOVA was used to compare the groups and time. For FHD, the VAS, and physique(height and BMI), there was an interaction effect for the groups and time(p<.001, BMI: p<.05) and main effects for time(p<.001, BMI: p<.05). For weight, there were main effects of time(p<.01). For FHD(p<.01) and the VAS(p<.05), there were main effects for the groups. In the PNF group, there were significant improvements in FHD, VAS, and physique. In the control group, there was a significant increase in FHD. The results of this study indicated that PNF intervention using scapular and upper extremity patterns effective in FHP positively. The use of a therapeutic intervention on physique changes may also be effective in improving poor posture and help to better patients' quality of life.

RECONSTRUCTION OF MIDFACIAL AND PALATAL DEFECTS AFTER MAXILLECTOMY (상악골 절제술후 발생한 중앙부및 구개 결손부의 재건)

  • Kim, Hoon;Choi, Mi-Suk;Choi, Sung-Won;Kim, Ho-Kyeom;Kim, Sung-Moon;Rim, Jae-Suk;Kwon, Jong-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.1
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    • pp.1-16
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    • 1996
  • There are various defects caused by trauma or resection of maignant tumor in the orofacial region, which can be reconstructed with various regional and pararegional flaps. Among these defects, it is very difficult to reconstruct palatal and midfacial defects after maxillectomy and patients have problems in speaking and swallowing of food. Therefore it is very important for surgeons to reconstruct these defects functionally and esthetically and to return the patients to the normal social activity. These defects are usually obturated with prosthodontic appliances to assist the phonation and swallowing. But nowadays surgical reconstruction by various flaps was considered and performed for better rehabilitation. For this purpose the forehead flap, the nasolabial flap, the tongue flap, the sternocleidomastoideous flap, the temporal flap, the latissimus dorsi flap, the scapular flap etc. are used. We reconstructed small-sized plalatal defects with tongue flap, medium-sized palatal and maxillary defects after maxillectomy with temporal myofascial flap and large midfacial defects including eyeball exenteration with latissimus dorsi myocutaneous flaps. Here we are to report 5 cases of these flaps used for the reconstruction of palatal and midfacial defects and consider the versatility, reliability and limitation in use of these flaps.

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Long Term Follow Up of Maxilla Reconstruction Following the Ablative Cancer Surgery (악성종양 절제술 후 상악 재건의 장기 추적관찰)

  • Lee, Han Earl;Ahn, Hee Chang;Choi, M.Seung Suk;Jo, Dong In
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.448-454
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    • 2007
  • Purpose: The objective of this study was to evaluate the outcomes of using the free flap in the reconstruction of maxillary defects. Methods: 27 consecutive cases of maxillary reconstruction with free flap were reviewed. All clinical data were analyzed, including ideal selection of flap, time of reconstruction, recurrence of cancer, postoperative complications, flap design, and follow-up results. The main operative functional items, including speech, oral diet, mastication, eye globe position and function, respiration, and aesthetic results were evaluated. Results: Among the 24 patients who underwent maxillary reconstruction with the free flap, 14 patients underwent immediate reconstruction after maxillary cancer ablation, and 10 patients underwent delayed reconstruction. There occurred 1 flap loss. Recurrences of the cancer after the reconstruction happened in 2 cases. Postoperative complications were 3 cases of gravitational ptosis of the flap, 2 cases of the nasal obstruction, and 1 case of fistula formation. Out of 27 free flaps, there were 15 latissimus dorsi myocutaneous flaps, 5 radial forearm, 4 rectus abdominis myocutaneous flaps, 1 scapular flap, 2 fibula osteocutaneous flap, respectively. Flaps were designed such as 1 lobe in 9 cases, 2 lobes in 9 cases, and 3 lobes in 5 cases. Among the 14 patients who had intraoral defect or who had palatal resection surgery, 2 patients complained the inaccuracy of the pronunciation due to the ptosis of the flap. It was corrected by the reconstruction of the maxillary buttress and hung the sling to the upper direction. All of the 14 patients were able to take unrestricted diets. In 6 patients who had reconstruction of inferior orbital wall with rib bone graft, they preserved normal vision. Aesthetically, most of the patients were satisfied with the result. Conclusion: LD free flap is suggested in uni-maxilla defect as the 1st choice, and fibular osteocutaneous flap and calvarial bone graft to cover the larger defect in bi-maxilla defect.

Immediate Effects of Pulsed Magnetic Field in Subjects with Upper Trapezius Trigger Point

  • Kang, Sun-Young;Park, Joo-Hee;Song, Ja-Eik;Jeon, Hye-Seon;Lee, Hyun Sook
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.379-385
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    • 2014
  • Purpose: This study was to determine the immediate effects of pulsed magnetic field (PMF) in subjects with upper trapezius (UT) trigger point (TrP). Methods: Fifteen subjects with UT TrP were recruited for the study's PMF group (pain threshold=$2.29kg/cm^2$), and 15 age-, weight-, and gender-matched subjects with UT TrP were recruited for control group (pain threshold=$2.25kg/cm^2$). Pressure algometer was used to measure pressure pain threshold on UT TrP and, cervical range of motion (ROM) inclinometer was used to measure cervical ROM. Surface electromyography was used to record UT, lower trapezius, and serratus anterior muscle activity and relative ratio during scapular plane abduction between pre- and post-treatment. Results: The PMF effectively improved pain threshold and concurrently increased ROM (rotation to the painful side, lateral flexion to the nonpainful side). In addition, the PMF may effectively deactivate UT activity during abduction and the muscle activity ratio between UT and serratus anterior. Conclusion: These findings provided empirical evidence that PMF can be an effective treatment method to reduce pain threshold, to increase cervical ROM, and deactivate UT activity in individuals with TrP.

A Study of Tube Angle and Patient's Rotation Angle in Scapular Y View (어깨뼈 후전사방향촬영에서 Tube 각도와 환자의 회전각도 관한 연구)

  • Ahn, ByeoungJu;Lee, JunHaeng
    • Journal of the Korean Society of Radiology
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    • v.7 no.4
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    • pp.271-275
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    • 2013
  • Shoulder bone scan everyday life, sports activities at the side of the shoulder joint, or applying strong force in the lateral occurs. Mainly on upper arm abduction, temple, other rotational dislocation of the shoulder joint gahaejyeo as useful for observing the presence or absence of lesions is used. Shoulder PA oblique projection prevent distortion of the image due to the angle and the most useful diagnostic radiological investigate shooting angle. Shoulder blade body and the acromion and coracoid process Y-view is formed characters. $10^{\circ}$ angle between the shoulder blades and the acromion is the obstruction. $20^{\circ}{\sim}25^{\circ}$ to the Y-view of the humerus head looks superimposed, the position of the shoulder joint and seemed appropriate. $35^{\circ}$ of the humerus head superimposed on the Y-view, but above the humerus head and shoulder joints were distorted. When $45^{\circ}$ elevation observed on the side of the best has come Y-view also acromion and coracoid process is finished.

Review on the location of SI11 (천종(天宗)(SI11)의 위치에 대한 고찰)

  • Choi, Joon-Soo;Lee, Byung-Ryul;Yang, Gi-Young;Yim, Yun-Kyung
    • Korean Journal of Acupuncture
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    • v.27 no.1
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    • pp.151-158
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    • 2010
  • Objectives and Methods: The present study was performed to investigate acupuncture point location of SI11 through reviewing literatures. Results: 1. The first description of the location of SI11 appeared in "ChimGuGabEulGyong(ZhenjiuJiayiJing)", however the point description was not precise. 2. The first proportional measurement for SI11 showed up after Ching dynasty, which describes "SI11 is the point obliquely superiour 1.7 B-cun and transeversly interior to SI9" however this does not match the present WHO's standard location of SI11. 3. The WHO standard location of SI11 is in the scapular region, in the depression between the upper one third and lower two thirds of the line connecting the midpoint of the spine of the scapula with the inferior angle of the scapula, but there is no evidence to support this in classical literatures. 4. Based on myology and theories of meridian, we suggest that it is more reasonable to locate SI11 at the point in the depression between the upper two third and lower one thirds, not the upper one third and lower two thirds, of the line connecting the midpoint of the spine of the scapula with the inferior angle of the scapula. Conclusions: More studies are needed for the more reliable standard location of SI11.

Free Flaps for Old High Tension Electrical Burns Around the Wrist (고압 전기감전시 발생한 수근관절 주위의 진구성 연부조직 결손에 대한 유리 피판술)

  • Kim, Hyoung-Min;Jeong, Chang-Hoon;Lee, Gee-Heng;Koh, Young-Seok
    • Archives of Reconstructive Microsurgery
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    • v.7 no.1
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    • pp.68-72
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    • 1998
  • With the advent of microvascular free-tissue transfer, this single stage resurfacing method for large scar and soft tissue defects around the wrist in the patients of electrical burn has distinctive advantage over the conventional multistage pedicle-flap transfer. Between 1992 and 1996, we treated 9 cases of 8 patients who had large scar around the wrist due to old electrical burn with free flaps as a preparation of staged tendon graft. Mean age was 30.3 years and average scar area was $6{\times}11cm$. The length of time the injury and free flaps was 9 months on an average. Prior to the free flap, we performed the angiography to all patients in order to evaluate the circulation of the forearm and hand and to choose the recipient vessel. In all cases, proximal ulnar arteries in the forearm remained intact and all radial arteries remained intact in 8 of 9 cases on angiogram. The interosseous arteries were well visualized in all cases. We used the ulnar arteries as a recipient artery. The types of flaps used were f scapular cutaneous flaps, 2 dorsalis pedis flaps and a radial forearm flap. Flap survial was 100 percents with satisfactory functional and cosmetic results. Free flaps using ulnar artery as a recipient artery is one of the useful reconstruction methods for the resurfacing of large scar around the wrist in the patients of old electrical burn.

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