• 제목/요약/키워드: soft tissue

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소도구를 활용한 연부조직가동술이 주관절 외측상과염 환자에게 통증과 악력, 기능, 고유수용성감각에 미치는 영향 (The Effect of Soft Tissue Mobilization Using Prop on the Pain, Grip Strength, Functional Activity and Proprioception in Patients with Lateral Epicondylitis)

  • 안승원;유태근
    • 대한정형도수물리치료학회지
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    • 제23권1호
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    • pp.15-22
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    • 2017
  • Background: The purpose of this study was to investigate into the effect of soft tissue mobilization using prop on the pain, grip strength and functional activity in patients with lateral epicondylitis. Methods: Fifteen patients with lateral epicondylitis were recruited. Before treatment, they were evaluated using visual analogue scale (VAS), grip strength, test, patient-rated tennis elbow evaluation (PRTEE), proprioception, and were reevaluated after six weeks of treatment. Results: As a result of comparing all participants before and after the experiment, the grip strength increased significantly (p<.05). And the VAS, PRTEE, and proprioception decreased significantly (p<.05). Conclusion: According to the results above, soft tissue mobilization using prop can help improve pain, grip strength, PRTEE and proprioception. Also, soft tissue mobilization using Blackroll's Twister technique was able to select interventions depending on the patient's condition and the desired goal.

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전외측 대퇴 유리피판술을 이용한 연부조직 결손의 재건 (Reconstruction of Soft Tissue Defects using Anterolateral Thigh Free Flap)

  • 박명철;이영우;이병민;김관식
    • Archives of Reconstructive Microsurgery
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    • 제6권1호
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    • pp.103-110
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    • 1997
  • Since R.Y. Song(1982) has reported anatomic studies about septocutaneous perforator flap, various experiences especially on thigh flaps pedicled on septocutaneous artery were reported. Baek(1983) reported an anatomic study through the cadavers dissections on medial, lateral thigh area and provided the first new cutaneous free flap of thigh for clinical use. Song, et a1.(1984) reported anterolateral thigh free flap, Koshima, et al.(1989) reported pedicle variations and its versatile clinical usages. According to their reports, accessory branches of lateral femoral circumflex artery are placed in comparatively constant location and proved to be the effective pedicle of this flap. The advantages of anterolateral thigh free flap are 1) comparatively thin 2) can obtain sufficiently large flap 3) can contain cutaneous nerve 4) can be easy to approach anatomically because pedicle is located in comparatively constant position 5) minimal donor site morbidity. We report the experience of 10 cases of anterolateral thigh free flap coverage for soft tissue defects: 4 cases of soft tissue defects on foot area, 2 cases of soft tissue defects on hand, 3 cases of partial tongue defects owing to tongue cancer ablation, and 1 case of soft tissue defect on nasal alar.

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넓은 유리 광 배 근피부 판을 이용한 하지 재건술 (Reconstruction of the Lower Extremities with the Large Latissimus Dorsi Myocutaneous Free Flap)

  • 이준모;허달영
    • Archives of Reconstructive Microsurgery
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    • 제9권1호
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    • pp.80-87
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    • 2000
  • Acute high speed accidents that results in full thickness skin defect and exposure of tendon, nerve, vessel and periosteum over denuded bone demands soft tissue coverage. Exposed bone often ensues chronic infection and requires free flap transplantation which surely covers defects in one stage operation and enhances transport of oxygen-rich blood and converts a non-osteogenic or partially osteogenic site into a highly osteogenic site, but exposed bone which had performed free flap transplantation sometimes necroses and needs secondary bone procedure. Scar contracture limits joint motion should be excised and covered with normal soft tissue to restore normal range of motion. Authors have performed the large latissimus dorsi myocutaneous free flap in 8 cases of extensive soft tissue defect and exposed bone lesion in the leg and 1 case of the flap was failed. The secondary ilizarov bone procedure was performed in 3 of 8 cases. 2 cases of large burn scar contracture and 1 case of posttraumatic scar contracture in lower extremity were restored with the large latissimus dorsi myocutaneous free flap. Authors concluded that large latissimus dorsi myocutaneous free flap is the most acceptable microvascular procedure in large soft tissue defect combined with exposed periosteum and bone requiring secondary bone procedure and in large burn scar contracture limiting knee joint motion.

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Lateral Supramalleolar Flap for Reconstruction of Soft Tissue Defect around the Ankle Joint

  • Han, Soo-Hong;Kim, Seong-Hui;Lee, Soon-Chul;Lee, Ho-Jae;Kim, Woo-Hyun;Bong, Sun-Tae;Song, Won-Tae
    • Archives of Reconstructive Microsurgery
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    • 제23권1호
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    • pp.13-17
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    • 2014
  • Purpose: Soft tissue defect on foot and ankle is vulnerable and requires a thin flap for improvement of aesthetic and functional results. Lateral supramalleolar flap is a simple and fast procedure, which can preserve and supply reliable constant blood flow, and causes fewer donor site complications. The authors reviewed our cases and report the clinical results. Materials and Methods: Ten cases of soft tissue defects on the lower leg, around the ankle were treated with lateral supramalleolar flap. There were seven males and three females with a mean age of 54.8 years. The mean size of flaps was $5.9{\times}6.3$ cm and the mean follow-up period was 23 months. Flap survival and postoperative complications were evaluated. Results: Nine flaps survived completely without loss of flap. There was one case of partial wound dehiscence requiring debridement and repair, and another case of necrotic flap change requiring partial bone resection and closure. All patients were capable of weight bearing ambulation at the last follow up. Conclusion: The authors suggest that the lateral supramalleolar flap could be a useful option for treatment of soft tissue defect around the ankle joint.

연부조직 병변의 세침흡인 세포학적 소견 (Cytologic Features of Soft Tissue Lesions)

  • 옥순애;공경엽;최기영;허주령;유은실;이인철
    • 대한세포병리학회지
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    • 제6권1호
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    • pp.27-35
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    • 1995
  • We reviewed 93 cases of fine needle aspiration of skin/subcutaneous and soft tissue lesions with histologic confirmation. On the basis of the most prominent cytologic features, morphologic classification of the aspirates was done. Skin and subcutaneous lesions included endometriosis, epidermal inclusion cyst, fat necrosis, pilomatrixoma and nodular fasciitis. Neoplastic lesions of soft tissue were categorized as ; round cell, spindle cell, polygonal cell, well-differentiated and myxoid tumor. This classification is convenient to recognize and categorize most soft tissue tumors.

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후복강에서 기원한 비혈관성 연부조직 육종 증례 (Soft Tissue Sarcomas Originating from Retroperitoneal Cavity in a Maltese Dog)

  • 신정민;박승조;이상권;최지혜
    • 한국임상수의학회지
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    • 제32권1호
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    • pp.115-119
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    • 2015
  • An 11-year-old spayed female maltese was presented for abdominal distention, dysuria and dyschezia. Panting and heart murmur was found and abdominal palpation was difficult due to increased abdominal pressure. A soft tissue mass, $6{\times}3cm$ in size, was identified radiographically in pelvic canal, displacing the descending colon to the medioventral direction and the urinary bladder cranially. On ultrasonography, the mass consisted of homogeneous hypoechoic parenchyma containing the focal hyperechoic region ($1.6{\times}1.5cm$). The mass had distinct margin and no connection with adjacent organs. It was considered as a mass originating from the retroperitoneal cavity. Additional diagnostic procedures were not advanced because of the owner's request, and only a surgical excision of the mass was performed to alleviate the dysuria and dyschezia. Histopathologic examination and immunohistochemistry determined the mass as a soft tissue sarcoma and excluded hemangiosarcoma and osteosarcoma, both are the most common types of the retroperitoneal tumors. This report described non-vascular soft tissue sarcoma originating from the retroperitoneal cavity in a maltese dog.

유치열기(乳齒列期) 아동(兒童)의 악안면연조직(顎顔面軟組織)의 두부방사선(頭部放射線) 계측학적(計測學的) 연구(硏究) (A ROENTGENOCEPHALOMETRIC STUDY OF SOFT TISSUE PROFILE FOR THE CHILDREN IN THE DECIDUOUS DENTITION)

  • 김동필;김남홍
    • 대한소아치과학회지
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    • 제11권1호
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    • pp.191-213
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    • 1984
  • This study was made on the facial profile of the normal Korean children using the roentgenographic cephalograms. The subjects consisted 51 males and 47 females children of primary dentition with the normal occlusion and acceptable profile. For this study 13 soft tissue profile landmarks were plotted and 14 liner length, 9 soft tissue thickness, 8 vertical height length, 12 angles of soft tissue profile, and 2 vertical proportion were measured. The mean and standard deviations in the subjects were calculated and compared between male and female. The following results were obtained : 1. By the significant test, total facial convexity angle and soft tissue thickness were no significant difference between both sexes. 2. Lower facial height was greater than upper facial height in both sexes. 3. The vertical length of the upper and lower lips were 21.95 mm, 40.74 mm in male and 21.62 mm, 39.63 mm in female. 4. In the relationship of the upper lip and lower lip to the Ricketts' esthetic line, the male was 1.3 mm, 1.18 mm and the female was 1.16 mm, 1.27 mm front of the esthetic line. 5. Compared with the angulation of flush terminal plane group and mesial step group, the mesial step group was greater than the flush terminal plane group except the chin angle.

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T2강조영상에서 저신호강도를 보이는 연부 조직 종양: 병리소견과의 비교 (Soft Tissue Masses Showing Low Signal Intensity on T2-weighted Images: Correlation with Pathologic Findings)

  • 송유선;이인숙;최경운;조길호;이성문;이영환;김정일
    • Investigative Magnetic Resonance Imaging
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    • 제18권4호
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    • pp.279-289
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    • 2014
  • 목적: 본 연구는 T2 강조영상에서 저신호강도를 보이는 연부조직 종양의 특징적 자기공명영상 소견을 병리학적 소견과 연관지어 알아보고자 하였다. 결론: T2 강조영상에서 저신호강도를 보이는 드문 연부조직 종양의 종류에 대해 인지하고 동시에 특징적 위치, 모양, 다른 강조영상에서의 신호강도를 아는 것은 비특징적인 연부조직 종양의 감별진단에 도움이 되었다.

무지 외반증에서 외측 연부 조직 유리술을 함께 시행한 원위 갈매기형 절골술의 치료 결과 (The Results of Distal Chevron Osteotomy with Lateral Soft Tissue Release for Hallux Valgus Deformity)

  • 이호승;지형철;이성우;김종민
    • 대한족부족관절학회지
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    • 제10권2호
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    • pp.156-162
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    • 2006
  • Purpose: To evaluate the results and effectiveness of distal chevron osteotomy combined with lateral soft tissue release for the correction of hallux valgus deformity. Materials and Methods: 31 patients who underwent distal chevron osteotomy with lateral soft tissue release between July 2002 and June 2003, were analyzed in terms of hallux valgus angle, intermetatarsal angle, subluxation of sesamoid, AOFAS score and the occurrence of avascular necrosis of the first metatarsal head. Results: The mean amount of the correction of hallux valgus angle was $26.3^{\circ}$. The mean amount of the correction of intermetatarsal angle was $6.6^{\circ}$. The mean amount of the correction of sesamoid subluxation was 1.2 points. The mean improvement of AOFAS score was 25.8 points. Avascular necrosis of the first metatarsal head was not found in any cases. Conclusion: For correction of hallux valgus deformity, distal chevron osteotomy with lateral soft tissue release showed improvement of hallux valgus angle, sesamoid subluxation and AOFAS score with no evidence of avascular necrosis of the first metatarsal head.

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역행성 표재 비복동맥 피판을 이용한 족부 및 족관절부, 하지 원위부의 재건 (Reconstruction of the Soft Tissue Defect of the Foot, Ankle and Distal Lower Extremity with Distally Based Superficial Sural Artery Flap)

  • 이병호;김성진;김경호
    • Archives of Reconstructive Microsurgery
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    • 제8권2호
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    • pp.184-191
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    • 1999
  • Reconstruction of soft tissue defect of the foot, ankle and distal tibial area has been and remains a challenging problem for reconstructive surgeons. We treated 19 patients who showed soft tissue defect in these area with distally based superficial sural artery flaps, including four adipofascial flaps, two sensate flaps. The size of the soft tissue defect was from $4{\times}5cm\;to\;8{\times}10cm$. In nine cases, we preserved sural nerve. Seventeen flaps survived completely, but one flap failed and another flap showed partial skin necrosis at the distal half. In failed cases, lesser saphenous vein was ruptured at initial injury. The advantage of this flap is a constant and reliable blood supply without sacrifice of major artery or sensory nerve. Elevation of the flap is technically easy and quick. The pedicle is long and the island flap can be transffered as far as to the instep area. It also has the potential for sensate flap, innervated by the lateral sural cutaneous nerve. But for appropriate venous drainage small saphenous vein must be preserved.

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