• Title/Summary/Keyword: soft tissue damage

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The Clinical Effects of Carthami-Flos Herbal Acupuncture in Neck Pain Due to Soft Tissue Damage (연부조직(軟部組織) 손상(損傷)으로 인한 경항통(頸項痛) 환자의 홍화(紅花) 약침(藥鍼) 치료(治療)에 관한 임상적 고찰)

  • Kim, Hyo-eun;Kang, Young-hwa;Cho, Meoung-jae;Kim, Tae-woo;Kim, Eun-young;Na, Chang-su
    • Journal of Acupuncture Research
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    • v.19 no.4
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    • pp.112-123
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    • 2002
  • Objective : This study was designed to find out the effects of Carthami-Flos herbal acupuncture theraphy on neck pain due to soft tissue damage. Methods : This study was carried out for 34 patients who had neither structural defectiveness of cervical spine nor neural injury but simple soft tissue damage among poeple who visited Hye-dang Oriental Hospital from December 1, 2001 to June 15, 2002. Group A of 17 patients was taken Carthami-Flos herbal acupuncture treatment. Group B of 17 patients was taken common acpuncture treatment. Results : We have found out the good effects of Cathami-Flos herbal acupuncture on the patients due to soft tissue damage. Conclusion : The Carthami-Flos herbal acupuncture treatment is useful on the patients of neck pain due to soft tissue damage.

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The Clinical Effects of Korean Bee-Venom Therapy in Neck Pain Due to Soft Tissue Damage (연부조직(軟部組織) 손상(損傷)으로 인한 경항통(頸項痛) 환자의 봉약침(蜂藥鍼) 치료(治療)에 관한 임상적 고찰)

  • Kang, Young-hwa;Kim, Hyo-eun;Cho, Meoung-jae;Kim, Tae-woo;Yoon, Ki-boong;Kim, Eun-young
    • Journal of Acupuncture Research
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    • v.19 no.6
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    • pp.67-79
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    • 2002
  • Objective : This study was designed to find out the effects of Korean bee-venom therapy on neck pain due to soft tissue damage. Methods : This study was carried out for 34 patients who had neither structral defectiveness of cervical spine nor neural injury but simple soft tissue damage among poeple who visited Hye-dang Oriental Hospital from March 4, 2002 to September 30, 2002. Group A of 17 patients was taken Korean bee-venom therapy Group B of 17 patients was taken common acupuncture therapy. Results : We have found out the good effects of Korean bee-venom therapy on the patients due to soft tissue damage. Conclusions : The Korean bee-venom therapy is useful on the patients of neck pain due to soft tissue damage.

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S-100B in Extracranial Fracture Patients Without Head Trauma (두부 손상이 없는 골절 환자에서 혈중 S100B 단백질의 분석)

  • Park, Tae-Woong;Lee, Dong-Hoon;Lee, Sang-Jin;Kim, Sung-Eun;Kim, Chang-Woong
    • Journal of Trauma and Injury
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    • v.22 no.2
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    • pp.123-127
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    • 2009
  • Purpose: There is an increasing amount of evidence that S100B could function as a marker of brain damage. However, the cerebral specificity of S100B has been questioned, so the extracerebral sources of S100B have been paid attention. We performed this investigation to show serum S100B levels after extracranial fracture in patients without current head injury and without prior neurological disease. Methods: At the emergency department, we obtained the blood samples within 6 hours from trauma patients hospitalized with extracranial fractures. S100B levels were compared between one fracture and more than two fractures, and analyzed according to the presence of soft tissue damage. Results: Patients with one fracture and those with more than two fractures did not differ by age (mean, 54.70 vs. 47.03, p=0.130), and there was no significant difference in the male-to-female ratio(33:32 vs. 21:12, p=0.226). In patients with one fracture, the mean value of S-100B was $0.56{\mu}g/L$ (95% CI: 0.35-0.77) whereas in those with more than two fractures, the corresponding value was $1.09{\mu}g/L$ (95% CI: 0.46-1.7, p=0.048). The S100B level of patients with soft tissue damage($1.32{\pm}0.38$) was higher than that of patients without soft tissue damage($0.81{\pm}0.21$), whether one fracture or more than two fractures(p=0.049). Conclusion: We present here that S100B levels were raised in 77% of patients with extracranial fractures without cerebral injury who were hospitalized from the emergency room and that the presence of soft tissue damage contributed to the increased S100B rather than the size of the fractured bone size or the number of fracturest. Thus, this study suggests that soft tissue injury may be considered as an important extracerebral source of S100B.

Aesthetic soft tissue management in facial trauma (안면 외상에서 연부조직 치료에 있어 미용적 재건)

  • Chung, Kyu Jin;Kim, Tae Gon;Lee, Jin Ho
    • Journal of the Korean Medical Association
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    • v.61 no.12
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    • pp.715-723
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    • 2018
  • Facial soft tissue injury due to trauma is common. Severe damage of soft tissue causes functional and cosmetic problems. In the initial evaluation of patients with facial trauma, airway maintenance and respiratory maintenance are the most important. The principles of treatment include adequate irrigation and debridement, primary closure, or secondary wound healing. Postoperative care such as taping, silicone gel sheeting, and sun screening is important to prevent scarring. The scalp and forehead are abundant in blood and can cause severe bleeding. The eyelid is very thin and has a multi-layered structure, requiring accurate suturing and reconstruction of the layers. It is advisable to determine the presence of hematoma in the ear and treat it. When the cheek area is damaged, it is necessary to identify and treat the damage of the parotid gland and the facial nerve branch. The lips should be sewn with the white roll of lip and vermillion.

A Survey on the Complications Associated with Acupotomy in a Single Korean Medicine Clinic (일개한의의료기관에서 시행한 침도치료 시술 후 이상반응에 대한 설문조사)

  • Jung, Sehun;Woo, Jongwon;Chae, Hyocheong;Oh, Kichang;Choi, Soyoun;Lee, Joohyun;Kang, Kyungho;Chu, Hongmin;Ryu, Myungseok
    • Korean Journal of Acupuncture
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    • v.37 no.4
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    • pp.253-261
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    • 2020
  • Objectives : This study aimed to evaluate adverse outcome associated with acupotomy and compare it with that of acupuncture. Methods : We retrospectively analyzed the chart records of 71 patients who received acupotomy at Daemyung Korean medical clinic from January 7, 2020 to March 6, 2020. We divided the acupotomy treatment area into 10, including the head, hand, chest, knees, shoulders, low back, neck, upper extremities, thighs, and feet. Furthermore, we investigated the adverse effect of acupotomy on those areas after treatment. Data were analyzed using descriptive statistics, and frequency analysis. Results : 'Bruise of specific region' accounted for the largest portion with 29 cases, followed by 24 cases of 'feeling tired and sleepy' and 17 cases of 'itch'. There were 16 cases of 'sustained pain' at the area of treatment, 11 cases of 'fatigue', 5 cases of 'swelling', 5 cases of 'dizziness', 4 cases of 'hematoma'. There were 3 cases of 'vertigo' and 2 cases of 'parathesia' and 'wide bruises', 'headache', 'gastric discomfort', 'bleeding', and 'skin rash' each. There was one case each that experienced 'unclear pronunciation', 'nausea', 'abnormal sweating', 'vomiting' and 'emotional/psychological reactions'. Conclusions : Adverse outcomes associated with acupotomy were mostly 'bruise of specific region', 'feeling tired and sleepy', 'itch', 'sustatained pain', and 'fatigue'. However, no adverse outcome or irreversible damage that have a serious effect on the body were observed.

Slippage Behavior Due to the Calcaneus Fixation and Achilles Tendon Soft Tissue in Posterior Cruciate Ligament (PCL) Reconstruction (PCL 재건술용 아킬레스 이식건의 종골편 고정법과 연부조직 고정법에 따른 활주거동)

  • Kim, Cheol-Woong;Lee, Ho-Sang;Bae, Ji-Hoon;Wang, Joon-Ho;Park, Jong-Woong;Oh, Dong-Joon
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1527-1532
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    • 2008
  • 45% of the sports accidents is the knee damage and the representative case is the damage of an Anterior Cruciate Ligament (ACL) and the Posterior Cruciate Ligament(PCL). Although the past different views of ACL reconstruction comes to an agreement, the disputes of PCL is remained yet. The most important engineering approach for these various surgery techniques is accurately to understand and to evaluate the fatigue behavior depending on the stress flow and the stress distribution under the allotted load and the cyclic load, which are caused by the graft fixing device, the proximal tibia of the PCL reconstructing structure. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The relationships between the slippage, the extension ratio, and the slippage ratio by the heel bone fixing method and the soft tissue fixing method of the Achilles tendon were also defined. This research will be the essential data to help the resonable operating techniques for the next PCL reconstruction.

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Irreducible Spacer Subluxation after Total Ankle Replacement Arthroplasty in a Patient with Rheumatoid Arthritis: A Case Report (류마티스 환자의 발목 인공관절 치환술 이후 발생한 정복되지 않는 충전물의 아탈구: 증례 보고)

  • Seo, Dong-Kyo;Kim, Sang Young
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.181-184
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    • 2021
  • End-stage ankle arthritis is a debilitating condition that causes functional limitations and consequently a poor quality of life. Total ankle replacement arthroplasty is a good alternative to arthrodesis for preserving the ankle's range of motion. However, many complications can occur in patients with rheumatoid arthritis and with poor soft tissue and bone conditions. A 61-year-old female experienced spacer subluxation after surgery, which was not reduced by medial soft tissue release and spacer change. Buttress plating was found to be a good treatment option to prevent spacer subluxation and can be considered in patients with rheumatoid arthritis with bone erosion and soft tissue damage.

Evaluation of Biomechanical Properties of Fractured Adjacent Soft Tissue Due to Fracture Site Spacing During Closed Reduction After Forearm Fracture: Finite Element Analysis (전완 골절 후 도수 정복 시 골절 부위 간격에 따른 골절 인접 연부 조직의 생체역학적 특성 평가: 유한요소해석)

  • Park, Jun-Sung;Lee, Sang Hyun;Song, Chanhee;Ro, Jung Hoon;Lee, Chiseung
    • Journal of Biomedical Engineering Research
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    • v.43 no.5
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    • pp.308-318
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    • 2022
  • The purpose of this study is to evaluate the biomechanical properties of fractured adjacent soft tissue during closed reduction after forearm fracture using the finite element method. To accomplish this, a finite element (FE) model of the forearm including soft tissue was constructed, and the material properties reported in previous studies were implemented. Based on this, nine finite element models with different fracture types and fracture positions, which are the main parameters, were subjected to finite element analysis under the same load and boundary conditions. The load condition simulated the traction of increasing the fracture site spacing from 0.4 mm to 1.6 mm at intervals of 0.4 mm at the distal end of the radioulnar bone. Through the finite element analysis, the fracture type, fracture location, and displacement were compared and analyzed for the fracture site spacing of the fractured portion and the maximum equivalent stress of the soft tissues adjacent to the fracture(interosseous membrane, muscle, fat, and skin). The results of this study are as follows. The effect of the major parameters on the fracture site spacing of the fractured part is negligible. Also, from the displacement of 1.2 mm, the maximum equivalent stress of the interosseous membrane and muscle adjacent to the fractured bone exceeds the ultimate tensile strength of the material. In addition, it was confirmed that the maximum equivalent stresses of soft tissues(fat, skin) were different in size but similar in trend. As a result, this study was able to numerically confirm the damage to the adjacent soft tissue due to the fracture site spacing during closed reduction of forearm fracture.

Clinical study of maxillofacial trauma of children (소아 구강악안면 영역의 외상에 관한 임상적 연구)

  • Kim, Hak-Ryeol;Kim, Yeo-Gab
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.1
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    • pp.43-52
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    • 2010
  • Purpose: To research about maxillofacial traumatic injuries of children in aspects of gender difference, various incidence rates between age, trauma type, cause, monthly and daily incidence rate, type of tooth damage, gingival damage, soft tissue damage, and type of facial bone fracture. Materials and methods: Study group consisted of children under 15 years of age who visited Dental Hospital, School of Dentistry, Kyung Hee University from 2004/7/1 to 2007/6/30 with chief complaint of oral and maxillofacial traumatic injuries. 1,559 cases of traumatic injuries were studied from 1,556 (1,004 male, 552 female) children. Conclusion: 1. There were slightly more boys than girls, giving a male-to-female ratio of 1.82:1.0. The 1-3 year old boys and girls had the highest number of traumatic injuries. 2. Of the 1,556 patients, 68.63% had soft tissue injuries, 50.22% had periodontal injuries, 29.89% had teeth injuries, and 3.85% had maxillofacial bone fractures. 3. Falling down was the most common cause of injury in both sexes. 4. The months with the highest incidence rates were in order May (12.12%), June (11.74%), and October (11.13%). Most of the injuries occurred on weekends. 5. The most common tooth injury was uncomplicated crown fracture, and the most common periodontal injury was subluxation. The majority of traumatizes teeth were the upper central incisors. 6. The most common soft tissue injury was intraoral lacerations. 7. Mandibular fractures were most frequent in facial bone fractures; symphysis, condylar head, and angle fractures were most frequent in mandibular fractures; maxillary and nasal bone fractures were most frequent in midfacial bone fractures.

The Immediate Effects of Graston Instrument-Assisted Soft-Tissue Mobilization and Self-Stretching on the Muscular Properties of the Gastrocnemius in Athletes

  • Kang, Ho-Seong;Lee, Jung-Hoon
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.4
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    • pp.29-35
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    • 2020
  • PURPOSE: This study examined the immediate effects of Graston instrument-assisted soft-tissue mobilization (GIASTM) and self-stretching on the muscular properties of the gastrocnemius in athletes. METHODS: Thirty subjects (All in their 20 s) were distributed randomly and evenly into two groups of 15 each: GIASTM and stretching. The subjects had no history of gastrocnemius damage in the previous three months. The muscle tone, stiffness, elasticity, and mechanical stress relaxation time (MSRT) of the gastrocnemius were blind-tested. RESULTS: The GIASTM group showed significant changes in all categories, while only MSRT changed significantly in the self-stretching group after intervention. A comparison of the two groups revealed significant differences in stiffness, elasticity, and MSRT (Time required for the muscle to recover after distortion after intervention in the GIASTM group. CONCLUSION: In this study, significant decreases in muscle tone and stiffness, as well as significant increases in elasticity, were observed in the gastrocnemius of the GIASTM group. On the other hand, sSelf-stretching showed significant differences in MSRT. Therefore, GIASTM is more effective in the recovery of the gastrocnemius muscle from fatigue than self-stretching. This study suggests that GIASTM can help prevent damage to the gastrocnemius in athletes and contribute to their training and rehabilitation programs.