• 제목/요약/키워드: talus

검색결과 203건 처리시간 0.025초

Stage II B형 골육종에 대한 술전 항암화학요법 및 수술적 치료 결과 (Clinical Results of Neo-Adjuvant Chemotherapy and Surgery on Osteosarcoma)

  • 강용구;김형민;이승구;우영균;김정만;김훈교
    • 대한골관절종양학회지
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    • 제2권1호
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    • pp.27-32
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    • 1996
  • Recent advances in imaging techniques, surgery and combination anti-cancer chemotherapy have brought high survival rates in osteosarcoma. To investigate the survival rate, local recurrence and complications in treatment, we analysed 25 osteosarcoma cases who had been treated with preoperative neo-adjuvant chemotherapy, surgery and post operative chemotherapy at Department of Orthopedic Surgery, Catholic University. From May 1988 to April 1995, 42 cases of stage IIB osteosarcoma were admitted in Department of Orthopedic Surgery. Among them, 17 cases who didn't follow our treatment guidance were excluded in this study. The average age were 19 years. There were 21 males and 4 females. The involved sites were 4 humerus, 10 femur, 10 tibia and 1 talus. Eleven cases had received intraarterial cisplatin and intravenous adriamycin chemotherapy, and 7 T-10 protocol and 7 intravenous ifosfamide, ADR, methotrexate, cisplatin. Twenty-three cases were treated with limb salvage surgery, and 2 amputation. The average follow-up was 35 months(3~82). There were 14 cases of continuous disease free, 9 cases of died of disease, 1 case of alive with disease, and 1 case of no evidence of disease at final follow-up. There were three cases of local recurrence at 6,8 and 12 months after operation. The estimated Kaplan-Meier's 5 year survival rates for all, ADR-cisplatin group, T-10 protocol group, and ifosfamide regimen group were 6%, 73%, 44% and 72%, respectively.

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아급성기의 발목 외측 염좌 환자에게 수동적 관절가동기법과 마사지가 미치는 영향 (The Effect of Passive Joint Mobilization and Massge on subacute Lateral Ankle Ligament Injuroes)

  • 구창회;이인학;박경리;배성수
    • The Journal of Korean Physical Therapy
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    • 제17권4호
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    • pp.457-467
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    • 2005
  • Physiotherapyists frequently use manipulative therapy technique to treat dysfunctionand pain resulting from ankle sprain. Despite the high prevalence of lateral ankle ligament injuries, few studies are available indicating any physical associations with the development of lateral ankle ligament injuries, or information of treatment for lateral ankle ligament injuries. To investigate the effect of passive joint mobilization, the anteroposterior glide on the talus, on increasing weight-bearing dorsiflexion, single support time and VAS. Sixty lateral ankle ligament injuries (grade I and grade II) aged between 17 and 27 years (mean age 21) were recruited. Subjects were randomly assigned to 1 of 2 treatment groups. The control group received a protocol of rest, ice, compression, and elevation (RICE) and massage. The experimental group received the anteroposterior mobilization, using a force that avoided incurring any increase in pain, in addition to the RICE protocol. Subjects in both groups were treated every second day for a maximum of 2 weeks or until the discharge criteria were met, and all subjects were given a home program of continued RICE application. Outcomes were measured after each treatment. The results showed that the experimental group than the control group. Weight-bearing dorsiflexion (F=7.640, P<0.05), single support time (F=85.532, P<0.05) and VAS (F=10.610, P<0.050). Between-groups differences were observed as; experimental group is increased weight-bearing dorsiflexion, single support time and reduced VAS.

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봉합 나사를 이용한 변형 Br$\ddot{o}$strom 술식 및 관절경 검사를 이용한 족관절 외측 불안정성의 치료 (Treatment of Chronic Ankle Lateral Instability using Modified Br$\ddot{o}$strom Procedure with Anchor suture & Arthroscopy)

  • 이진영;김갑래;이은수;박현진
    • 대한족부족관절학회지
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    • 제13권2호
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    • pp.175-178
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    • 2009
  • Purpose: To evaluate the result of modified Br$\ddot{o}$strom procedure with anchor suture and explore associate lesion under arthroscopy for chronic lateral instability. Materials and Methods: From May 2005 to March 2009, Retrospective analysis of 126 patients with chronic lateral instability who underwent modified Br$\ddot{o}$strom procedure with anchor suture and arthroscopic procedure was done. Mean follow-up period was 13 months. Results: Chronic lateral instability of the ankle almost had local synovitis by arthroscopic examination. There were osteochondral lesion of talus on the anteromedial aspect in 63 cases, on the anterolateral aspect in 25 cases, osteochondral lesion of tibia side in 8 cases, fat hypertrophy of tibiofibular space in 120 cases, anterior fat impingement in 26 cases, intra-articular loose body in 13 cases. Mean Karlsson scoring scale was improve from 53 preoperatively to 91 postoperatively, There were 70 cases excellent, 27 cases good, 26 cases fair, 3 cases poor result according to the Sefton procedure. Conclusion: Modified Br$\ddot{o}$strom procedure with anchor suture and arthroscopic procedure are reliable treatment method for chronic ankle lateral instability which has intraarticular pathology.

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인도네시아 반둥 남부 지역에서의 지형/위성영상 분석결과와 지질과의 상관성 연구 (Relationship between terrain/satellite image and geology of the southern part of the Bandung, Indonesia)

  • 김인준;이사로
    • 자원환경지질
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    • 제36권2호
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    • pp.133-139
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    • 2003
  • 본 연구에서는 인도네시아 반둥 남부지역에 대하여 지질조사 시 기초 자료를 제공하기 위해 지형 및 위성영상 분석결과와 지질과의 상관성 분석을 실시하였다. 이를 위해 지형, 지질 및 위성영상에 대한 공간 DB를 구축하였고, 지형자료로부터 지형, 고도분포도, 경사도, 경사방향도, 곡률도 및 음영기복도를, 위성영상으로부터 선구조, 선구조 밀도 및 식생지수를 추출하여 공간 DB를 구축하였다. 이렇게 구축된 공간 DB와 지질과의 상관성 분석 결과 본 연구지역에서 는 지질 분포가 지형과 밀접한 관계가 있었다. 퇴적암층들은 지형분석과 지질과의 관계를 볼 때 각 층에 대하여서는 일치하지 않으나 전체적으로 놓고 볼 때는 매우 잘 일치함을 볼 수 있다. 화산암층에서는 응회암층과 화산각력암층이 지형분석결과와 잘 일치됨을 볼 수 있다. 테일러스층은 지형 및 위성영상 분석과 매우 잘 일치함을 나타내고 있다.

대구 비슬산지 내 지형자원의 활용방안에 관한 연구 (A Study on the Use Planning of Geomorphic Resources within Biseulsan(Mt. Biseul), in Daegu City)

  • 전영권;손명원
    • 한국지역지리학회지
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    • 제10권1호
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    • pp.53-66
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    • 2004
  • 비슬산에는 천연기념물 제435호인 비슬산 암괴류를 비롯하여 다양한 화강암 지형이 발달한다. 대견사지 그리고 인근 정상부 고위평탄면에 발달한 참꽃 군락은 비슬산을 찾는 탐방객들에게 많은 문화 생태적 볼거리를 제공해준다. 본 연구에서는 비슬산지에 분포하는 지형자원들을 대상으로 탐방객들의 속성에 따라 몇 가지 유형의 학습 탐방로를 개발하였다. 1) 비슬산 주 등산로를 따라 다양한 화강암 지형이 분포한다(암괴류-나마-박리-다각형균열-애추-핵석-판상절리-토르-수직 암벽-고위평탄면). 2) 비슬산에 발달하는 지형자원들을 대상으로 각 지형의 명칭, 형성원인, 특성 등에 대한 쉽고도 상세한 학습 자료(설명문)를 개발하였다. 3) 비슬산 탐방객이 주로 이용하는 주 등산로를 대상으로 탐방객들의 동선을 고려하여 가장 효율적인 학습장과 학습 탐방로를 개발하였다. 4) 학습효과를 극대화하기 위하여 탐방객들의 유형별 체류 시간별에 따라 세 종류의 학습 탐방로를 개발하였다.

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청송군 옹점리 일대 암설 사면의 분포와 지형 변화 (The Distribution and Geomorphic Change of Debris Slope at Ongjeom-ri in Cheongsong-gun)

  • 이광률;박한산
    • 대한지리학회지
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    • 제45권3호
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    • pp.360-374
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    • 2010
  • 본 연구는 옹점리 동부의 암설 사면을 대상으로 암설 사면의 분포, 요인, 식생 피복 및 암설 변화에 대해 분석하였다. 이 지역에서 암설 사면 발달의 중요한 요인은 기반암이 단애 형성과 암설 공급에 유리한 규장암이라는 점과 기계적 풍화작용을 촉진시키는 기온의 영하일수가 비교적 길다는 점이다. 암설 사면의 분포 면적은 일사량이 높아서 수분 증발이 활발하여 식생 피복이 불량한, 남사면과 서사면이 북사면과 동사면에 비해 더 넓은 것으로 나타났다. 옹점리 동부의 가 지역에서 식생 피복으로 인해 암설 사면의 면적은 꾸준히 감소하고 있으며, 평균 $431.0m^2/yr$의 식생 피복 면적 증가 속도를 보였다. 그리고 지상라이다를 이용하여 분석한 결과, 나 지역에서는 1년 동안 1~2개의 암설 입자들이 사면 내에서 변위 또는 이동되었다.

전방 연부조직 충돌과 동반된 족관절 병변 (Ankle Lesions, Associated with Anterior Soft Tissue Impingement)

  • 성일훈;김석환;심규동;이준환;강창남
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.115-118
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    • 2010
  • Purpose: To evaluate clinical features of ankle lesions, associated with anterior soft tissue impingement. Materials and Methods: We retrospectively reviewed 21 patients who had chronic anterior ankle pain as initial symptom and associated ankle lesions with anterior soft tissue impingement. Based on preoperative radiologic findings, physical examination intra-operative findings, appropriate procedures were done for lesions by either arthroscopic or minimal open procedure or combined. Clinical evaluation was done using American Orthopedic Foot and Ankle Society, ankle-hind foot score (AOFAS score) and visual analog scale (VAS) on last follow up. Results: Associated lesion(s) to anterior soft tissue impingement of the ankle were 16 cases of osteochondral lesion of talus, 14 cases of bony impingement, 6 cases of ankle lateral instability, 5 cases of loose body, 4 cases of os subfibulare. AOFAS score was $58.9\;{\pm}\;5.1$ preoperatively and $74\;{\pm}\;9.1$ on last follow up. Clinical satisfaction score using VAS showed excellent in 3 cases, good in 11, fair in 3, poor in 4. Conclusion: The patients who had anterior soft tissue impingement would have various associated lesions on their ankle. In such cases, preoperative counseling for variety of postoperative results would be needed.

두경부 양성 골종의 임상적 분석 (Clinical Analysis of Benign Osteomas on Head and Neck region)

  • 송진우;최환준;최창용;김미선
    • 대한두개안면성형외과학회지
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    • 제9권1호
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    • pp.1-7
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    • 2008
  • Osteomas are most often located in the femur, tibia, humerus, spine, and talus. They are rare in the skull. Osteomas in the head and neck regions are benign bone neoplasms usually found in the frontoethmoid area. The developmental theory postulates that osteomas develop at the sites of fusion of tissues different embryological origin such as occur at the junction of the embryonic cartilaginous frontal and ethmoid bones. Trauma and infection have also been implicated as causative factors, but many patients with osteoma deny any preceding history of these. Osteomas are usually produce symptoms primary to cosmetic problems and secondary to pressure on adjacent structures. The objects of this study are from a 5-year period of April of 2002 to April of 2007, consisting of 48 male patients and 52 female. There were 33 cases of frontal bone osteomas, 5 cases of madibular bone osteomas, 5 cases of occipital bone osteomas, 6 cases of symptomatic paranasal sinus osteomas, 48 cases of asymptomatic paranasal sinus osteomas, and 3 cases of mastoid osteomas. We reviewed medical records of patients to find out their presentations, diagnostic considerations, therapeutic options, and outcomes. Patients were followed up six months postoperatively on the average. The authors experienced 48 cases of osteoma in the head and neck lesion, which were removed via direct approach or endoscopic approach. The 100 cases who came to the hospital with or without symptoms after diagnosis healed completely without sequelae. During the follow-up periods, excellent functional and cosmetic results were observed with an inconspicuous scar. There was no specific complications related to this procedure. Results of surgery in most cases were satisfied. We discussed the surgical procedure and the characteristics of the osteomas, and we report several cases with the review of literatures.

일본 Chichibu산지 계반림의 입지환경 (Riparian forest and environment variables relationships, Chichibu mountains, central, Japan)

  • Ann, Seong-Won
    • 한국환경과학회지
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    • 제12권2호
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    • pp.93-100
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    • 2003
  • In most mountainous parts of the temperate zone of Japan along the Pacific Ocean, some climatic climax forests, whose main dominant species is Fagus crenate, F. japonica or Quercus mongolica var. grosseserrata, are distributed. In the riparian regions of the zone, however, there appear summer green forests composed of the different species from the climatic climax forests. Climate plays an important role in determining the overall distribution of vegetation, but some environmental factors, i.e., topography, soil type, soil moisture content, etc. have a great influence on vegetation formation. Riparian forests seem to be controlled by various geomorphologic disturbances, such as landslide, soil erosion and accumulation. The study aims to present the relationships among vegetation, soils and landforms in the process of determining riparian forests dominated by Fraxinus platypoda and Pterocarya rhoifolia establishment in the mountainous region of central Japan. The study area extends an area of 302 ha with a range of elevation between 925 m and 1,681 m at the Chichibu mountains. The landforms were corditied at sampling grids (25 $\times$ 25 m, n = 4,843) using a hierarchical system, and a brief description of the forest soil classification was also given. The mutual relationship analysis indicated that forest soils and landforms play a significant role in determining the geomorphological process of riparian forest, and shaping the ultimate pattern of vegetation. At the study area, riparian forests were mainly found on the $B_E$ forest soil type and steep slopes ( > 30$^{\circ}$) at convex slopes along the streams. On the other hand, the direction of slopes did not have a significant impact on the establishment of the riparian forests. A mosaic of patchy distribution of those riparian forests on the slightly wetter $B_E$ forest soil type was one of the characteristic features of the study area. This particular soil which contained large talus gravels was found on the land formed by erosion and deposition of landslide.

족관절 중등도 불안정성의 관절경적 전거비인대 봉합 - 증례 보고 - (Arthroscopic Anterior Talofibular Ligament Repair for Grade II Chronic Ankle Instability - Two Cases Report -)

  • 송백용;양기원;김진수;박영욱;김태원;이경태
    • 대한관절경학회지
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    • 제15권1호
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    • pp.22-27
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    • 2011
  • 족관절 인대 봉합수술은 만성 족관절 불안정성의 치료에 많이 사용되는 술기로서 최근에는 족관절의 관절경술을 추가로 시행하여 관절내 병변 등을 확인하고 치료하는 것이 권유되고 있다. 저자들은 연골 손상을 동반한 족관절 중등도 불안전성 환자에서 관절경적 다발성 천공술과 함께 관절경하에 생체 흡수성 나사못을 이용한 전거비 인대 고정술을 시행하고, 그 결과를 문헌 고찰과 함께 보고 하고자 한다.

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