• Title/Summary/Keyword: 대퇴

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Iliacus Muscle Rupture with Associated Partial Femoral Nerve Palsy during Soccer Game - Case Report - (축구 경기 중 발생한 장골근 파열과 부분 대퇴 신경 마비 - 증례보고 -)

  • Jung, Sung-Hoon;Lee, Sang-Ho;Song, Kyeong-Seop;Park, Byeong-Mun;Ki, Chul Hyun
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.2
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    • pp.92-95
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    • 2012
  • Iliacus muscle tears are a rare injury seen after the high-energy trauma or as a result of low-energy injuries in patients with a bleeding diathesis as coagulopathy, receiving anticoagulation therapy and hemophiliac. Femoral nerve palsy due to compression from a hematoma by iliacus muscle rupture are rarely reported. Routine evaluation includes MRI to confirm and define the pathologic abnormality supplemented by EMG and nerve conduction studies to evaluate patterns and extent of femoral nerve injury. Hematologic evaluation for bleeding diathesis may preceded, if suspicion of coagulopathy is present. We report the case of a healthy 32-year-old male with iliacus rupture and concomitant femoral nerve palsy sustained by kicking motion during soccer game. After 6 months of observation with non-operative treatment regimen, satisfactory results were obtained, so we report it with a review of the literatures.

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Age-Related Bone Mineral Density, Accumulated Bone Loss Rate at Multiple Skeletal Sites in Korean Men (한국 남성의 연령에 따른 부위별 골밀도 변화 및 골 소실률)

  • Kim, Young-Ran;Lee, Tae-Yong;Lee, Ji-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3781-3788
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    • 2014
  • This study examined the age-related bone mineral density (BMD), accumulated bone loss rate (ABLR) at different skeletal sites in Korean men using the data from the Korea National Health and Nutrition Examination Survey (KNHANES)(the 1st (2010), 2nd (2010) and the year at the 5th survey). The cubic regression model was found to be the best for describing the age-related changes in BMD. The lumbar spine, total hip, femoral neck, trochanter, Ward's triangle in the bone mineral density difference were analyzed by ANOVA. The peak BMD was at 20-24 years at the lumbar spine, total hip, femoral neck, trochanter, Ward's triangle, and the 75-79 years of age group had the highest Accumulated Bone Loss Rate. Therefore, intensive management will be necessary for men over 75 years, and a diagnosis of osteoporosis in Korean men should be made according to The International Society for Clinical Densitometry; ISCD.

A study on the Muscle Activity and Fatigue between Quadriceps Femoris Muscle during the Mode Shift of Contraction (수축모드 변화에 따른 대퇴사두근의 근 활성도와 근 피로도에 관한 연구)

  • Chon, Ki-Hwan;Yang, Dong-Il;Lee, Gwi-Yeol
    • Journal of Advanced Navigation Technology
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    • v.15 no.6
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    • pp.1152-1162
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    • 2011
  • This study was function experiment or inspection of diagnosis x-ray unit at the hospital. It's how many changes tube voltage, tube current, DOSE value through the experiment depending on temperature increasing. The study want to know whether which parameter shown out of range or not how about image quality and so on. Increasing tube current and DOSE were not only too many radiation to the patient and radiation workers and make bad images but also the tube should be damaged by heat. This study was recommended proper exposure at intervals of seconds because passed inspection, reduced radiations for patient and the tube used long term. This results in the hospital's finances will be very helpful.

Predicting soft tissue artefact with linear mixed models (선형혼합모형을 이용한 피부움직임 오차의 예측)

  • Kim, Jinuk
    • The Korean Journal of Applied Statistics
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    • v.31 no.3
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    • pp.353-366
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    • 2018
  • This study uses mixed-effects models to predict thigh soft tissue artefact (STA), relative movement of soft tissue such as skin to femur occurring during hip joint motions. The random effects in the model were defined as STA and the fixed effects in the model were considered as skeletal motion. Five male subjects without musculoskeletal disease were selected to perform various hip joint rotational motions. Linear mixed-effects models were applied to markers' position vectors acquired from non-invasive method, photogrammetry. Predicted random effects showed similar patterns of STA among subjects. Large magnitudes of STA appeared on the points near the hip joint regardless of sides; however, small values appeared on the distal anterior.

Endoscopic Treatment of Extensive Deep Abscess in Distal Posterior Thigh - A Case Report - (원위 대퇴부 후방에 발생한 광범위 심부 농양의 내시경적 치료 - 증례 보고 -)

  • Jeon, Ho-Seung;Song, Ji-Ung
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.84-87
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    • 2013
  • At the posterior aspect of distal thigh, major nerves, vessels, muscles and tendons were located. So, if abscess occurs within deep muscular fascia of posterior aspect of distal thigh, it can be widely and deeply spread to proximal thigh, popliteal fossa, posterior proximal leg, surrounding areas of knee joint along deep fascia, muscles and tendons. In that case, it is difficult to eradicate the abscess using antibiotics without surgical drainage and debridement. But, it is often impossible to obtain satisfactory view of operative field with conventional technique and critical damage to major nerves and vessels in the popliteal fossa during operation may occur. We performed endoscopic treatment for extensive deep abscesses occurred in posterior aspect of distal thigh in 64-year-old man, and obtained satisfactory result without injury to the normal structures including major nerves and vessels. So we report this case with a review of relevant literatures.

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Difference in Quadriceps and Hamstring torque during exercise with concentric and eccentric contractions according to hip joint anglet (등속성 근력측정 시 Hip Joint Angle에 따른 대퇴사두근과 햄스트링의 단축성과 신장성 근력 차이)

  • Kim, eui-young;Lee, jong-hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.161-163
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    • 2010
  • 본 연구의 목적은 등속성 운동수행 및 측정시 hip joint angle에 따라 대퇴근육의 concentric 과 eccentric 근력차이를 분석하기 위하여 등속성 기기 의자 등받이 경사각도를 $100^{\circ}$, $120^{\circ}$, $140^{\circ}$에서 peak torque를 검사하였다. 대상자는 20대 초반의 건강한 남자 대학생 12명을 대상으로, 등속성 기기(Isomed 2000, Germany)를 이용하여 seated position에서 $60^{\circ}/s$ 의 각속도를 사용하여 검사를 수행하였다. 측정순서는 등속성기기 의자 등받이 경사각도 $100^{\circ}$, $120^{\circ}$, $140^{\circ}$ 순으로 2-3일 간격으로 진행하였다. 통계처리 방법은 SPSS 12.0 프로그램을 이용하여 평균과 표준편차를 산출하였으며, 각각의 hip angle에 따른 단축성과 신장성 peak torque 값의 차이는 one-way ANOVA(3RM)을 이용하여 처리하였고, 사후검증은 Tukey를 사용하였으며, 유의수준은 p<.05로 하였다. 연구결과 대퇴사두근의 단축성 근력은 등속성 기기 의자 등받이 경사각 $100^{\circ}$, $120^{\circ}$, $140^{\circ}$사이에 유의한 차이(p=.000)가 나타나 사후 분석결과 $100^{\circ}$$120^{\circ}$ 사이(p<.01) 그리고 $100^{\circ}$$140^{\circ}$ 사이(p<.001)에 유의한 차이를 나타내었으며, 신장성 근력에서는 유의한 차이가 나타나지 않았다. 햄스트링의 단축성 근력은 3종류의 hip angle사이에 유의한 차이(p=.001)가 나타나 사후분석결과 $100^{\circ}$$140^{\circ}$사이(p<.05) 그리고 $120^{\circ}$$140^{\circ}$ 사이(p<.01)에 유의한 차이를 나타내었으며, 그러나 신장성 근력에서는 유의한 차이가 나타지 않았다. 이러한 결과로 미루어 볼 때 등속성 운동수행 및 근력측정 시 hip joint angle 에 따라 대퇴사두근과 햄스트링의 단축성 근력에서 유의한 차이가 나타나 hip joint angle을 고려하여 대퇴근육의 운동및 측정이 이루어져야 할 것으로 사료된다.

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Femoral Bony Avulsion Fracture of the Posterior Cruciate Ligament in a Seventy one Year Old Man - A Case Report - (71세 남자에서 발생한 후방십자인대 대퇴골 부착부 견열 골절 - 1례 보고 -)

  • Lee, Yeong-Hyeon;Ahn, Gil-Yeong;Nam, Il-Hyun;Moon, Gi-Hyuk;Kim, Ki-Choul;Lee, Chae-Kyung;Lee, Sang-Chung
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.128-130
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    • 2010
  • Femoral avulsion fracture of posterior cruciate ligament (PCL) is rare, especially in adult. We experienced a case of femoral bony avulsion fracture of PCL. The patient was seventy one year old man with limitation of motion in the knee joint due to previous trauma and he was injured by fall down from 2 m height. We took CT scan and MRI study. We treated with arthroscopic repair technique using transfemoral two wire sutures. Second look arthroscopy was done for removal of the wires at postoperative one year.

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Cross-Pin and Interference Screw Femoral Fixation in Anterior Cruciate Ligament Reconstruction using Hamstring Tendon -Technical Note- (슬괵건을 이용한 전방십자인대 재건술시 횡고정 핀과 간섭나사를 이용한 대퇴터널 고정술 -수술 수기-)

  • In Yong;Bahk Won-Jong;Park Jong-Beom;Hong Seung-Hwan
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.1
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    • pp.60-63
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    • 2002
  • Purpose : The purpose of this study was to introduce new femoral fixation technique using a cross-pin and a bioabsorbable interference screw in hamstring ACL reconstruction. Method : Semitendinosus and gracilis were harvested for quadrapled graft. After tibial tunnel had been made, femoral tunnel was made 35 mm in depth. Then the graft passed through the tunnels. Cross-pin was fixed through the drill hole which had been made through upper sleeve of the Rigidfix system. While pulling the graft, bioabsorbable interference screw was fixed through the anteromedial portal. Conclusion : We introduced the new femoral fixation technique using a cross-pin and a bioabsorbable interference screw as a good method with high fixation strength and tight graft-bone contact.

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Removal of a Femoral Interference Screw that Migrated Posteriorly after ACL Reconstruction, Using Posterior Trans-septal Portal - A Case Report - (전방 십자 인대 재건술 후 후방으로 전위된 대퇴 간섭 나사의 후방 경격막 도달법을 이용한 제거 - 증례 보고 -)

  • Ahn, Jin-Hwan;Lee, Sang-Hak;Ha, Hae-Chan
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.187-191
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    • 2006
  • Few cases have been reported in which the femoral interference screw has migrated into the posterior compartment after an ACL reconstruction. It usually requires removal, because it leads usually to mechanical symptom. However, the arthroscopic removal of a screw is a technically demanding procedure, especially in the case of an intact integrated ACL graft or one that is encapsulated around the screw. We present a case in which a displaced femoral interference screw migrated within the posterior compartment 11 years postoperatively, after the graft had been successfully incorporated at the femoral site and showed good continuity on MRI and arthroscopic examination. Although it is often technically challenging, through the use of a posterior trans-septal portal, we can successfully remove a displaced femoral interference screw even in the most difficult locations in the posterior compartment without damage to ACL graft.

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Simultaneous Aortobifemoral and Bilateral Femoropopliteal Artery Bypass Graft for Multilevel Lower Extremity Occlusive Disease - 2 cases report - (다단계 폐쇄성 하지동맥경화증에서 복부대동맥-양측 대퇴동맥 및 양측 대퇴동맥-슬와동맥간 우회술의 동시 시행 - 2예 보고 -)

  • 박진홍;김응중;지현근;신윤철
    • Journal of Chest Surgery
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    • v.36 no.5
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    • pp.371-374
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    • 2003
  • Atherosclerosis has more than 60% of the causes of arterial occlusive diseases. The abdominal aorta and lower extremity arteries are the most common sites of occlusion. We have treated surgically 2 cases who had intermittent claudication and were diagnosed as simultaneous aortobifemoral and bilateral femoropopliteal obstruction by angiography, but had ineffective results from medical treatment or angioplasty. Simultaneously aortobifemoral bypass using Hemashield Y graft and bilateral femoropopliteal bypass using autologous greater saphenous vein were done. After operations, the symptom disappeared and there were no specific post-operative complications except abdominal wound dehiscence. In postoperative angiography, we had obtained good patency of bypass graft. We are following up patients through the out patient department without recurrence up to 16 months.