• Title/Summary/Keyword: 대퇴

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A Study on the Change of Bone Mineral Density(BMD) by Life Habit and Physical Condition (성인의 신체조건 및 생활습관에 따른 골밀도 변화에 대한 연구)

  • Kim, Sun-Geun
    • Journal of radiological science and technology
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    • v.29 no.3
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    • pp.177-184
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    • 2006
  • Purpose: To evaluate the correlation between BMD and life habit such as drinking. exercise smoking or physical condition such as age, sex, height, weight, body mass index(BMI). Materials and Methods: I evaluated the BMD of the femoral neck and L2-L4 spines of 321 persons who took a regular health screening in Woosuk university oriental medical hospital from February to April in 2006 by dual energy bone mineral densitometry. Results: The age of persons ranged from 20 years to 75 years(mean $45.10{\pm}11.54$) and there were 160 males and 161 females. In males, BMD of the femoral head was highest at 2nd decade, BMD of the spine was highest at 4th decade, and BMD of both femoral head and lumbar spine was lowest at 6th decade. In fenales, BMD of both femoral head and lumbar spine was highest at 4th decade and lowest at 6th decade. Among the various physical conditions, only height of persons showed significant correlation with BMD in both males and females. BMD was increased according to increasing height. In males, BMD of persons who had habit such as drinking, exercise or smoking did not show significant change statistically. But in females, drinking group showed high BMD relative to non-drinking group in both femoral head and lumbar spine. Conclusion: BMD was different according to age, sex, height and life habit. Especially aged people showed osteoporotic change progressively. More persistent effort is needed to find out the factors decreasing BMD for prevention of problems by osteoporosis.

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The Early Result of Anterior Rotational Osteotomy in the Treatment of Osteonecrosis of the Femoral Head (대퇴골두 무혈성괴사의 치료에서 전방 회전 절골술의 조기 추시 결과)

  • Kim, Se-Dong;Shin, Duk-Seop;Jang, Woo-Seok
    • Journal of Yeungnam Medical Science
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    • v.11 no.2
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    • pp.284-292
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    • 1994
  • In transtrochanteric rotational osteotomy to treat osteonecrosis of the femoral head, the necrotic superior anterior femoral head is rotated anteriorly around the longitudinal neck axis so that the weight bearing force is transferred to the intact posterior surface. The ratio of transposed intact articular surface of the femoral head to the weight-bearing surface of the acetabulum on postoperative anteroposterior view of the hip roentgenograph is the most important indicator of the prognosis. During the period from December 1992 to June 1994, we treated 31 hips in 28 patients who were indicated for the anterior rotational osteotomy among the patients of osteoncrosis of the femoral head. Among the patients, male were 27 and female was one. Age distribution was from 13 to 62 years old and mean age was 44.3. According to the Ficat and Arlet classification, II A was most in number as 16 II B was 7 and III was 8. As their etiolgic factors, alcohol was most in number as 18, steroid was 3, idiopathic was 5 and trauma was 2. The mean rate of the intact area of the posterior part of the femoral head to the total articular surface on the preoperative lateral view of the hip roentgenograph was 41.8%, The mean ratio of transposed intact articular surface of the femoral head to the weight bearing surface of the acetabulum was 53.8%, Fixation devices were screws or dynamic hip screw.

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Measurement of Subcutaneous Fat Thickness of the Korean by A-Mode Type Ultrasonic Instrument (A-mode 식 초음파기를 이용한 한국인의 피하지방 측정)

  • Hwang, Eun-Hee
    • Journal of Nutrition and Health
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    • v.24 no.4
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    • pp.308-313
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    • 1991
  • This study attempted to measure subcutaneous fat thickness by the use of ultrasonic wave in age and sex matched Korean subjects, and to observe correlation between fat thick-ness and physical indices. In male, fat thickness of suprailiac area showed the highest value of $9.40{\sim}9.51mm$ and then subscapular was $6.60{\sim}6.84mm$, femoral was $6.48{\sim}7.04mm$ and triceps regions was $3.48{\sim}3.69mm$. In female, femoral subcutaneous fat thickness was the higher. $11.85{\sim}12.15mm$and then suprailiac was $8.79{\sim}9.87mm$ subscapular was $6.20{\sim}6.91mm$ and triceps fat thickness was $4.80{\sim}4.93mm$. In male, fat thickness of triceps and relative body weight(RBW). body mass index(BMI), triceps or $R\ddot{o}hrer$ index were positively correlated. Correlations between suprailiac and weight, relative body weight(RBW). body mass index(BMT), $R\ddot{o}hrer$ index or subscapular were positively significant. In female. there were positive correlations between fat thickness of femoral and RBW, BMI, or $R\ddot{o}hrer$ index. And there were no positive correlations in other parts of the body.

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Effects of combined intervention of isoflavone supplementation and exercise on bone metabolism in growing rats (이소플라본 보충과 운동의 병행이 성장기 쥐의 골격대사에 미치는 영향)

  • Jung, Yun-Jung;Choi, Mi-Ja
    • Journal of Nutrition and Health
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    • v.48 no.2
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    • pp.149-156
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    • 2015
  • Purpose: This study examined the effects of combined intervention of isoflavones and exercise on bone mineral density, bone mineral content, and biochemical bone markers. Methods: Forty rats were divided into four groups; Control, Isoflavones (IF), Isoflavones + Running (IFR), and Isoflavones + Swimming (IFS). All of the rats in this study were fed an experimental diet and deionized water ad libitum for nine weeks. Bone mineral density (BMD) and bone mineral content (BMC) were estimated using PIXImus (GE Lunar Co, Wisconsin.) in spine and femur nine weeks after feeding or training. Results: The combined intervention did not affect weight gain, mean food intake, or food efficiency ratio. The serum concentrations of ALP and osteocalcin were not significantly different by combined intervention. The urinary DPD crosslinks values were not significantly different by combined intervention. There were no significant differences in serum PTH, calcitonin, and estradiol among all groups. Spine BMD, spine BMC and femur BMC were not significantly different by combined intervention. However, femur BMD was significantly higher in the IFR group than in the control group. Compared with the control group, spine BMD, spine BMC, and femur BMD per weight were markedly increased in the isoflavones supplementation and combined intervention group. In addition, femur BMC per weight was significantly higher in the IFS group than in the control group. Compared with the isoflavones supplemented group, BMD and BMC were not significantly different by combined intervention. Conclusion: It can be concluded that isoflavones supplementation or combined intervention of isoflavone and exercise had a beneficial effect on spine and femur peak bone mass in growing female rats.

The effectiveness of MRI evaluation after anterior cruciate ligament reconstruction using hamstring tendon autograft (자가 슬괵건을 이용한 전방십자인대 재건술 후 결과 판정에 있어 MRI 검사의 유용성)

  • Kim, Jin-Goo;Kim, Young-Woo;Lee, Soo-Won;Shim, Jae-Chan;Oh, Soo-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.32-39
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    • 2008
  • Purpose: To evaluate the effectiveness of MRI after ACL reconstruction with femoral tunnel at 10 o'clock position. Materials and Methods: MRI findings of 29 patients after ACL reconstruction using hamstring tendon autograft were evaluated. The mean period from operation to MRI was 18.9 months($7{\sim}40$ months). Signal intensity, morphology and continuity of graft, femoral insertion, graft angle, roof impingement, cross pin breakage and position were evaluated. Those findings were compared with KT-2000, Lysholm knee score and pivot shift test. Results: There was no significant correlation between signal intensity of graft and the duration to MRI. Most common pattern of the morphology was straight, and the continuity was well-preserved. 13 cases of femoral tunnel insertion were zone 4 and 16 were zone 3. There were no roof impingement. 10 cases showed cross pin breakages, of which 5 were found at the outside of distal femoral posterior cortex. 9 showed cross pin directed posteriorly in axial view. There was no significant correlation between clinical results and cross pin breakage. Conclusion: MRI examinations after ACL reconstructions are useful to evaluate the graft status, position of the graft and cross pins. Since the direction of the cross pin is important especially in 10 o'clock femoral position, care should be taken to avoid cross pin breakage.

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Hindlimb Lameness Secondary to Bilateral Femoral Artery Occlusion in a Dog with Systemic Arterial Dirofilariasis (전신성 동맥 사상충증에 이환된 개의 양측성 대퇴동맥의 폐쇄)

  • Choi, Woo-Shin;Song, Jin-Young;Lee, Young-Jae;Lee, Dong-Hoon;Kim, Ju-Hyung;Chang, Jin-Hwa;Kang, Ji-Houn;Chang, Dong-Woo
    • Journal of Veterinary Clinics
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    • v.29 no.4
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    • pp.334-338
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    • 2012
  • A 3-year-old, intact male Pungsan dog was presented for a 2-week history of a non-weight-bearing lameness of left hindlimb with anorexia. The dog had no history of trauma, and never been routinely vaccinated or treated with heartworm preventatives. The complete blood count showed severe leukocytosis and neutrophilia with left shift. Serum biochemistry showed hypoalbuminemia, azotemia, and increased hepatobilliary enzyme activity. A canine heartworm antigen test was positive. Thoracic radiographs were consistent with heartworm disease as evidences by main pulmonary artery enlargement, right-sided cardiomegaly, and interstitial lung pattern. Echocardiography revealed pulmonary valvular regurgitation and pulmonary hypertension. Selective femoral arterial angiogram was performed, and bilateral femoral arterial occlusion was identified. The dog died after angiogram, and necropsy was performed. At necropsy, adult heartworm and a large blood clot were found within the lumen of left and right femoral artery. This case report describes an unusual migration of heartworm to femoral artery that caused hindlimb lameness.

Comparative Anatomy of the Korean Native Goat 4. Muscles of the Pelvic Limb (한국재래산양(韓國在來山羊)의 비교해부학적(比較解剖學的) 연구(硏究) 4. 후지근(後肢筋)에 관하여)

  • Kim, Yong Keun;Yoon, Suk Bong;Moon, Hi Cheol;Cho, Sa Sun;Lee, Heung Sik
    • Korean Journal of Veterinary Research
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    • v.16 no.2
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    • pp.205-219
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    • 1976
  • 한국재래산양(韓國在來山羊) 12마리의 후지근(後肢筋)을 절개하여 관찰하였던 바 다음과 같은 결과를 얻었다. 1. 한국재래산양(韓國在來山羊)의 후지근(後肢筋)에서는 다음과 같은 근(筋)들을 관찰할 수 있었다 : 소요근(小腰筋) M. psoas minor, 대요근(大腰筋) M. psoas major, 장골근(腸骨筋) M. iliacus, 요방형근(腰方形筋) M. quadratus lumborum, 대퇴근막장근(大腿筋膜張筋) M. tensor fasciae lata, 중둔근(中臀筋) M. gluteus medius, 심둔근(深臀筋) M. gluteus profundus, 둔이두근(臀二頭筋) M. gluteobiceps, 반건양근(半腱樣筋) M. semitendinosus, 반막양근(半膜樣筋) M. semimbranosus, 봉공근(縫工筋) M. sartorius, 박근(薄筋) M. gracilis, 치골근(恥骨筋) M. pectineus, 내전근(內轉筋) M. adductor, 대퇴방형근(大腿方形筋) M. quadratus femoris, 외폐쇄근(外閉鎖筋) M. obturatorius externus, 내폐쇄근(內閉鎖筋) M. obturatorius internus, 쌍자근(雙子筋) M. gemelli, 대퇴사두근(大腿四頭筋) M. quadriceps femoris, 제삼비골근 M. fibularis tertius, 내측지신근(內側趾伸筋) M. extensor digitorum medialis, 장지신근(長趾伸筋) M. extensor digitorum longus, 전경골근(前脛骨筋) M. tibialis cranialis, 장비골근 M. fibularis longes, 외측지신근(外側趾伸筋) M. extensor digitorum lateralis, 비복근 M. gastrocnemius, 가제미근(筋) M. soleus, 천지굴근(淺趾屈筋) M. flexor digitorum superficialis, 심지굴근(深趾屈筋) M. flexor digitorum profundus, 슬와근(膝窩筋) M. popliteus, 골간근(骨間筋) M. interosseus medius. 2. 천둔근(淺臀筋)의 전부(前部)는 대퇴근막장근(大腿筋膜張筋)과 융합된 것 같고, 후부(後部)는 대퇴이두근(大腿二頭筋)과 융합된 것 같다. 그러나 천둔근(淺臀筋)의 후부(後部)와 대퇴이두근(大腿二頭筋)이 결합된 것으로 생각되는 부분에는 완전융합이 일어나지 않고 천둔근(淺臀筋)을 구분(區分)할 수 있을 정도로 표면으로 2근(筋)을 분리(分離)할 수 있었다. 3. 외측지신근(外側趾伸筋)과 내측지신근(內側趾伸筋)의 건(腱)은 부전골의 원위(遠位) 1/3부(部)에서 서로 건막성(腱膜性)띠에 의하여 서로 연결 되었는데, 이 건막성(腱膜性) 띠는 건섬유(腱纖維)의 방향(方向)으로 보아 외측지신근(外側趾伸筋)의 건(腱)에서 분리(分離)되어 나온 한 가지 (branch)가 내측지신근(內側趾伸筋)의 건(腱)으로 이행되고 있었다. 4, 양(羊)에서 볼 수 있는 이상근(梨狀筋) M. piriformis과 장모지신근(長母趾伸筋) M. extensor hallucis longus은 나타나지 않았다.

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Effects of Diet with Sea Tangle (Kjellemaniella crassifolia) on Calcium Absorption, Serum Composition and Feces in Rats (동해산 재래종 다시마 (Kjellemaniella crassifolia)의 식이가 흰쥐 체내의 칼슘흡수, 혈액조성 및 분변에 미치는 영향)

  • Lee Jin Gyeong;Lim Yeong Seon;Joo Dong Sik;Jeong In Hak
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.35 no.6
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    • pp.601-607
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    • 2002
  • The present study was designed to examine how sea tangle intake contributes to the content of bone calcium and breaking force of femur with growing female rats. Weaned rats were fed on experimental diets consisting in four levels of sea tangle powder; $0\%$ (control), $0.5\%$, $1.0\%$ and $1.5\%$ for 4 and 8 weeks. Body weight gain and feed intake were not significantly affected by added amount of sea tangle. Bone breaking strength, ash content and calcium levels of the femur of rats fed on diets with sea tangle were higher than those of control groups (p<0.05). But moisture content weight and length of femur did not show any significant difference among groups. TP, ALB, TC, TG, AIP, osteocalcin, GOT and GPT levels in serum did not show any significant difference through the total feeding period but calcium and phosphorus contents of serum increased with increase in feeding period, significantly in $0.05\%$ level by added amounts of sea tangle. Calcium levels in feces increased significantly (P<0.05), but ash levels were not changed significantly by added amount of sea tangle. We could expect from this results that the ingestion of sea tangle (Kjellemaniella crassifolia) could be helpfull to increase bone calcium content and calcium absorption as well as to intensify the femur stength and to increase the calcium content of rats.

A Clinical Study of Femur Neck Fractures (대퇴 경부 골절의 임상적 고찰)

  • Koo, Hwan-Mo;Ahn, Myun-Whan;Ihin, Joo-Choul
    • Journal of Yeungnam Medical Science
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    • v.7 no.1
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    • pp.69-80
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    • 1990
  • A clinical analysis was done on 23 patients(24 hips) with fracture of the femoral neck, who had been admitted and treated at our Orthopedic department during the period of 4 years, from Jan, 1984 to May 1988. The results were as follows : 1. 23 patients were comprised of 4 males and 19 females, and 11 patients were over 65 years old. 2. 18 cases of 24 cases were due to minor traumas such as slipping down, and for over 65 years old, all cases were due to simple minor traumas, 8 cases were showed a severe osteoporosis, below grade 3 of the Singh's index. 3. 14 cases of 24 cases were displaced subcapital fractures, and 6 cases displaced transcervical fractures. Only 4 cases were the undisplaced transcervical fractures. 4. In treatment of fractures internal fixations after manipulation were performed in 14 cases and primary arthroplasties in 10 cases. Secondary arthroplasties were done in complicated 4 cases of 14 cases treated with internal fixations. 5. Complications after internal fixation were developed in 7 cases out of 14 cases, avascular necrosis in 6, nonunions in 2, pin migrations in 3, and metal failure in 1 case. 6. In 14 arthroplasty immediate surgical fitness of femoral stem were related to late loosening of femoral stem(correlation coefficient r=-0.68, p<0.01).

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The association between body composition and bone mineral density in subjects aged 50 years or older in men and postmenopausal women in Korea

  • Cho, Jeong-Ran
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.8
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    • pp.209-220
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    • 2021
  • The effect of body composition such as lean mass and fat mass on bone mineral density (BMD) is complex and still controversial. In this study, we investigated the relationship between body composition and bone mineral density using nation-wide data from 2008 to 2011 Korea National Health and Nutrition Examination Survey (KNHANES) in 2,139 men and 2,193 postmenopausal women aged 50 years or older. Subjects with history of medication for osteoporosis or with diseases or malignancy affecting bone metabolism were excluded. Data of anthropometric measurements and demographic characteristics were collected by trained examiner. Fasting blood sample was obtained for blood chemistry analysis. BMD of the lumbar spine, total femur, and femoral neck, and body composition such as total lean mass (TLM), total fat mass (TFM), truncal fat mass (TrFM) were measured using dual-energy X-ray absorptiometry (DXA). There were significant positive correlations between body composition indices such as lean mass and fat mass with BMD. In multiple regression analysis, TLM was positively associated with BMD after adjusting age, body mass index, monthly house income, education level, physical activity, daily calcium intake and vitamin D concentration in both men and postmenopausal women. BMD at lumbar spine and femur in lowest quartile of TLM was significantly lower than other quartiles after adjusting those confounding factors in both gender. TrFM was negatively associated with total femur BMD in male and femur neck BMD in postmenopausal women after adjusting confounding factors. In conclusion, TLM is very important factor in maintaining BMD in subjects aged 50 years or older in men and postmenopausal women.