• 제목/요약/키워드: 대퇴 하퇴부

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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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Proprioceptive Motor Control on Trunk and Lower Extremity Muscle Activity (교각운동시 지지면의 차이가 체간 및 하지의 근 활성도)

  • Roh, hyo-lyun;Ma, Sang-yeoul
    • Proceedings of the Korea Contents Association Conference
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    • 2012.05a
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    • pp.365-366
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    • 2012
  • 본 연구는 교각운동시 불안정한 지지면과 안정적인 지지면을 제공하여 체간 및 하지의 근 활성도의 변화를 알아보고자 하였다. 이 연구의 대상자는 20대 남, 여 14명이었다. 실험방법은 일반적 교각자세와 다이나믹 에어쿠션을 이용한 교각자세를 실시한 후에 무선 8채널 표면근전도 검사기를 이용하여 체간부의 척추기립근, 복직근, 대퇴의 대퇴직근, 외측 슬괵근, 하퇴부의 전경골근, 비복근 외측두에서 근활성 정도를 측정하였다. 체간부의 척추 기립근, 대퇴이두근, 가자미근은 불안정한 지지면에서 근활성도가 높게 나타났다(p<.05). 따라서, 교각운동에서 불안정한 지지면의 제공은 신체의 배측에 위치한 근육의 활성화를 나타내어, 교각운동시 지지면의 안정성의 변화만으로도근육활성도의 변화가 가능함을 알 수 있었다.

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Ultrasound-Guided Femorosciatic Nerve Block (초음파 유도 대퇴좌골 신경 차단술)

  • Kang, Chan;Kim, Young-Mo;Hwang, Deuk-Soo;Kim, Joung-Hun;Park, Jun-Young;Lee, Woo-Yong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.74-78
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    • 2010
  • Since the extent of use of musculoskeletal ultrasound in orthopaedic surgery is expanding, popliteal block(sciatic nerve block) and femoral nerve block(saphenous nerve block) are easily and safely performed without complications such as nerve injury or incomplete block. Also, due to the expanding use of ultrasound, orthopaedic surgery of not only foot but also ankle and lower leg could be done without general anesthesia or spinal anesthesia. We describe a detailed technique for ultrasound-guided femorosciatic nerve block based on the experience over 120 cases.

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A study on extract in gait pattern characteristic using a tilt sensor and EMG (기울기 센서와 근전도를 이용한 보행패턴 특징 추출에 관한 연구)

  • Moon, D.J.;Kim, J.Y.;Jung, H.D.;Noh, S.C.;Choi, H.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.75-84
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    • 2013
  • In this study, the patterns and characteristics according to gait cycle were analyzed using to EMG signals during walking, and analyzed in the time domain and frequency domain. The experiments was performed divide to level-ground walking and stair walking, and gait cycle was analysis by stance and swing. In the sagittal plane by using the tilt sensor measures the angle of the lower leg, and EMG was measured from the quadriceps and biceps femoris. The tilt of the lower leg was showed the biggest tilt at HS, and showed lowest value at TO. All in walking according to the gait cycle IEMG showed a specific pattern, and is expected useful to determine the gait cycle and kind. In the frequency domain analysis was using STFT on able to frequency analysis according to time, and using the tilt sensor was identify gait cycle. We analyzed also spectrum of the results of the STFT in all gait types, and recognized that stance had broad bandwidth than that of swing. Through this study, it was confirmed the possibility of judgment and analysis of the gait cycle using EMG and the tilt in the sagittal plane of the lower leg. When used it, can improve the quality of life of amputation patients

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Muscle Infarction and Calcification of the Semitendinosus Tendon: A Case Report (반건양건내에 발생한 근육 경색 및 석회화: 증례 보고)

  • Cho, Jin-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.18 no.2
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    • pp.89-93
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    • 2012
  • The most common anatomic location of calcific tendinitis is the suprasupinatus muscle of the shoulder joint. However, it is known to develop in any joint including the hip, knee. Infarction of skeletal muscle in the distal areas of the limbs due to vascular occlusion is a well recognized systemic condition in patients who have diabetes. The author experienced mass-like lesion combined muscle infarction and calcification within pure semitendinosus tendon without diabetes in posterosuperior area of distal thigh in old age.

A Study on Walking Intention Detection of Gait Slope and Velocity of the Rollator Based on IR Sensor (IR센서 기반 보행보조기를 이용한 보행 시 경사상태에 따른 보행의지 파악에 관한 연구)

  • Lee, H.J.;Kang, S.R.;Yu, C.H.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.4
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    • pp.259-265
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    • 2014
  • The aims of this study are to investigate the walking intention detection of a rollator based on Infraed (IR) sensor measuring knee joint anterior displacement and leg muscle activities. We used Active Walker attached IR sensor to measure the knee joint anterior displacement and EMG signal of leg muscles(rectus femoris, biceps femoris, tibialis anterior, gastrocnemius) were taken by Delsys bagnli-8ch. Subjects were eight healthy males(age $23.7{\pm}0.5years$, height $175.4{\pm}2.3cm$, weight $70.6{\pm}5.6kg$) and they were involved in experiments which had been proceeded 30 minutes a week, during 3 weeks. This system indicates that the knee joint anterior displacement had the distinction increases according to the gait slope and velocity. We showed the increase of the femoral muscle activities along the anterior tilt and the increase of the crural muscle activities along the posterior tilt.

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The Study on Applying Ankle Joint Load Variable Lower-Knee Prosthesis to Development of Terrain-Adaptive Above-Knee Prosthesis (노면 적응형 대퇴 의족개발을 위한 발목 관절 부하 가변형 하퇴 의족 적용에 대한 연구)

  • Eom, Su-Hong;Na, Sun-Jong;You, Jung-Hwun;Park, Se-Hoon;Lee, Eung-Hyuk
    • Journal of IKEEE
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    • v.23 no.3
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    • pp.883-892
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    • 2019
  • This study is the method which is adapted to control ankle joint movement for resolving the problem of gait imbalance in intervals where gait environments are changed and slope walking, as applying terrain-adaptive technique to intelligent above-knee prosthesis. In this development of above-knee prosthesis, to classify the gait modes is essential. For distinguishing the stance phases and the swing phase depending on roads, a machine learning which combines decision tree and random forest from knee angle data and inertial sensor data, is proposed and adapted. By using this method, the ankle movement state of the prosthesis is controlled. This study verifies whether the problem is resolved through butterfly diagram.

Alveolar Soft Part Sarcoma - Two Cases Report - (포상 연부 육종 - 2례 보고 -)

  • Jung, Sung-Taek;Seo, Hyoung-Yeon;Shin, Sang-Gyoo;Park, Yong-Cheol
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.2
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    • pp.223-232
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    • 2003
  • As we know, alveolar soft part sarcoma is usually found at the head region in children and thigh in adults. It is very rare tumor that has poor prognosis due to its late detection after distant metastasis in spite of its slow growth rate. It is histologically characterized by pseudoalveolar pattern tumor cells. And metastasis usually occur in the site of lung, brain and skeleton in order lately. We have managed two cases of the sarcoma, one which took place in relatively rare part, pelvic bone and has spread to the brain, the other which primarily occured in the calf. For its varity, we report these two cases with reviewing of the literatures.

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Physiological and Psychological Thermal Responses to Local Heating of the Human Body in a Cold Environment (한랭환경하에서 인체의 국소가온 자극이 온열생리.감각반응에 미치는 영향)

  • Shin, Jounghwa
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.10
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    • pp.1745-1753
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    • 2001
  • 본 연구는 한랭 환경 하에서의 인체의 국소 가온 자극이 생리, 감각반응에 끼치는 영향을 검토했다. 건강한 성인여자 7명을 대상으로, 기온 $25^{\circ}C$, 습도50%의 환경 하에서 균일한 국소 가온을 부하 했을 때 피부온, 고막온, 손가락, 발가락 혈류량, 온냉감, 쾌적감의 반응에 미치는 영향을 검토한 결과는 다음과 같다. 1) 국소가온에 의해 가온 부위 피부온은 유의하게 상승하고 가온 부위에 따라 상승도에는 유의한 차가 보였다. 2) 국소가온에 의해 고막온은 머리의 가온 시에 높은 상승, 전완의 가온 시에 상승하고, 다른 가온 부위에서는 하강의 경향이 보였다. 3) 국소가온에 의해 혈류량의 변화는 3개의 군으로 분류된다. 가온과 함께 손가락 혈류량이 증가하는 군, 발가락 혈류량이 변화하는 군, 양쪽의 혈류량이 적게 변화하는 군으로 나누어진다. 이것을 각 피험자의 평균 피부온 수준 즉 체온조절 수준과 관계 있는 것으로 논할 수 있다 4)국소 가온에 의해 각 부 위 피부온으로의 파급효과는 머리, 상완의 가온 시에 크지만 대퇴, 하퇴 다리의 가온 시에는 대부분의 부위에서 영향이 보이지는 않았다. 5) 이와 같이 국소 가온에 의 한 생리, 감각반응은 가온 부위에 따라 다르고 머리, 상완의 가온 시에는 생리반응이 크고 하퇴, 다리의 가온시에는 국소의 감각변화가 컸다.

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Anterior Knee Pain Syndrome & Shin Splint (전방 슬관절 동통 증후군 및 경부목)

  • Kim, Yeung-Jin;Chun, Churl-Hong;Lee, Ji-Wan;Choo, Ji-Woong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.1
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    • pp.7-15
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    • 2010
  • Anterior knee pain syndrome would best be defined as a painful condition that arises in or around the patellofemoral joint and is insidious in onset and bilateral, with an enigmatic entity with multiple causes. Although its etiology is uncertain, the cause is often considered to be abnormal lower limb biomechanics, pathology of extensor mechanism, disorder of patellofemoral joint, malalignment or lateral tracking of the patella, soft tissue tightness, muscle weakness. The measurement of patellar alignment has come to be accepted as an integral part of the examination of anterior knee pain syndrome. Various measurement techniques exist, both clinical and radiological, and these have been frequently used in the diagnosis and treatment of the condition.?Treatment depends on the underlying cause of anterior knee pain and should be directed to the cause rather than to the results. Most often, this involves non-surgical measures, such as anti-inflammatory medications, quadriceps exercises, and hamstring stretching. Shin splint, or medial tibial stress syndrome refers a syndrome of pain running along the inner distal 2/3 of tibia shaft. Shin splint is a common problem for athletes whose sport involves a repeated, jarring impact to the leg. A major factor determining the efficacy of the treatment is that correct diagnosis be made of the problem. The varied etiology has led to the development of several theories as to the cause, treatment, rehabilitation and prevention of shin splint. The management is rest, ice massages, pain relief by medication, and muscle strengthening exercise. Proper rehabilitation and preventative measures can ensure that there is no further recurrence.

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