• Title/Summary/Keyword: 상완부

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Hemiarthroplasty for Fractures or Fracture-Dislocations of the Proximal Humerus (상완골 근위부 골절 또는 골절 및 탈구에서의 상완골 두 치환술)

  • Kim Young Kyu;Eom Gi Serk
    • Clinics in Shoulder and Elbow
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    • v.3 no.1
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    • pp.20-25
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    • 2000
  • Purpose : To evaluate functional results and study factors influencing results after humeral hemiarthroplasty for comminuted fractures of the proximal humerus. Materials and Methods: We reviewed 12 patients with average follow-up period of 23 months(12 to 42). The proximal humeral fractures consisted of one anatomical neck fracture, five three-part and six four-part fractures or fracture-dislocations. Constant score and Compito et al' evaluation system were used for clinical assessment. Statistical analysis was done with the Wilcoxon test. Results: Six cases of anatomical neck, three-part fractures or fracture-dislocations showed 61 points on the average Constant score and three unsatisfactory results on the Compito et al' evaluation; Six of four-part fractures or fracture-dislocations showed 51 points and three unsatisfactory results. There were 59(two unsatisfactory) for five non-associated dislocation and 53(four unsatistactory) for seven associated dislocation; 66(one unsatisfactory) for three under 60 years and 41(five unsatisfactory) for nine over 60 years; 67(two unsatisfactory) for seven tuberosity union and 41(four unsatisfactory) for five tuberosity non-union or resorption; 58(four unsatisfactory) for ten early operation within two weeks and 43(all unsatisfactory) for two delayed operation; and 18(unsatisfactory) for one case of a accompanied rotator cuff tear. Conclusion: We concluded that tuberosity union was important factor influencing the results. Also, we thought that age, timing of operation and accompanied rotator cuff tear could be influenced to results.

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Hemarthrosis Occurred after Arthroscopic Rotator Cuff Repair in a Chronic Renal Failure Patient with a Stenosis in an Ipsilateral Arteriovenous Fistula (동측의 동정맥루를 가진 만성 신부전증 환자의 회전근개 파열에 대한 관절경적 수술 이후 발생한 혈관절증)

  • Huh, Soon Ho;Kim, Se Jin;Park, Jin Yeong;Kang, Kyung Rok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.4
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    • pp.366-371
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    • 2019
  • Hemarthrosis occurring after arthroscopic surgery for lesions of the shoulder joint is a very rare complication that can develop due to an injury to the blood vessels when an anterior portal is formed. This is a complication that rarely develops in patients who are taking antithrombotic drugs or who do not have associated diseases, such as thrombocytopenia. We report a case of hemarthrosis that occurred after performing arthroscopic surgery to repair a rotator cuff tear in a patient with a stenosis in an arteriovenous fistula for hemodialysis in the ipsilateral upper arm.

Synchronous Monomelic Juxta-articular Multicentric Chondrosarcoma -A Case Report- (동시성 단지성 관절 근접 다발성 연골 육종 -증례 보고-)

  • Oh, Joo-Han;Kim, Jae-Yoon;Gong, Hyun-Sik;Kim, Woo-Sung;Kim, Tae-Yune
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.1
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    • pp.71-77
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    • 2006
  • Chondrosarcoma is one of the most common types of primary bone sarcoma. With the exception of the mesenchymal subtype, chondrosarcomas are usually low-grade lesions and rarely show multicentricity or distant metastasis. Only rare cases of multicentric chondrosarcomas have been reported in association with Ollier's disease and Maffucci's syndrome. To our knowledge, no report has been issued of a synchronous multicentric chondrosarcoma occurrence across a joint. We experienced a 30-year-old man with a synchronous monomelic juxta-articular multicentric chondrosarcoma across a shoulder joint in the absence of pulmonary and visceral metastases. He was treated by curettage and cement filling with allograft in the acromion and wedge resection with cement filling in the proximal humerus. At the 18-month follow-up, there was no evidence of recurrence, and the patient had full range of motion without pain.

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The Clinical Significance of Bioelectrical Impedance Analysis for The Diagnosis of Obesity on Elementary Students (초등학교 아동의 비만 진단에 있어서 생체 전기저항 분석법의 의의)

  • Choi, Ki-Cheol;Ahn, Young-Jun;Yang, Eun-Seok;Park, Sang-Kee;Park, Jong;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.1 no.1
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    • pp.107-114
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    • 1998
  • Purpose: The purpose of our study is to provide useful information for me-asurement methods of childhood obesity and to provide clinical significance of bioelectrical impedance analysis. Methods: We measured height, weight, waist to hip ratio, skinfold thickness and bioelectrical impedance from 206 elementary students in Kwangju from May to July 1997. Results: In males; 1) There were statistically high correlations between tri-ceps skinfold thickness and body mass index (BMI), percentage of body fat (%BF), weight, Rohler index (RI), total fat weight (TFW), waist to hip (W/H) ratio, height, lean body mass (LBM) (all, p<0.001). 2) There were statistically high correlations between subscapular skinfold thickness and BMI, RI, weig-ht, %BF, TBW (all, p<0.001). 3) There were statistically high correlations between %BF and BMI, triceps skinfold thickness, RI, TFW, subscapular skinfold thickness, weight (all, p<0.001). In females; 4) There were statistically high correlations between triceps skinfold thickness and BMI, weight, LBM, height, %BF (all, p<0.001). 5) There were statistically significant correlations between subscapular skinfold thickness and BMI, weight, LBM, RI, height. 6) There were statistically high correlations between percentage of body fat and BMI, RI, triceps skinfold thickness. The percentage of body fat according to the bioelectrical impedance analysis highly correlated with that calculated by skinfold thickness in males (r=0.57, p<0.01) and in females (r=0.30, p<0.01). Conclusion: The results of our study suggests that bioelectrical impedance analysis is a useful method of estimating body fat in the childhood obesity.

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Recognition of Complication of Superficial Brachial Axial Pattern Flap in a Dog (표층상완축상피판이식술과 전층망상식피술의 적용 예)

  • Kim, Se-Hoon;Heo, Su-Young;Cho, Young-Kwon;Lee, Hae-Beom;Lee, Ki-Chang;Kim, Min-Su;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.26 no.6
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    • pp.637-640
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    • 2009
  • A 13-year-old female 30 kg Korean Jin-do dog was presented with severe defects due to vasculitis and perivascular dermatitis at the left antebrachium area. A left superficial brachial axial pattern flap was elevated to cover the defect and the wound was covered. However, one week post surgery, the flap was survived about 1/3 of total flap length. Remaining two thirds defects were performed by the free skin mesh graft as an additional method. After ten days, the entire wound was achieved completely. Skin flaps carry own blood supply in other hands, the flap method is dependent upon continuation of adequate circulation until vascularization takes place. Because they are much thicker than other grafts, this is a slower process and the flap method is vulnerable to problems with kinking or tension of the base. According to this case, a practician has to consider length of flap and thickness in order to vascular perfusion when superficial brachial axial pattern flap is performed in a dog.

Surgical Treatment of Isolated Phlebectasia of the Forearm - A case report- (전완부에 발생한 정맥확장증에 수술적 치험 - 1예 보고 -)

  • Lee, Woo-Surng;Kim, Yo-Han;Chee, Hyun-Keun;Hwang, Jae-Joon;Lee, Song-Am;Jung, Ho-Sung
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.764-768
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    • 2010
  • Phlebectasia of the venous system of the upper limb is very rare and it does not have a well-defined etiology. Phlebectasia means isolated fusiform or saccular dilatation of the venous system and isolated phlebectasia of the forearm may present as a painless cosmetic deformity or it may cause pain, decreased range of movement, compression on adjacent structures, bleeding, thrombosis and consumptive coagulopathy. We report here on a case of isolated phlebectasia of the forearm and we briefly review the relevant literature.

A Study on the Shape of the Upper Arm and the Armscye Line (상완부 및 진동형태에 관한 연구)

  • 김순분
    • Journal of the Korean Society of Costume
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    • v.30
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    • pp.201-210
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    • 1996
  • The perpose of this study is to compare and to analyze the characters of the shape of up-per arm and armscye line between young and aged women. The subjects were measured with the Mar-tin's anthropometer and with free curve ruler. 10 items in the shape of upper arm were measured and 16 items in the shape of armscye line measured indirectly based on the measured shape taken from the subjects with free curve ruler and both date were analyzed. Mean standard deviation f-test factor analysis were performed for the statistical analysis of the date. The main results were as follows: 1) The shape of the upper arm is long and narrow in youg women compared with aged. 2) The length of the axilla of the aged women were longer than that of young women. 3) There are significant differences young and aged women on the shape of armscye line. THe length of from the front point of axilla to shoulder point width and depth of the shape of the armscye line length of axilla of aged women were longer than that of young. but the length of from the back point of axilla to shoulder point of yyoung women was longer than aged. 4.) The front point of axilla was existed lower than back point of axilla in aged women while front point of axilla was existed higher than the back point in young. 5) Through the factor analysis two factors were obtained from the shape of the upper arm and five factors from the shape on armmscye line in both groups. Factor compornents in the shape of the up per arm were length width and girth of that and in the shape of the armscye line were width and length of upper and lower back and front part of the shape of the armscye line depth of the axilla. he items in the same factor were resemble each other between two groups.

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A Study of Tube Angle and Patient's Rotation Angle in Scapular Y View (어깨뼈 후전사방향촬영에서 Tube 각도와 환자의 회전각도 관한 연구)

  • Ahn, ByeoungJu;Lee, JunHaeng
    • Journal of the Korean Society of Radiology
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    • v.7 no.4
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    • pp.271-275
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    • 2013
  • Shoulder bone scan everyday life, sports activities at the side of the shoulder joint, or applying strong force in the lateral occurs. Mainly on upper arm abduction, temple, other rotational dislocation of the shoulder joint gahaejyeo as useful for observing the presence or absence of lesions is used. Shoulder PA oblique projection prevent distortion of the image due to the angle and the most useful diagnostic radiological investigate shooting angle. Shoulder blade body and the acromion and coracoid process Y-view is formed characters. $10^{\circ}$ angle between the shoulder blades and the acromion is the obstruction. $20^{\circ}{\sim}25^{\circ}$ to the Y-view of the humerus head looks superimposed, the position of the shoulder joint and seemed appropriate. $35^{\circ}$ of the humerus head superimposed on the Y-view, but above the humerus head and shoulder joints were distorted. When $45^{\circ}$ elevation observed on the side of the best has come Y-view also acromion and coracoid process is finished.

Calcific Tendinitis Occurred within Conjoined Tendon in a Patient with Rheumatoid Arthritis - A Case Report - (류마티스 관절염 환자에서 발생한 연합건의 석회성 건염 - 증례보고 -)

  • Lee, Chang-Hun;Kim, Sung-Jae;Lee, Seung-Hun;Koo, Min-Hoi;Lee, Bong-Gun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.31-35
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    • 2012
  • Calcific tendinitis usually occurs within the area where tendon inserts to bone. In the shoulder joints, most cases occur within the supraspinatus tendon just proximal to the greater tuberosity. We report a rare case of calcific tendinitis occurred within the conjoined tendon of coracobrachialis and short head of biceps brachii in a patient with rheumatoid arthritis, diagnosed by means of ultrasonographic evaluation.

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Mini open repair of the rotator cuff tear (회전근개 파열에 대한 소절개를 이용한 봉합술)

  • 이용걸
    • 대한정형외과스포츠의학회:학술대회논문집
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    • 2004.12a
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    • pp.31-33
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    • 2004
  • 소절개 봉합술은 관혈적 봉합술에 비해 동반된 상완관절와 관절(glenohumeral joint)내의 병변을 확인하고 이에 대한 처치를 시행할 수 있으며, 견봉하 감압술과 함께 동반된 견봉 쇄골 관절의 병변을 치료할 수 있다. 또한 삼각근 기시부에 대한 손상을 최소화하기 때문에 마른 재활과 조기 퇴원을 시행할 수 있는 둥의 장점이 있다. 관절경적 봉합술에 비해서는 수술 술기가 어렵지 않기 때문에 항상 좋은 결과를 기대할 수 있다. 회전근개 파열에 대한 수술을 시행할 때 관절경적 봉합술이 모든 경우에서 관혈적 또는 소절개 봉합술에 비해 좋은 결과를 나타내는 것은 아니다. 환자가 심한 골다공증이 있는 경우, 기술적 문제가 있는 경우, 봉합후 회전근개에 지나친 긴장이 염려될 때는 항상 소절개 봉합술로의 전환을 시도하여야 한다. 소절개 봉합술을 시행한 경우에도 관절경적 봉합술시와 비슷한 좋은 결과를 얻을 수 있고, 치료의 결과는 수술의 종류보다는 정확한 술기 및 술전 환자의 상태에 좌우된다고 하겠다.

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