• Title/Summary/Keyword: 척추질환

Search Result 226, Processing Time 0.052 seconds

Monostotic Fibrous Dysplasia in the Spine - A Case Report - (척추에 발생한 단골성 섬유 이형성증 - 증례 보고-)

  • Yang, Jun-Young;Lee, June-Kyu;Lee, Jun-Ho;Yang, Jae-Hoon
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.11 no.2
    • /
    • pp.188-193
    • /
    • 2005
  • Fibrous dysplasia is a condition characterized by the replacement of the medullary component of predominantly long bone with fibrous tissues. The monostotic form of the fibrous dysplasia occurs more frequent than the polyostotic form. Only the twenty three previous cases of vertebral involvement in monostotic fibrous dysplasia have been reported. Authors experienced a case of monostotic fibrous dysplasia of the third lumbar vertebra, so we report this case. Report details the diagnosis and treatment of a 34 years old man with back pain from monostotic fibrous dysplasia of the third lumbar vertebra. We discuss the experience in the consideration of previous report to recommend the optimal management of this disease.

  • PDF

The Role of Duplex Sonography in Right Subclavian Double Steal Syndrome (우측 빗장밑이중혈류빼앗김증후군에서 이중초음파검사의 유용성)

  • Han, Minho;Jin, Bok Hee;Nam, Hyo Suk
    • Korean Journal of Clinical Laboratory Science
    • /
    • v.49 no.3
    • /
    • pp.316-321
    • /
    • 2017
  • The occurrence of subclavian steal syndrome is possible in patients with either severe stenosis or occlusion in the left proximal subclavian or brachiocephalic arteries. Limited and insufficient blood flow in the vessel with a lesion induces blood supply from the opposite side via any of the connected vessels, which is called a subclavian steal phenomenon. The duplex sonography is useful for detecting this phenomenon. Some patients who experience this phenomenon complain of vertebrobasilar insufficiency, such as headache or numbness and weakness in the arm, and so on. Subclavian steal syndrome means subclavian steal phenomenon accompanied by these symptoms. We present a patient with focal severe stenosis of the brachiocephalic artery, manifested as blood flow reversal in the vertebral, and a "to-and-fro" waveform pattern in the external carotid, internal carotid, and common carotid arteries.

Single System Langerhans' Cell Histiocytosis with Multifocal Bone Lesions and Pathologic Fracture: A Case Report (다발성 골 침습과 병적 골절을 동반한 단일조직 랑게르한스 세포 조직구증: 증례 보고)

  • Hur, Jae-Seung;Kim, Hong-Sik;Park, Yong-Wook;Pyo, Ju-Yeon;Lee, Young-Ho;Park, Ye-Soo
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.19 no.2
    • /
    • pp.78-82
    • /
    • 2013
  • Langerhans cell histiocytosis is known as one of the diseases related to excessive proliferation of normal monocytes and has the variety of clinical courses and treatment. Especially, in cases with the spine, it shows a feature of single or multiple osteolysis. According to the location, disease progression and concomitant symptom, variety of treatments (observation, radiotherapy, chemotherapy, surgery, etc.) have been attempted, however, appropriate treatment has not been established yet. The authors introduce the case of single system Langerhans cell histiocytosis which involves cervical and lumbar vertebrae simultaneously with bone marrow destruction and pathologic fracture.

Surgical therapy of Sprengel deformity by Woodward procedure - A case report - (Woodward 술식을 이용한 Sprengel 변형의 수술적 치료 - 1예 보고 -)

  • Lee, Chae-Chil;Cho, Sung-Do;Kang, Byeong-Seong;Kim, Sang-Woo;Ko, Sang-Hun
    • Clinics in Shoulder and Elbow
    • /
    • v.10 no.1
    • /
    • pp.146-149
    • /
    • 2007
  • Congenital undescended scapula is congenital structural abnormality which affects only one side usually. Scapula located higher than the usual and rotating deformity that inferior angle to medial side, superior angle to lateral side is common. This report presents one case of the surgical therapy of a sprengel deformity patient who passed an optimal operation period with age $3{\sim}7$years old, and includes brief review of the literature. 7 years old boy whose chief complaint was the limitation of left scapular-thoracic movement and he had an omovertebral bone bridge and periscapular muscle atrophy. There was improvement of motion ranges and cosmetic problems after surgical treatment.

The Domestic Trend of Chuna Treatments on Lumbar Spinal Disorder (요추부 질환에 적용하는 추나 치료에 대한 국내 연구 동향)

  • Choi, Hee-Seung;Choi, Young-Il;Son, Seol-Ki;Choi, Chul-Woo;Im, Han-Bit;Kim, Dong-Hwan;Jeong, Yeon-Jae
    • The Journal of Churna Manual Medicine for Spine and Nerves
    • /
    • v.7 no.2
    • /
    • pp.25-38
    • /
    • 2012
  • Objectives : The present study examines the domestic trend of Chuna treatments on lumbar spinal disorder in Korea. Methods : We investigated the studies on Chuna treatments for lumbar spinal disorder via searching 10 Korean web databases. As a result, 63 research papers were found to be analyzed according to their published year, the titles of journals, the types of study, the techniques of Chuna, the instruments for assessment, the Chuna technique and the number of the treatment trials by the cases of lumbar spinal disorder and ethical approvals. Results : The number of the research papers published tends to increase every year. The studies on Chuna treatments were mainly published in The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. The most frequently adopted technique of Chuna in the examined studies was Cox flexion & distraction technique. Visual analogue scale(VAS), oswestry disability questionnaire(ODI) were used as primary means of assessments. The ethical problems of the examined studies needed to be improved. Conclusion : Reviewing the domestic trend of studies on Chuna treatments for lumbar spinal disorder and examining the strong and weak points of those treatments are essential for the future studies. It is anticipated that this review benefits the future in-depth study on the treatments for Chuna in Korean medicine.

  • PDF

Clinical Application Status Analysis of Chuna Manual Therapy after Musculoskeletal Disorder Surgery (근골격계질환 수술후 추나 기법 임상적용 현황분석)

  • Lee, Sang-Jin;Lee, Kang-Joon;Park, Jung-Sik;Song, Yun-Kyung
    • The Journal of Churna Manual Medicine for Spine and Nerves
    • /
    • v.14 no.2
    • /
    • pp.123-134
    • /
    • 2019
  • Objectives : The purpose of this study was to analyze the clinical application status in papers related to Chuna Manual Therapy after musculoskeletal disorder surgery. Methods : We searched 6 electronic databases(RISS, DBpia, KISS, NDSL, OASIS, Pubmed) and 2 associated journals (Korea CHUNA Manual Medicine for Spine & Nerves, Korean Medicine Rehabilitation). We classified the papers by related musculoskeletal region and analyzed them in detail. Results : 1. Of the 24 papers included in the final analysis list, 13 were carried out for fascia and 18 for joints. 2. There were positive effects on the improvement of symptoms, including the relief of pain in patients, and there were no cases of severe side effects and adverse events. 3. Thus, CMT can be used as a safe and effective treatment if a skilled practitioner makes proper use of the follow-up procedure based on accurate judgment of the patient's postoperative condition. Conclusions : Through this paper, we expect that there will be active research on the clinical applications of Chuna Manual Therapy in Korean rehabilitation treatment after musculoskeletal disorder surgery.

A Comparison Study on Fatigue and Pain in Rheumatoid Patients - centered on AS, FM, and SLE patients (류마티스 질환자의 피로와 통증 비교연구 -강직성척추염, 섬유조직염, 루프스환자를 중심으로-)

  • Yi, Yeo Jin;Lim, Nan Young;Lee, Eun Young
    • Korean Journal of Adult Nursing
    • /
    • v.12 no.4
    • /
    • pp.560-572
    • /
    • 2000
  • This study was designed to offer descriptive data for nursing intervention for relief of fatigue and pain, and to distinguish by the characteristic difference and the symptoms such as fatigue and pain on Ankylosing Spondylitis (AS), Fibromyalgia(FM), and Systemic Lupus Erythematosus(SLE) patients. The sample consisted of 92 patients(AS 29; FM 30; SLE 33) who visited H-University Rheumatism Hospital in Seoul. The data were collected by a structured questionnaire from May 1, 1999 to April 30, 2000. The results were as follows: Patients of 95% experienced fatigue in the last week and a fatigue score of three disease groups were above average. The fatigue score of FM patients was highest in the other disease, but which was not a statistically significant difference(F=1.417, p=.248). The mean score of AS and FM patients in pain was higher than the SLE patients, and there was the statistical significance among the three groups on pain (F=8.239, p=.001). There wasn't a statistical difference among three groups on coping wtih pain(F=1.451, p=.240). There wasn't any correlation between fatigue and pain in each disease (AS: r=.008, p=.966; FM: r=.328, p=.077; SLE: r=.237,p=.185). Therefore, morning stiffness and pain management during sleeping is needed through good body alignment in the AS patients. Adequate rest for fatigue and multiple coping strategies for pain maybe basic nursing intervention in FM and SLE. According to their fatigue rhythm, a regular exercise program is needed for rheumatic disease because they complained of fatigue above average and their fatigue was repeated better and worse only during the one week.

  • PDF

Analysis of Clinical Tendency of Spinal Disorder in Primary, Middle and High School Students in Korea (국내 초.중.고등학생들의 척추질환 진료경향 분석)

  • Kim, Min-Jung;Son, Chang-Gue;Heo, Dong-Seok;Hong, Kwon-Eui
    • Journal of Acupuncture Research
    • /
    • v.27 no.2
    • /
    • pp.43-49
    • /
    • 2010
  • Objectives : Among young generation, the prevalence of spinal disorders is known to be increasing. This study aimed to analyze the clinical data of spinal disorder in young ages in Korea. Methods : Number of patient, kinds of disorder, and medical cost were analyzed for patients(7~18 years) underwent spinal disorders using computerized database of Health Insurance Review and Assessment Service(HIRAS) from 2004 to 2008. We included dorsopathies as spinal disorder according to Korean Classification of Diseases(KCD) and excluded spinal disorder caused by trauma. We compared the data of traditional Korean medicine treatment with that of western medical care. Results : 4.8% of the children and adolescents had medical treatment with spinal disorder in 2008. The claim number and medical cost for both traditional Korean medicine and western medicine treatment are increasing 1.8 and 1.3 times respectively over 5 years. Total medical spent of western clinic was 2.1 times than those of traditional Korean clinic. The most common spinal disorder was dorsalgia(31.8%) and scoliosis(13.5%) in western clinics while back pain(29.0%) and neck pain(10.8%) in oriental clinic. Conclusions : We first reported the clinical tendency of spinal disorder in Korean children adolescents from 2004 to 2008. This study will support the development of a strategy for traditional Korean medicine-based prevention or treatment of spinal disorders in young generation.

Three cases of postpartum low back pain patients treated by heating-conduction acupuncture therapy (전열침을 적용한 산후 요통환자 치험 3례)

  • Lim, Gwang-Mook;Wi, Dae-Yong;Ko, Youn-Seok;Lee, Eun-Hee;Ban, Ji-Hye;Lee, Ah-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
    • /
    • v.7 no.1
    • /
    • pp.49-57
    • /
    • 2012
  • Objectives : The purpose of this study is to evaluate the effect of the heating-conduction acupuncture therapy on the postpartum low back pain patients. Methods : Heating-conduction acupuncture therapy was administered three and four times on three postpartum low back pain patients. The improvement of clinical symptoms was evaluated by SF-MPQ(short form-McGill pain questionnarie), VAS(visual analogue scale) and ODI(oswestry disability index). Results : After treatment, each three patients' SF-MPQ, VAS and ODI score reduced respectively. Conclusions : Heating-conduction acupuncture therapy for postpartum low back pain patients was effective. Although this cases presented valuable result, further research is encouraged to confirm the effectiveness of this treatment.

  • PDF

A Case Report of Prescribing Tong shun-san for Three Patients with Compression Fracture (통순산(通順散)을 투여한 압박골절(壓迫骨折)환자 치험 3례)

  • Han, Sang-Wook;Jung, Young-Hun;Kim, Jeong-Won;Kim, Choo-Young;Uhm, Bong-Kun;Lee, Cha-Ro;Lee, Jae-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
    • /
    • v.6 no.2
    • /
    • pp.145-154
    • /
    • 2011
  • Objectives : The purpose of this study is to investigate the clinical application of Tong shun-san to three patients with compression fracture. Methods : Three patients were hospitalized at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as compression fracture and treated mainly with herbal medicine ; Tong shun-san. Their conditions were measured by VAS(Visual Analogue Scale) score. Results : After taking Tong shun-san, their pain was reduced. And VAS score was decreased. Conclusions : During three patients with compression fracture were taking Tong shun-san, their conditions were improved.

  • PDF