• Title/Summary/Keyword: 파행진단

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구제역 감염 확인을 위한 비구조단백질(NSP) 항체 검출에 대한 고찰

  • Park, Jong-Hyeon
    • Journal of the korean veterinary medical association
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    • v.48 no.9
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    • pp.524-527
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    • 2012
  • 구제역은 급성 발열, 파행을 일으키며, 혀, 발굽, 콧등, 유두 등에 수포형성이 특징인 질병으로 소와 양, 염소는 지속감염(캐리어)동물이 될 수 있으며, 감염된 소의 경우 2-3년 동안 바이러스를 체내에 보유할 수 있다. 따라서 구제역의 정확한 진단 및 예찰은 구제역 청정화를 유지하고 관리하는 데 있어서 매우 중요한 일이다. 우리나라는 2010년 구제역이 발생하여 전국적으로 확산되는 상황에서 백신을 접종했다. 구제역 감염항체로 알려져 있는 비구조단백질 (non-structural protein : NSP) 항체를 검출하면 감염동물과 백신접종 동물을 감별하는 것이 가능하다고 알려져 있으나, 전국적인 백신접종으로 복잡한 축산현장에서는 NSP 검사결과를 해석하는 것이 어려운 경우가 생길 수 있다. 따라서 역학 등과 진단 결과를 종합하여 그 의미를 적절히 파악하는 것은 중요하다. 본 글에서는 구제역 방역에 있어서 중요한 실험법인 NSP 검사법의 실체와 결과의 의미에 대한 이해를 돕고자 하였다.

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Early Diagnosis of Acute Hematogenous Osteomyelitis Using the Ultrasonography in a Child: A Case Report (초음파를 이용한 소아 급성 혈행성 골수염의 조기 진단: 증례보고)

  • Min, Kyoung-Dae;Ahn, Joong-Hyun;Cho, Woo-In;Hwang, Seok-Ha;Cho, Sang-Hyuck;Song, Sang-Hun;Lee, Byung-Ill
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.6 no.2
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    • pp.76-80
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    • 2013
  • It is very important to make an early diagnosis of acute hematogenous osteomyelitis in children to avoid various complications. We report a case of a five-year-old patient with tibial subperiosteal abscess, who was diagnosed using ultrasonography and treated at the early point of the disease.

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Arthroscopy for the Diagnosis and Treatment of Failed Trochleoplasty in a Dog (활차구 성형술이 실패한 개에서 관절경을 이용한 진단과 치료)

  • Hwang, Junho;Heo, Suyoung;Kim, Bumseok;Lee, Sanghoon;Jeong, Seongmok;Lee, Haebeom
    • Journal of Veterinary Clinics
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    • v.32 no.3
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    • pp.251-254
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    • 2015
  • A 3-year-old castrated male Spitz dog (8.4 kg) was referred for hindlimb lameness. The dog had undergone corrective surgery for bilateral medial patellar luxation 6 weeks prior to presentation. Intermittent lameness of both hind limbs was evident on general inspection. Physical examination revealed moderate pain and crepitus upon flexion and extension of the stifle joints. Radiography revealed features consistent with distal deviation of the cartilage flaps and effusion in both stifle joints. Detachment and deviation of both osteochondral blocks were suspected based on the physical and radiographic findings. Arthroscopy confirmed failed osteochondral blocks (right $1.5cm{\times}0.9cm{\times}0.2cm$, left $1.3cm{\times}0.9cm{\times}0.1cm$), which were removed. After removal of the osteochondral blocks, the stepped trochlear grooves were located and debrided using an arthroscopic burr, to prevent patellar tracking disorder. The dog resumed normal ambulation without medial patellar luxation 2 weeks postoperatively, and there were no complications. Arthroscopy is an effective surgical modality for the diagnosis and treatment of canine joint disorders. It offers a magnified view of the joint, which allows accurate evaluation of intra-articular structures. In addition, arthroscopic surgery can reduce the postoperative complications associated with surgical wound.

Treatment of Medial Patellar Luxation by Placement of a Cortical Screw on the Medial Side of the Tibial Crest in a Dog (개에서 경골 조면 내측에 피질골 나사못을 장착하는 방법에 의한 내측 슬개골 탈구 치료 증례)

  • Kang, Byung-Jae;Yoon, Daeyoung;Rhew, Daeun;Kim, Yongsun;Lee, Seunghoon;Kim, Wan Hee;Kweon, Oh-Kyeong
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.133-136
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    • 2014
  • An 8 kg, 9-month-old castrated male Shiba Inu presented with a history of intermittent bilateral hind limb lameness. On examination, grade III medial patellar luxation of the bilateral hind limbs was diagnosed. A novel surgical method involving relatively noninvasive tibial tuberosity transposition was used to restore normal alignment of the quadriceps mechanism. The procedure involved an incision on the medial cortical bone of the tibial tuberosity along the tibial crest and placement of a cortical screw on the medial side of the tibial crest to laterally transpose the tibial tuberosity. Lameness and patellar luxation of bilateral hind limbs were improved at a 3-month postoperative examination. This technique could be considered an effective treatment for medial patellar luxation in skeletal immature patients.

Anterior Cruciate Ligament Rupture in a Korean Native Cattle (한우 싸움소에서 발생한 전십자인대 파열)

  • Lee, Hyun;Yun, Sung-Ho;Park, Jae-Ok;Kim, Seung-Joon;Kwon, Young-Sam;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.31 no.1
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    • pp.54-56
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    • 2014
  • A 9-year-old Korean native cattle was referred with chief complaint of left hind limb lameness during 2 months. He could not bear a weight on the left hind limb. On palpation, the stifle joint was swollen and mild fever was felt. In X-ray images, increased joint fluid, subchondral bone erosions, osteophyte formation along the trochlear ridge, and changes in the shape of the infrapatellar fat pad were shown. Cranial displacement of the tibia and intercondylar eminence could be seen. Based on the history, physical examination and radiographic findings, the bull was diagnosed as anterior cruciate ligament rupture. Because he could not participate in further bullfighting competition anymore, we indicated the slaughter as soon as possible.

Therapeutic Shoeing for Spontaneous Quarter Cracks Induced by Sheared Heel in Thoroughbred Race Horse (더러브렛 경주말에서 부등제종 기인 특발성 제측열제 처치술)

  • Yang, Young-Jin;Shin, Sang-Kyung;Yun, Sung-Wook;Kim, Seung-Joon;Cho, Gil-Jae
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.461-465
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    • 2014
  • A 3-year-old colt Thoroughbred horse was referred with obvious lameness (3/5G) and mild heat and pain on left hoof of forelimb. He was diagnosed with quarter cracks that have a typical conformation of sheared heel, which are a different length and height between medial/lateral heels. Various materials and techniques were carried out to repair quarter cracks by using many different kinds of clips, bar shoes on fifth times for about 10 months. It worked on him without pain and heat on the cracked hoof, and then he could retrain for racing from the 36th weeks beginning of therapeutic shoeing. We suggested that especially fiberglass reinforced plastic (FRP) material and therapeutic shoeing were a great help to treat quarter cracks induced by sheared heel.

Imaging Diagnosis: Biphasic Synovial Sarcoma in a Dog (개에서 발생한 이상성 활막육종 증례)

  • Eom, Ki-Dong;Sung, Yun-Sang;Park, Jong-Im;Park, Hee-Myung;Jung, Soon-Wuk;Kim, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.24 no.1
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    • pp.26-28
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    • 2007
  • An 11-year-old castrated male, Shih-tzu dog was admitted for progressive weight-bearing lameness and mass on the right hindlimb. Radiography and ultrasonography revealed a large well-marginated multinodular mass with mixed echogenicity. On T1 and T2-weighted magnetic resonance imaging (MRI), the mass has a heterogenous signal intensity similar to or higher than muscle. The masses were extended to the pelvic cavi쇼 through obturator foramen and displaced the rectum dorsally. It was diagnosed as synovial sarcoma which was composed with mesenchymal and epithelial elements on histopathological findings of the multifocal biopsied specimen. MRI was helpful to determine the definitive margin for surgical resection of the mass. The mass was recurred at the 6th month after surgery. On the 10th month, the patient was euthanasiuzed by owner's request.

Use of thermography in lameness caused by musculoskeletal disease in Thoroughbred mare (적외선 체열촬영술을 이용한 thoroughbred 말의 근골격계 파행진단 증례)

  • Park, Hyoung-Joon;Song, Yun-O;Lee, Jin-Ju;Ji, Chang-Moo;Jung, Hae-Won;Kim, Suk;Cho, Kyu-Won;Cho, Jae-Hyeon;Kim, Jong-Shu;Moon, Oun-Kyong;Song, Young-Min;Kim, Chung-Hui
    • Korean Journal of Veterinary Service
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    • v.35 no.3
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    • pp.245-250
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    • 2012
  • The mare had lameness and asymmetry edematous on its tarsal and metatarsal joints at the initial physical examination. The pain was elicited with a palpation along the metatarsal articulations. No significant abnormalities were detected in the screening test. However, thermographic images revealed a significant increase in the surface temperature at the joint of the hindlimb when compared to the reference range. At necropsy, an irregularity of the surface and excessive synovial fluid were observed on the right tarsal joint. No bacterial growth was shown in the cultures of synovial fluid. Staphylococcus aureus was detected in the subcutaneous discharge. Taken together, the thermography images were very useful in localizing the area of injury and were an effective diagnostic methodology for assessing lameness.

Osteoid Osteoma Around the Hip Joint (고관절 주위에 발생한 유골 골종)

  • Kim, Tai-Seung;Kim, Jong-Heon;Lee, Bong-Gun;Kim, Soon-Myung
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.168-174
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    • 2005
  • Purpose: We experienced 8 cases of osteoid osteoma arising around hip joint which had some characteristics that differ from those arising on long bone. we reports the characteristics of osteoid osteoma arising around the hip joint. Materials and Methods: 8 cases of osteoid osteoma were diagnosed during 1985 to 2004 at hanyang university hospital. all cases were comfirmed patholgically. 6 cases were male, 2 cases were female patients. The mean age was 17 years old (ranged from 8 to 29). They occurred in intertrochanteric area (4 cases), subtrochanteric area (2 cases), acetabulum (1 case) and femoral neck (1 case). We used radiologic tools including magnetic resonance image, computed tomography, bone scintigraphy. clinicopathologic test including erythrocyte sedimentation rate and Creactive protein. Results: The patients expressed various symptoms including thigh pain, knee pain, low back pain and radiating pain respectively. 2 patients had experienced operation on knee joint. 3 patients showed limping gait. Aspirin relieved the pain in 3 patients. The difference in circumference was 1cm between both thighs in 2 cases. Conclusion: Patients with osteoid osteoma arising around hip joint which have various symptoms such as severe knee pain and claudication, differ from infectious disease by clinicopathologic test including erythrocyte sedimentation rate and C- reactive protein and had better diagnostic result in computed tomography.

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Intra-articular Corticosteroid Treatment of Biceps Tenosynovitis in a Dog (개에서 두갈래근 힘줄 윤활막염의 관절강 내 코티코스테로이드 치료 1예)

  • Lee, Jae-Yeon;Jee, Hyun-Chul;Lee, Ki-Ja;Park, Seong-Jun;Choi, Ho-Jung;Lee, Young-Won;Kim, Myung-Cheol;Jeong, Seong-Mok
    • Journal of Veterinary Clinics
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    • v.24 no.1
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    • pp.32-34
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    • 2007
  • A 3-year-old, 35kg, neutered male Borzoi was admitted with a history of intermittent weight-bearing left forelimb lameness. Physical examination revealed pain response on left bicipital tendon during palpation of the tendon and shoulder flexion and extension. Radiographic findings of the left shoulder joint included intertubercular grove osteophytes and periarticular changes. Arthrograms revealed a roughened and irregular appearance to the biceps tendon. Synovial fluid analysis is consistent with degenerated joint disease. It was diagnosed as biceps tenosynovitis on the basis of history, physical examination, radiography and arthrograms. The dog was treated with medical management. Medical treatment included an aseptic intra-articular injection of 40mg methylprednisolone acetate in the left shoulder and strict exercise restriction. Three weeks later, the dog responded well to glucocorticoid therapy.