• Title/Summary/Keyword: Compression injury

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Effect of Oriental Medicine Treatment on Inpatient with Thoracolumbar Compression Fracture (흉요추 압박골절로 입원한 환자에 대한 한의학적 치료 효과)

  • Jung, Ki-Hoon;Cha, Jung-Ho;Hwang, Hee-Sang;Jeon, Jae-Cheon;Lee, Tae-Ho;Lee, Eun-Yong;Roh, Jeong-Du
    • Journal of Acupuncture Research
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    • v.26 no.1
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    • pp.81-90
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    • 2009
  • Objectives : This Study was to investigate the tendency of inpatient with Thoracolumbar Compression Fracture. Also we investigated effectiveness of Pharmacopuncture and Warming Acupuncture on Thoracolumbar Compression Fracture. Methods : We investigated 48 cases of patients with thoracolumbar compression fracture. We distributed inpatint with age, sex, number of injured vertebra, level of injured vertebra, admission duration, grade of clinical symptom, result of treatment and applied treatments. And we calculated statistically signification with this data. Results : 1. Female is prominent in distribution of sex, the average age bracket is 70's, and the largest group was accidental fall in the distribution of causes. 2. In regard to level of injury, T12 was found to be most prominent, followed in turn by L2, L1, T12. In regard to grade of clinical symptoms, Grade III was most Prominent, followed in turn by Grade IV, Grade II. In regard to grade of result of treatment, Good was most prominent. 3. There was not statistically significantly correlation about admission duration and result of treatment with number of injured vertebra, grade of clinical symptom, applied treatments. Conclusions : Most inpatients with thoracolumbar compression fracture was cured by oriental medicine treatment.

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Vertebroplasty Utilizing Percutaneous Vertebral Body Access (PVBA) Technique for Osteoporotic Vertebral Compression Fractures in the Middle Thoracic Vertebrae

  • Cho, Yong-Jun;Choi, Jong-Hun;Cho, Sung-Min
    • Journal of Korean Neurosurgical Society
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    • v.41 no.3
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    • pp.161-165
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    • 2007
  • Objective : Percutaneous approach to the middle thoracic vertebra through the transpedicular route for the patients with osteoporotic vertebral compression fractures is difficult due to the small size of the pedicle and parasagittally oriented vertebra body anatomy. The percutaneous vertebral body access [PVBA] technique utilizing the posterolateral extrapedicular approach avoids the pedicle and provides direct access to the vertebral body. The objective of this study is to evaluate the efficacy of the vertebroplasty utilizing PVBA technique for osteoporotic vertebral compression fractures in the middle thoracic vertebrae. Methods : A retrospective review was done on 20 patients who underwent vertebroplasty utilizing PVBA technique performed for painful osteoporotic compression fracture in the middle thoracic vertebrae at 22 levels from May 2003 to June 2006. The average amount of the injected cement was 1.5-2.5ml. The postprocedural outcome was assessed using a visual analogue scale [VAS]. Results : The treated vertebrae were T5 [1 level], T6 [5 levels], 17 [7 levels], and T8 [9 levels]. The compression rate and kyphotic angle were improved after procedure from $18%{\pm}13.4$ to $16%{\pm}13.8$ [p > 0.05] and from $6.9^{\circ}{\pm}6.7$ to $6.6^{\circ}{\pm}6.2$ [p>005], respectively. Preprocedural VAS was $8.2{\pm}0.70$ and was decreased to $2.1{\pm}1.02$ [p < 0.01] after treatment. Postprocedural cement leakage was noted in 3 levels [13.7%]. There were no cases of leakage to epidural space or neural foramen, segmental artery injury, and pneumothorax. Conclusion : These results suggest that the complication rates are low and good results can be achieved with vertebroplasty utilizing PVBA technique for the osteoporotic vertebral compression fractures especially in the middle thoracic vertebrae.

Surgical treatment for dysesthesia after overfilling of endodontic material into the mandibular canal (하치조신경관으로 과충전된 근관치료 충전재에 의한 감각이상의 외과적 처치)

  • Song, Jae-Min;Kim, Yong-Deok;Lee, Jae-Yeol
    • The Journal of the Korean dental association
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    • v.54 no.11
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    • pp.874-879
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    • 2016
  • Damage to the inferior alveolar nerve(IAN) is a relatively infrequent complication in endodontic treatment. However, endodontic overfilling involving the mandibular canal may cause an injury of the inferior alveolar nerve resulting in sensory disturbances such as pain, dysesthesia, paresthesia or anesthesia. Two mechanism(chemical neurotoxicity and mechanical compression) are responsible for the IAN injury. When absorbent materials overfilled, it can be treated as a non-surgical procedure. But early surgical intervention required when mechanical, chemical nerve damage expected. We report surgical removal of overfilled gutta-percha and IAN decompression through sagittal split osteotomy in case of dysesthesia after overfilling of endodontic material into the mandibular canal. Dysesthesia recovered 3 months after surgical treatment.

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Delayed Post-traumatic Coarctation of Distal Abdominal Aorta - A Case Report - (수직추락후 발생한 복부대동맥 협착 1례 보)

  • Park, Guk-Yang;Lee, Hong-Seop;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.20 no.1
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    • pp.199-201
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    • 1987
  • We have recently experienced a rare case of abdominal aortic injury caused by deceleration force during fall in upright position. The patient was 43-year-old brick-layer fell from 12 meter height and sustained compression fracture of the spine and both legs. The aortic injury was unnoticed at that time. About 2 years later, marked stenosis of the distal abdominal aorta was found together with clinical manifestations of ischemia of both legs. Aorto-femoral bypass on both sides has completely relieved the symptoms, Similar type of abdominal aortic injuries could not be found in the literatures.

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Abdominal Organ Injuries with Chyloperitoneum after Blunt Tauma: A Case Report (유미복막증이 동반된 복부장기 손상)

  • Kim, Young Hwan;Jung, Yooun Joong;Hong, Suk-Kyung
    • Journal of Trauma and Injury
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    • v.25 no.3
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    • pp.105-108
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    • 2012
  • Chyloperitoneum or chylous ascite after trauma is a rare condition. It can develop after direct injuries of lymphatic vessels or cisterna chyli. Though isolated chyle duct injury has sometimes been reported, chyloperitoneum is generally accompanied by various kinds of damage to other intraabdominal organs. There's still no established therapeutic protocol regarding the treatment of chyloperitoneum when it is accompanied by the serious injuries of intraabdominal organs. We describe a 66-year-old male with serious intraabdominal organ injuries after blunt trauma. In our case, chyloperitoneum developed due to the injuries to the mesenteric lymph vessels and compression of cisterna chyli by hematoma around aorta.

How Effective Is the Injection Therapy in Foot and Ankle Disorder? (족부족관절 질환에서 주사 치료는 얼마나 효과가 있는가?)

  • Song, Ha Heon
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.10-16
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    • 2021
  • Evidence-based papers on the treatment of some chronic tendinopathy or ligament lesions using an injection in foot and ankle disorders have been reported, but there are few reports on the treatment of acute ankle ligament injury. On the other hand, some papers have reported a faster return to play for injection therapy that combines RICE (Rest, Icing, Compression, and Elevation) treatment and rehabilitation. Injection therapy can be used as an additional treatment for ankle ligament injury. Rather than having narrow-minded thinking about these treatments, it is important to make efforts to verify the safety and precautions of treatment and recognize them as a category of normal treatment. Continuous analysis and monitoring of these treatments can satisfy patients whose needs are changing rapidly.

Limited Incisional Drainage and Negative-Pressure Wound Therapy in an Acute Morel-Lavallée Lesion

  • Choi, Eui-Sung;Yang, Jae-Young;Ahn, Byung-Hyun
    • Journal of Trauma and Injury
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    • v.34 no.1
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    • pp.75-78
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    • 2021
  • A Morel-Lavallée lesion is a post-traumatic closed degloving soft tissue injury after blunt trauma. Infection and skin necrosis frequently occur if it is not treated properly in the early stages. However, there is no clearly established treatment algorithm. In the acute stage, it is mainly treated with aspiration, simple compression, and incisional drainage. In the chronic stage, sclerotherapy is usually performed. If skin necrosis develops, the necrotic tissue is resected and a skin graft is needed. We describe a case of acute Morel-Lavallée lesion in the buttock region that was treated with limited incisional drainage and negative-pressure wound therapy, and also present a review of the literature.

Rare complication of skin necrosis after endoscopic debridement and cutaneo-fascial suture for a massive Morel-Lavallée lesion in Korea: a case report

  • Youngmin Kim;Jayun Cho;Myung Jin Jang;Kang Kook Choi
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.304-309
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    • 2023
  • A Morel-Lavallée lesion (MLL) is a pathologic fluid collection within an abnormally formed space, resulting from an internal degloving injury between the muscle fascia and subcutaneous fat layer. Due to its resistance to conservative treatments such as drainage or compression dressing, various therapeutic methods have been developed for MLL. However, no standardized guidelines currently exist. Recently, endoscopic debridement and cutaneo-fascial suture (EDCS) has been introduced for the treatment of MLL, particularly for large lesions resistant to conservative approaches. While this procedure is known to be effective, limited reports are available on potential complications. The authors present a case of skin necrosis following EDCS for a massive MLL.

Anterior interosseous nerve palsy in the early postoperative period after open capsular release for elbow stiffness: a case report

  • Christopher A. Colasanti;Michael Boin;Jacques Hacquebord;Mandeep S. Virk
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.462-466
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    • 2023
  • Surgical release of elbow contracture is associated with injury to structures traversing the elbow. To date, only one other case report has been published describing anterior interosseous nerve (AIN) palsy that developed immediately after open elbow contracture release and debridement. Here we describe the unique case of a patient that developed AIN palsy 1 week after operation, including magnetic resonance imaging and electrodiagnostic studies, to shed some light on the etiology of this rare complication.

Correlation Analysis between Injury Index of Multi-cell Headrest through k-means Clustering DB (k-means clustering DB를 통한 Multi-cell headrest의 상해지수 간 상관관계 분석)

  • Sungwook Cho;Seong S. Cheon
    • Composites Research
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    • v.37 no.1
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    • pp.46-52
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    • 2024
  • The development of transportation methods has improved human transportation convenience and made it possible to expand the travel radius of people with disabilities who have difficulty moving. However, in the case of WAV (wheelchair Accessible Vehicle), the safety that may occur in a vehicle accident is still lower than that of regular passenger seats. In particular, in the case of a rear-end collision that may occur in a defenseless situation, it can cause fatal neck injuries to disabled passengers. Therefore, a more detailed design plan must be reflected in the headrest to be applied to WAV. In this study, a multi-cell headrest was proposed to implement local compression characteristic distribution of the headrest during rear-end collision of WAV. Afterwards, a correlation analysis was performed between the passenger's NIC (Neck Injury Criterion) and impact energy absorption using the data set construction through analysis and the clustering results using k-means clustering. As a result of clustering, it was confirmed that data clusters with similar characteristics were formed, and a correlation analysis between NIC and impact energy absorption through the characteristics of each cluster was performed. As a result of the analysis, it was confirmed that the softer the cell compression characteristics in Mid3 and Mid6, the more impact energy absorption increases, and the harder the cell compression characteristics in Front2, Mid3, and Mid6, the more effective it is in reducing NIC.