• 제목/요약/키워드: Fasciitis

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골화성 근염의 세침흡인 세포학적 소견 - 1예 보고 - (Fine Needle Aspiration Cytology of Myositis Ossificans - A Case Report -)

  • 김동원;이동화
    • 대한세포병리학회지
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    • 제9권1호
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    • pp.123-127
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    • 1998
  • The aspiration cytologic finding of myositis ossificans is not well documented but similar to that seen in nodular fasciitis except less cellularity. Myositis ossificans is a reactive condition that is sometimes mistaken microscopically for extraosseous osteosarcoma. Cytologically, myositis ossificans may be distinguished from extraosseous osteosarcoma by the presence of uniform benign stromal cells composed of mature fibroblasts and osteoclastic giant cells. However, the differential diagnosis may be difficult in the early stage of this reactive and proliferative process. We recently experienced a case of myositis ossificans. The patient was a 67-year -old woman with painful swelling of the left index finger for one month. Simple x-ray finding showed a soft tissue mass with calcific center at middle phalanx of the left hand. Fine needle aspiration cytology revealed a few individual or clusters of spindle cells in dense eosinophilic stroma with osteoclastic giant cells. The spindle cells were uniform smooth-bordered, and oval nuclei with single small inconspicuous nucleoli, and elongated cytoplasm. The scattered individual cells had eccentric nuclei with one or two nucleoli and abundant, basophilic cytoplasm.

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달리기 운동을 하는 사람에서 무릎 손상의 예방과 재활 (Prevention and Rehabilitation of Runner's Knee Injury)

  • 서승석;김정한
    • 대한정형외과스포츠의학회지
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    • 제9권1호
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    • pp.22-27
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    • 2010
  • 도시화, 사회 경제적 발달로 인하여 많은 사람들이 달리기 운동을 즐기고 있다. 달리기는 단순한 운동이지만 반복적인 동작을 하기 때문에 관절에 특이적인 손상이 발생될 수가 있다. 달리기 운동 손상의 원인은 급성기의 손상보다는 만성적인 과사용 증후군으로 인한 것이 대부분이다. 또한 달리기를 할 때 흔히 동반되는 손상은 전방 슬관절 통증, 장경 인대 증후군, 피로 골절, 족저 근막염, 아킬레스 건염, 후방 경골 인대 증후군 등이 있다. 달리기 운동 손상의 가장 흔한 부위는 무릎 관절이다. 이에 저자들은 문헌 고찰을 하여, 달리기 운동 손상 중에서 무릎에서 발생하는 손상의 종류, 원인, 예방, 재활적인 치료 등을 중심으로 알아보고자 한다.

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연부조직 병변의 세침흡인 세포학적 소견 (Cytologic Features of Soft Tissue Lesions)

  • 옥순애;공경엽;최기영;허주령;유은실;이인철
    • 대한세포병리학회지
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    • 제6권1호
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    • pp.27-35
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    • 1995
  • We reviewed 93 cases of fine needle aspiration of skin/subcutaneous and soft tissue lesions with histologic confirmation. On the basis of the most prominent cytologic features, morphologic classification of the aspirates was done. Skin and subcutaneous lesions included endometriosis, epidermal inclusion cyst, fat necrosis, pilomatrixoma and nodular fasciitis. Neoplastic lesions of soft tissue were categorized as ; round cell, spindle cell, polygonal cell, well-differentiated and myxoid tumor. This classification is convenient to recognize and categorize most soft tissue tumors.

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Fournier 괴사 환자의 연부조직 결손 재건술 (Reconstruction of the Soft Tissue Defect in Fournier's Gangrene)

  • 서성보;강양수;천지선;양정열
    • Archives of Reconstructive Microsurgery
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    • 제12권1호
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    • pp.13-18
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    • 2003
  • Fournier's gangrene is a synergistic necrotizing fasciitis of the perineal, perirectal and urogenital area and can be fatal unless treated in early stage. Perianal and urogenital infections are common causes of the disease but it can occur after artificial procedure on perineal area using by surgical instruments. It is mixed aerobic and anaerobic infection and E. coli is the most common causative bacteria. Untill now many investigators have focused on early diagnosis, preserving hemodynamic stability, broad-spectrum systemic antibiotics and treatment of underlying disease in management of Fournier's gangrene. The authors have experienced five patients of chronic liver disease whose necrotizing perineal infections developed spontaneously and treated them aggressively as described above and reconstructed perineal soft tissue defects using by various surgical methods, then we got good results both functionary and cosmetically. From now on, we would better reconstruct soft tissue defect of perineum with skin graft or pedicled flap in early stage when treat Fournier's gangrene, thereafter we can get an ultimate increase in patient's life quality.

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Is the Arch Index Meaningful

  • Lung, Chi-Wen;Yang, Sai-Wei;Hsieh, Lin-Fen
    • 한국운동역학회지
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    • 제19권2호
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    • pp.187-196
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    • 2009
  • The foot type is classified into normal, high or low arch according to either foot print or medial longitudinal arch (MLA) height. Plantar fasciitis, heel pain, Achilles tendinitis, stress fracture, metatarsalgia, knee pain, shin splint pain, and etc are common foot disorders and associate to the foot type. The purpose of this study was to evaluate several suggested bony inclination used to classified the abnormal foot and if the arch index (AI) was correlated with foot morphology. Lateral view and dorso-plantar view of radiographic images and flatbed scanner measurements obtained from 57 college students were analyzed. Results showed that AI measured in this study was higher than Caucasian Americans and European, but similar with African. The ethnic origin could influent the AI distribution. The AI provided a simple quantitative means of assessing the structure of lateral and medial longitudinal arches. The correlation coefficients of true bone height with AI could be further improved by normalized foot width rather than foot length. AI also demonstrated as a good indicator of inclination between calcaneus-fifth metatarsal (CalM5) and calcaneus-first metatarsal (CalX), it is a good means to classify the foot type.

일 대학병원 간호사의 발 건강 상태 (Foot Health Condition and Related Characteristics of Nurses)

  • 이은남;김나경;김선희
    • 근관절건강학회지
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    • 제27권3호
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    • pp.289-297
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    • 2020
  • Purpose: This descriptive study aimed to identify the foot health condition and related characteristics of nurses. Methods: A literature-based questionnaire was developed and distributed to 472 nurses in a university hospital in B city, and data were collected from August 1 to August 15, 2020. The Foot Health Status Questionnaire (FHSQ) was used to measure foot health condition. Results: The most common foot diseases among the participants were plantar fasciitis (7.8%) and hallux valgus (7.0%). To relieve foot pain, most nurses used relaxation techniques, stretching, elevating the legs, and foot massage. The level of foot health condition among nurses was lower than that of older persons or the general public with chronic foot disease. The foot health condition of the nurses showed that the lower the age and the greater the number of foot diseases, the more severe the pain and dysfunction. Conclusion: The study shows that there is a need for interventions that will raise nurses' awareness about foot health and induce better foot health management.

과도한 걷기 운동 이후 발생한 종골하 점액낭염 (A Subcalcaneal Bursitis Developed after Execessive Walking Exercise)

  • 이정상;윤경재;도종걸;김건우;이용택
    • Clinical Pain
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    • 제18권1호
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    • pp.31-35
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    • 2019
  • Plantar heel pain is a common clinical problem in foot and ankle clinics. Typically, several conditions such as plantar fasciitis, fat pad atrophy, and calcaneal fracture may lead to plantar heel pain. However, subcalcaneal bursitis occurred between plantar fascia and plantar fat pad has rarely been described as a cause of plantar heel pain. To our knowledge, subcalcaneal bursitis has been reported only once, but there was no mention of preceding factors. We firstly present a case of subcalcaneal bursitis occurred after excessive walking exercise known as "Nordic walking" and successfully managed with conservative treatments that relieve impact on plantar heel.

소아 근골격계 감염성 질환 및 염증성 질환의 영상 소견 (Imaging Findings in Pediatric Musculoskeletal Infection and Inflammation)

  • 김지영
    • 대한영상의학회지
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    • 제85권3호
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    • pp.520-530
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    • 2024
  • 소아 환자의 아직 미성숙한 근골격계 감염 및 염증성 질환은 뼈 뿐만 아니라 인접한 근육을 포함한 연조직 및 관절에 영향을 미친다. 빠른 진단을 통한 적절한 치료가 후유증 발생 여부나 질환에 의한 이환율 및 사망률에 큰 영향을 끼칠 수 있다. 소아 환자의 근골격계 감염 및 염증성 질환의 영상 소견에 익숙해진다면, 보다 빠른 진단을 가능하게 할 뿐 아니라 및 치료의 적절성 평가에도 도움을 줄 수 있을 것이다. 이 논문에서는 소아의 미성숙한 근골격계의 해부학적 특징을 포함한 병리 생리학적 특징을 설명하고, 이를 바탕으로 하여 골수염, 연조직 감염 및 비감염성 염증성 관절 질환의 영상 소견을 소개하고자 한다.

소아 추나에 대한 국내·외 연구 동향 (Domestic and Foreign Research Trend on the Pediatric Chuna Treatment)

  • 이진화;한재경;김윤희
    • 대한한방소아과학회지
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    • 제29권4호
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    • pp.67-76
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    • 2015
  • Objectives The purpose of this review is to investigate the domestic and foreign studies of pediatric Chuna treatment and propose the directions of future studies and clinical applications. Methods We searched for the study at RISS, KISS, DBPIA, Pubmed, CNKI by keywords, '추나', 'Osteopathic', 'Chiropractic', 'Manipulation', '推拿', '導引', '按摩', After 2010. Results 1. Selected 3 domestic studies were categorized as 1 survey study and 2 case reports. Selected 41 foreign studies from Pubmed were categorized as 15 systemic reviews, 8 survey studies, 12 case reports and 6 control studies. Selected 82 foreign studies from CNKI were categorized as 10 systemic reviews, 22 case reports and 50 control studies. 2. 2 clinical domestic studies researched on idiopathic Scoliosis. The foreign clinical studies from Pubmed are 18 cases, and those studies were categorized into Premature baby care (3), Infant colic (2), ADHD (2), Congenital talipes equinovarus (1), Somatic dysfuntion (1), Nonsynostotic occipital plagiocephaly (1), Conversion disorder (1), Lower back pain (1), Chronic bilateral dorsal foot pain and stiffness (1), plantar fasciitis (1), Migraine headaches (1), Cyclic vomiting syndrome (1), Acute otitis media (1) and Cerebral palsy (1). The other 72 foreign clinical studies were from CNKI, and they studied 39 different diseases. Systematically, they studied about digestive diseases (25), respiratory diseases (20), fever (6), musculoskeletal diseases (5), nervous system diseases (5), dermatology diseases (2) and other disease states. The Chuna treatment was used in variety of studies. 3. 2 clinical domestic studies adopted techniques of Osteopathy Chuna. The foreign clinical studies from Pubmed adopted techniques of Osteopathic manipulation (10) and Chiropractic manipulation (8). The other foreign clinical studies from CNKI adopted techniques of Acupressure (69), Abdominal manipulation (23), Spinal manipulation (21), Thoracic manipulation (11), Traction manipulation (2), Muscular manipulation (2), Squeezing Sha manipulation (1), Spine correction (1), Joint manipulation (1) and Fascia manipulation (1). Conclusions In addition to musculoskeletal disorders, variety of pediatric diseases could be treated with Chuna treatment instead of acupuncture.

족부 신경초종의 치험례 (Schwannoma of the Foot: A Case Report)

  • 송우진;김철한;강상규;탁민성;최인호
    • Archives of Plastic Surgery
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    • 제38권6호
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    • pp.890-893
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    • 2011
  • Purpose: Schwannoma is a slow-growing, encapsulated benign peripheral nerve tumor that originates from the Schwann cell of the nerve sheath. Schwannoma most frequently involves the major nerve. Schwannoma of the foot is rare. This is a report of our experience with a small, deep-seated, and non-palpable schwannoma occurring in the foot. Methods: A 42-year-old woman presented with the plantar pain of the right foot during 2 years. Physical examination did not identified a palpable mass. She made a clinical diagnosis of plantar fasciitis and was conservatively treated 2 years ago. Since her plantar foot pain was aggravated, she was recently visited again. For the evaluation of her plantar foot pain, sonographic examination of the whole right foot was performed, and it revealed a small hypoechoic hetergenous, deep-seated mass beneath the plantar aponeurosis. At operation, a $0.7{\times}0.6{\times}0.4$ cm sized, ovoid, yellowish grey mass was removed. Results: Histology was confirmed that the mass was a benign schwannoma. There were no postoperative complications. Conclusion: Unsusual case of a schwannoma with the plantar foot pain during 2 years is presented. It should be recognized a small, deep-seated, non-palpable