• Title/Summary/Keyword: Gluteal

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A CASE REPORT OF GREATER TROCHANTAL BONE GRAFT (대전자골을 이용한 골이식증례)

  • Kim, Eun-Cheol;Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Lee, Baek-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.1
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    • pp.86-91
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    • 2000
  • Autogenous bone graft is the useful technique for management of various bone defect in oral and maxillofacial surgery. The most common site for bone graft harvest is the anterior iliac crest. There is usually considerable cancellous bone graft available and it can be obtained with minimal morbidity. However, complications noted in iliac crest grafts include prolonged postoperative pain, hematoma and fracture, gluteal muscle weakness. Occasionally, when large amounts of bone graft are needed and previous harvest procedure had used, iliac bone harvest may be not adequate. Like the iliac crest, the greater trochanter has abundant cancellous bone and is readily accessible with acceptable morbidity. The purpose of this study was to assess the availability of cancellous bone graft from the greater trochanter, compare the quantity with that available from the anterior iliac crest, investigate anatomical hazards, and make recommendations for consistent harvest.

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Assignment of muscles in lower limb to meridians based on the location of acupoints and muscular function (경혈의 체표위치와 근육의 기능에 근거한 하지부 근육의 경락 배속)

  • Park, Byong-Mun;Yang, Ki-Young;Lee, Byung-Ryul;Yim, Yun-Kyoung
    • Korean Journal of Acupuncture
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    • v.25 no.4
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    • pp.17-29
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    • 2008
  • Objectives : This study was carried out to investigate the correlation of meridian system in oriental medicine and muscular system in western medicine. Methods : Muscles were assigned to meridians by their main functions and the acupoints on them. New mutual relationships between meridians in lower limb were studied based on the muscular function. Results : In gluteal & femoral region, iliopsoas & quadratus femoris are assigned to spleen & stomach meridians, gluteus maximus & hamstrings to urinary bladder & kidney meridians, adductor muscle groups to liver meridian, gluteus medius & minimus & iliotibial tract to gall bladder meridian. In crural region, anterior crural muscles are assigned to stomach meridian, lateral crural muscles to gall bladder meridian, suferficial posterior crural muscles to urinary bladder (& kidney) meridian, deep posterior crural muscles to liver, spleen, kidney meridians. In lower limb, urinary bladder meridian and stomach meridian lead the muscular functions and correspond to each other, while spleen meridian assists stomach meridian, and kidney meridian assists urinary bladder meridian. Conclusions : Muscles may be assigned to meridians by their functions and the acupoints on them. From the view of muscular function, Yang meridians lead Yin meridians in lower limb.

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Acute limb ischemia following perineal reconstruction in lithotomy position: take-home message for plastic surgeons

  • Sapino, Gianluca;Deglise, Sebastien;Raffoul, Wassim;di Summa, Pietro G.
    • Archives of Plastic Surgery
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    • v.48 no.5
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    • pp.543-546
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    • 2021
  • Despite the extensive use of lithotomy position in several plastic surgery procedures, most reports regarding the related incidence of complications are presented in the urologic, gynecologic, and anesthesiologic fields. We present the case of a 54-year-old male patient. polytrauma patient who underwent internal iliac artery embolization leading to extensive gluteal necrosis requiring: debridement, abdominoperineal resection and composite anterolateral thigh flap reconstruction with prolonged lithotomy position. The patient presented lower limb ischemia briefly after surgical theater. A computed tomography scan revealed the obstruction of the left superficial femoral artery requiring emergency revascularization. Arterial thrombosis is a potentially devastating complication and plastic surgeons should be aware of the possible dangers when performing surgeries in prolonged lithotomy position. Preoperative detection of patients at high risks for developing complications should be performed in order to implement preventive measures and avoid potentially life-threatening sequelae.

Pudendal nerve entrapment syndrome caused by ganglion cysts along the pudendal nerve

  • Kim, Young Je;Kim, Du Hwan
    • Journal of Yeungnam Medical Science
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    • v.38 no.2
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    • pp.148-151
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    • 2021
  • Pudendal nerve entrapment (PNE) syndrome refers to the condition in which the pudendal nerve is entrapped or compressed. Reported cases of PNE associated with ganglion cysts are rare. Deep gluteal syndrome (DGS) is defined as compression of the sciatic or pudendal nerve due to a non-discogenic pelvic lesion. We report a case of PNE caused by compression from ganglion cysts and treated with steroid injection; we discuss this case in the context of DGS. A 77-year-old woman presented with a 3-month history of tingling and burning sensations in the left buttock and perineal area. Ultrasonography showed ganglion cystic lesions at the subgluteal space. Magnetic resonance imaging revealed cystic lesions along the pudendal nerve from below the piriformis to the Alcock's canal and a full-thickness tear of the proximal hamstring tendon. Aspiration of the cysts did not yield any material. We then injected steroid into the cysts, which resolved her symptoms. Steroid injection into a ganglion cyst should be considered as a treatment option for PNE caused by ganglion cysts.

Development of an Algorithm for Automatic Extraction of Lower Body Landmarks Using Grasshopper Programming Language (Grasshopper 프로그래밍 기반 3D 인체형상의 하반신 기준점 자동탐색 알고리즘 설계)

  • Eun Joo Ryu;Hwa Kyung Song
    • Journal of the Korean Society of Clothing and Textiles
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    • v.47 no.1
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    • pp.171-190
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    • 2023
  • This study aims to develop algorithms for automatic extraction landmarks from the lower body of women aged 20-54 using the Grasshopper programming language, based on 3D scan data in the 8th SizeKorea dataset. First, 11 landmarks were defined using the morphological features of 3D body surfaces and clothing applications, from which automatic landmark extraction algorithms were developed. To verify the accuracy of the algorithm, this study developed an additional algorithm that could automatically measure 16 items, and algorithm-derived measurements and SizeKorea measurements were compared using paired t-test analysis. The statistical differences between the scan-derived measurements and the SizeKorea measurements were compared, with an allowable tolerance of ISO 20685-1:2018. This study found that the algorithm successfully identified most items except for the crotch point and gluteal fold point. In the case of landmarks with significant differences, the algorithms were modified. This study was significant because scan editing, landmark search, and measurement extraction were successfully performed in one interface, and the developed algorithm has a high efficiency and strong adaptability.

Isolation of Debaryomyces hansenii and selection of an optimal strain to improve the quality of low-grade beef rump (middle gluteal) during dry aging

  • Yoonjeong Yoo;Hyemin Oh;Yohan Yoon
    • Animal Bioscience
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    • v.36 no.9
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    • pp.1426-1434
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    • 2023
  • Objective: The objective of this study was to evaluate the effect of Debaryomyces hansenii isolated from dry-aged beef on the tenderness and flavor attributes of low-grade beef during dry aging. Methods: Five D. hansenii strains were isolated from dry-aged beef samples. The rump of low-grade beef was inoculated with individual D. hansenii isolates and subjected to dry aging for 4 weeks at 5℃ and 75% relative humidity. Microbial contamination levels, meat quality attributes, and flavor attributes in the dry-aged beef were measured. Results: Of the five isolates, the shear force of dry-aged beef inoculated with SMFM201812-3 and SMFM201905-5 was lower than that of control samples. Meanwhile, all five isolates increased the total free amino acid, glutamic acid, serine, glycine, alanine, and leucine contents in dry-aged beef. In particular, the total fatty acid, palmitic acid, and oleic acid contents in samples inoculated with D. hansenii SMFM201905-5 were higher than those in control samples. Conclusion: These results indicate that D. hansenii SMFM201905-5 might be used to improve the quality of beef during dry aging.

The Effects of Ankle Joint Position on Hip Extensor Muscle Activity for Bridging Exercise in Sagittal Plane

  • Hyun Lee;Seungwon Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.149-154
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    • 2023
  • Objective: This study is designed to investigate the effect of ankle joint position on hip extensor muscle activity when bridging exercise in sagittal plane. Design: Cross-sectional study Methods: The subjects were recruited from 20 healthy adult men. The subjects performed three types of bridging exercises (normal bridging, ankle dorsiflexion bridging, ankle plantar flexion bridging) three times for five seconds with a rest of 15 seconds between measurements and two minutes of rest between each motion. The target muscles were the gluteus maximus, biceps femoris, soleus, and tibialis anterior. A surface electromyography was used to measure the muscle activity of these muscles. Results: The results show there was no statistically significant difference between the three types of exercise in the gluteus maximus muscle activity. However, the biceps femoris showed a significant difference between the three types of exercises (p<0.05). Conclusions: In conclusion, when the three different bridging exercises were performed by adding ankle motion to normal bridging exercise, there was a significant difference in the muscle activity of the gluteus maximus relative to the biceps femoris muscle activity in the order of the ankle dorsiflexion bridging, normal bridging, and ankle plantar flexion bridging exercise. Therefore, this could be an effective option for a bridging exercise if applied to patients with a weak gluteal muscle and shortening of the hamstring muscle in further studies.

Porokeratosis ptychotropica: a case report

  • Young-Wook Ryoo;Yura Kim;Ji-Min Yun;Sung-Ae Kim
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.423-425
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    • 2023
  • Porokeratosis ptychotropica is an uncommon form of porokeratosis, which was initially described in 1995. It is clinically characterized by symmetrical reddish to brown-colored hyperkeratotic, verrucous, or psoriasiform plaques on the perianal and gluteal regions. The lesions tend to integrate and expand centrally, with small peripheral satellite lesions. Early skin biopsy and appropriate diagnosis are essential because malignant change occurs in 7.5% of porokeratotic lesions. Conventional treatment options include topical steroid, retinoid, imiquimod, 5-fluorouracil, isotretinoin, excimer laser, photodynamic therapy, intralesional steroid or bleomycin injection, cryotherapy, carbon dioxide (CO2) laser, and dermatome and excision, but none seem to achieve complete clearance. A 68-year-old woman presented with diffuse hyperkeratotic scaly lichenoid plaques on the buttocks that had persisted for several years. A skin biopsy of the buttocks revealed multiple cornoid lamellae and intense hyperkeratosis. There were some dyskeratotic cells beneath the cornoid lamellae and the granular layer was absent. Porokeratosis ptychotropica was diagnosed based on the characteristic clinical appearance and typical histopathological manifestations. She was treated with a CO2 laser in one session and topical application of urea and imiquimod cream for 1 month. The lesions slightly improved at the 1-month follow-up. We herein present a rare case of porokeratosis ptychotropica.

Local Complications after Intramuscular Buttock Injections in Children (소아에서 둔부 근육주사 후 발생한 국소 합병증)

  • Park, Doo-Hyun;Lee, Nam-Hyuk;Kim, Sang-Youn
    • Advances in pediatric surgery
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    • v.4 no.2
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    • pp.137-143
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    • 1998
  • Intramuscular injection(IM) into the gluteal muscles is a common route of medication, but may lead to complications. A retrospective review of 32 patients who required surgical treatment for local complications of buttock injections in children was made at the Taegu Fatima Hospital during a seven-year nine-month period (March 1990 to December 1997). Local complications included acute inflammation, cellulitis and abscess(71.9 %), and fat necrosis(21.9 %), and injection granuloma(6.2 %). Over the half of injections were on the upper and outer quadrant of the buttock, but the other 43.7 % were in the upper and inner or lower and outer quadrant which are considered unsuitable sites for intramuscular injection. The majority of complications developed within fat tissue(90.6 %) rather than within muscle(9.4 %). Two-thirds of the patients were under 2 years of age, this suggests that it is technically difficult to accurately administer IM injections in small children because muscle mass is smaller compared to subcutaneous. In addition subcutaneous fat is more susceptible to chemical irritation. Staph. aureus was the predominant organism, isolated in 84.6 % of the patients with abscesses. Treatment consisted of needle aspiration, incision and drainage, curettage, or surgical excision. In conclusion, the major factor that contributes to complications following IM of the buttock appears to be the inadvertent intrafat rather than of IM injection. Accurate injection into the muscles based on a knowledge of pelvic anatomy as well as the potential complications is necessary to prevent complications.

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A Comparative Study on the Balance of Musculoskelectal System between Long-Term Employed Male Taxi Drivers and General People - through Moire Topography (장기근속 남성 택시기사와 일반인의 근골격계 균형에 관한 비교 연구 - 모아레 체형측정법을 통해)

  • Lim, Sang-Hoon;Park, Dong-Su;Lee, Kyung-Moo;Jeong, Su-Hyeon;Kim, Soon-Joong
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.1
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    • pp.141-151
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    • 2008
  • Objectives : The purpose of this study was to investigate effects of long-term taxi driving posture on the balance of musculoskelectal system. Methods : The author practiced Moire topography by using IBS-2000 for 30 male taxi drivers and general people. Then we measured difference of contour lines, difference of shoulder joint height, interval between vertical baseline of pelvis and vertical baseline of neck, ratio of thoracic curve and lumbar curve, difference of width between right and left through Moire topography. After we statistically analyzed difference of Moire topography's data between long-term employed male taxi drivers and general people. Results : 1. Taxi drivers, difference of contour lines in scapular, lumbar, gluteal region was bigger than general people and significant difference(p<0.05) was observed between subject group. 2. Taxi drivers, diference of shoulder joint height was more large than general people and significant difference(p<0.01) was observed between subject group. 3. Taxi drivers, diference of interval between vertical baseline of pelvis and vertical baseline of neck was more large than general people and significant difference((p<0.05) was observed between subject group. 4. Taxi drivers, ratio of thoracic curve was more large than general people and ratio of lumbar curve was more less than general people and significant difference(p<0.05) was observed between subject group. Conclusions : According to above results long-term taxi driving posture might cause musculoskelectal system unbalance.