• 제목/요약/키워드: HIP treatment

검색결과 390건 처리시간 0.03초

CIPA(Congenital Insensitivity to Pain with Anhidrosis)를 가진 환아에서 욕창의 치험례 (A Case of Pressure Sore in Congenital Insensitivity to Pain with Anhidrosis)

  • 황재하;박선형;유성인;노복균;김의식;김광석;이삼용
    • Archives of Plastic Surgery
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    • 제33권5호
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    • pp.669-671
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    • 2006
  • Purpose: Congenital insensitivity to pain with anhidrosis(CIPA) is a rare form of autosomal recessive peripheral sensory neuropathy. Patients with CIPA show loss of pain sensation, which leads to corneal ulcers and opacities, self-mutilation of the tongue and fingertips, as well as fractures with subsequent joint deformities and chronic osteomyelitis. The purpose of this report is to highlight the fact that pressure sores also are a potential complication of CIPA. Methods: This case report describes a patient presenting with pressure sores resulting from CIPA. A 5-year-old boy was referred to our department for the treatment of a $5{\times}5cm$ sacral pressure sore as a result of a hip spica cast applied for the treatment of a left hip joint dislocation. He had a history suggesting CIPA such as multiple bony fractures, mental retardation, recurrent hyperpyrexia, anhidrosis, and clubbing fingers due to oral mutilation. A microscopic examination of the sural nerve showed mainly large myelinated fibers, a few small myelinated fibers and an almost complete loss of unmyelinated fibers. After wound preparation for two weeks, the exposed bone was covered with two local advancement flaps. Results: Two weeks later, complete wound healing was achieved. A 16-month follow-up showed no recurrence. However, the patient presented with a new pressure sore on the left knee due to orthosis for the treatment of the left hip joint dislocation. Conclusion: The early diagnosis of CIPA and special care of pressure sores are important for preventing and treating pressure sores resulting from CIPA.

대퇴부 괴사성 근막염의 외과적 수술 후 한방치료에 대한 증례 보고 (Korean Medical Treatment after Surgical Treatment of Necrotizing Fasciitis on Thigh : A Case Report)

  • 금지혜;하원배;이정한
    • 척추신경추나의학회지
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    • 제13권2호
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    • pp.85-95
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    • 2018
  • Objectives : The aim of the present study was to report the clinical progress of a patient who underwent surgical treatment of necrotizing fasciitis. Methods : During the admission period, The patient was treated with acupuncture, cupping, Korean Medicine, Chuna therapy every day and observed by Numeric Rating Scale(NRS), Pain Disability Index(PDI), Beck Depression Inventory(BDI), and assessment about range of motion(ROM) and manual muscle test(MMT) for hip & knee joint. Results : After treated by using above treatment, NRS, PDI, BDI and ROM, MMT were improved. Conclusions : Korean Medical treatment are estimated to be good for patients after surgical treatment of necrotizing fasciitis. But more cases are required to prove the effectiveness of the treatment.

가정 방문 물리치료의 전략 (A Strategy of the Home Visiting Physical Therapy)

  • Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.180-189
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    • 2003
  • The purpose of this study was to emphasize the strategy of the home visiting physical therapy for elderly patients who have joint and musculoskeletal problems, disabled person who staying in home and early discharged person who staying in home with replacement of artificial hip joint and central nerve system problems with CP, CVA, SCI etc. Home visiting physical therapist can provide evaluation and diagnosis, treatment with their special knowledge and techniques, treatment council and education for the patients and family member and refer the patients to other specialist. Home visiting physical therapy can expects that patients will have better treatment with emotionally, economically and for long term care patients.

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대퇴부 손상의 치료 (Treatment of Thigh Injuries)

  • 박재형;김형수;김현철;지정민
    • 대한정형외과스포츠의학회지
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    • 제3권2호
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    • pp.100-106
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    • 2004
  • Thigh injuries are relatively uncommon sports injuries. But the incidence is increasing as many kinds of sports activity develops. And the prompt recognition and treatment of these injuries are critical to prevent prolonged disability. Also, despite the simple anatomic structure of the thigh, this region is finely tuned muscular mechanism with both anterior and posterior muscles crossing two joints. So the contracture of thigh muscle can result in not only decreased range of motion of the knee and hip joint, but also painful lumbar spine. So we reviewed recent literatures about the type of thigh injuries, diagnosis, treatment and rehabilitation.

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대전자 동통 증후군에 대한 복합 한의진료 경과: 증례보고 (Greater Trochanteric Pain Syndrome Managed with Korean Medicine Therapy: A Case Report)

  • 서지혜;조희근
    • 한방재활의학과학회지
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    • 제29권4호
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    • pp.127-134
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    • 2019
  • The Objective of this study is to report the results of greater trochanteric pain syndrome (GTPS) patient with Korean medicine therapy. There were insufficient clinical trials and case reports of GTPS treated with Korean medicine, we report the GTPS case remarkably improved treatment results. We treated the patient with acupuncture, acupotomy, pharmacopuncture, Chuna manual therapy and herbal medication. To evaluate the treatment effects, we used the measures including Verbal numerical rating scale, Oswestry disability index and Victorian Institute of Sport Assessment-gluteal tendinopathy scale. After total of 26 days of treatment, the patient's hip pain and disability were greatly reduced, and the outcome measures showed this great improvement. Korean medicine therapy might be effective in GTPS, although further study is needed to determine the role for Korean medicine.

PLASMA SPRAYED COATINGS of ALUMINA OXIDE and MULLITE

  • Korobova, N.;Soh, Deawha
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2004년도 SMICS 2004 International Symposium on Maritime and Communication Sciences
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    • pp.93-95
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    • 2004
  • The present report is the investigation of the effects of the HIP treatment on plasma-sprayed ceramic coating of $Al_2$O$_3$, $Al_2$O$_3$- SiO$_2$ on the metal substrate. These effects were characterized by phase identification, Vickers hardness measurement, and tensile test before and after HIPing.

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Presence of Pituitary Specific Transcription Factor Pit-1 in the Rat Brain: Intracerebroventricular Administration of Antisense Pit-1 Oligodeoxynucleotide Decreases Brain Prolactin mRNA Level

  • Tae Woo Kim;Hyun-Ju Kim;Byung Ju Lee
    • Animal cells and systems
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    • 제3권3호
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    • pp.311-317
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    • 1999
  • Prolactin (PRL) was reported to be locally synthesized in many brain areas including the hypothalamus, thalamus (TH) and hippocampus (HIP). In the pituitary lactotrophs, PRL synthesis is dependent upon a pituitary-specific transcription factor, Pit-1. In the present study, we attempted to identify Pit-1 or Pit-1-like protein in brain areas known as the synthetic sites of PRL. Reverse transcription-polymerase chain reaction (RT-PCR) and Northern blot analysis showed the same Pit-1 transcripts in brain areas such as the medial basal hypothalamus (MBH), preoptic area (POA), TH, and HIP with the Pit-1 transcripts in the anterior pituitary (AP). Electrophoretic mobility shift assay (EMSA) was run with nuclear protein extracts from brain tissues using a double strand oligomer probe containing a putative Pit-1 binding domain. Shifted bands were found in EMSA results with nuclear proteins from MBH, POA, TH and HIP. Specific binding of the Pit-1-like protein was further confirmed by competition with an unlabeled cold probe. Antisense Pit-1 oligodeoxynucleotide (Pit-1 ODN), which was designed to bind to the Pit-1 translation initiation site and block Pit-1 biosynthesis, was used to test Pit-1 dependent brain PRL transcription. Two nmol of Pit-1 ODN was introduced into the lateral ventricle of a 60-day old male rat brain. RNA blot hybridization and in situ hybridization indicated a decrease of PRL mRNA signals by the treatment of Pit-1 ODN. Taken together, the present study suggests that Pit-1 may play an important role in the transcriptional regulation of local PRL synthesis in the brain.

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대퇴골(Femur)고정용 골 금속판 제작 및 강도 평가 (Practicability Strength Assessment of a Bone Metallic Plate at the Femur Fixation)

  • 김정래;안창식;서병도
    • 대한인간공학회지
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    • 제27권2호
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    • pp.83-89
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    • 2008
  • Study was developed the metallic plate for fixation in the femur fracture and plates has a firm place in fracture treatment. This plates can be stabilized for fracture fixation as well as biological and dynamical device. The device's designation and sizing has a optimization with bending structural stiffness and strength, known meaning that is reliable regardless of the plate by the short type and long type. The bending strength of the curved metallic long plate has to evaluate a 11,000N and the bending strength of the curved metallic short plate has to evaluate a 6,525N. This see the X-ray image of bending angle made certain of 15$^{\circ}$ at number 2 and same 82.87$^{\circ}$ at number 2, 4, 5, 7, 8, 9, 10 by outside angle, and confirmed 25.26$^{\circ}$ at number 3, 3.68$^{\circ}$ at number 6, 15.64$^{\circ}$ at number 9 by inside angle. This study shows that keep up the metallic plate for fixation in the femur fracture through X-ray Image and the device can be used to support Revision case of Hip Implant and to use a case of Hip screw compression of Hip Neck Fracture. Short plate have a wrapping of femur and long plate have to preserve a pole of femur.