• Title/Summary/Keyword: Ischial tuberosity

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Lesions of the Bilateral Ischial Tuberosity in a Tae-Kwon-Do Athlete - A Case Report - (태권도 선수에서의 양측성 좌골 조면 병변 - 증례 보고 -)

  • Min, Kyoung-Dae;Choi, Sang-Wook;Ryoo, Kee-Hun;Lee, Byung-Ill;Kim, Jun-Beom
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.2
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    • pp.122-125
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    • 2007
  • Avulsion of the ischial tuberosity is an acute injury caused by sudden contraction of the hamstrings, typically occurs in early adolescence, whereas ischial apophysitis has a more insidious onset during times of increased activity and its diagnosis is often missed. Authors present a rare case of having neglected avulsion fracture of the the ischial tuberosity in one side and ischial apophysitis in the other side with characteristic radiological features in a 16-year-old male who was an active Tae-Kwon-Do player.

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Rare Form of Rheumatoid Nodule around Ischial Tuberosity Mimicking Ischiogluteal Bursitis

  • Lim, Joo Hee;Shim, Jae-Chan;Yoon, Byung-Ho;Kang, Yun Kyung;Lee, Kyoung Eun;Kim, Ho Kyun;Lee, Ghi Jai;Suh, Jung Ho
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.2
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    • pp.97-101
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    • 2017
  • We are reporting about a case of a rheumatoid nodule, beneath the ischial tuberosity, mimicking ischiogluteal bursitis. Rheumatoid nodules are frequently seen, at the subcutaneous soft tissues of repetitive mechanical irritation points, and prominent bones. There have been no reported cases of rheumatoid nodules, extending just beneath the ischial tuberosity bone. A 68-year-old woman with a seven-year history of rheumatoid arthritis, suffered for six months, from right buttock swelling and discomfort in seating. A cystic lesion postero-inferior to the ischial tuberosity, was noted in the MRI scan, which was thought to be ischiogluteal bursitis, because of its characteristic location and appearance. Histopathologic analysis and gross findings on the operation, revealed no evidence of bursitis.

Study on the Relationship between Vascular Perfusion and Interface Pressure under the Ischial Tuberosity in the Sitting Posture (앉은 자세에서 좌골결절의 접촉압력과 혈류량과의 관계에 대한 연구)

  • Heo H.;Bae T.S.;Lee S.M.;Kim S.K.;Kim K.H.;Mun M.S.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.645-646
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    • 2006
  • Pressure-induced decubitus is a serious disease among the elderly people. Interface pressure occluding vascular perfusion is known to be a cause of decubitus. Therefore, it is essential to quantify the relationship between vascular perfusion and interface pressure among the elderly people. Nine elderly normal people ($57.8{\pm}5.6\;years,\;63.3{\pm}7.0kg,\;1.68{\pm}0.05m$) were participated. Pressure was applied on the ischial tuberosity in the sitting posture from 0mmHg to 135mmHg as capillary vascular perfusion was recorded. The average interface pressure to occlude vascular perfusion under the ischial tuberosity is 120mmHg. Vascular perfusion values at the capillary occlusion is often lower than 60% of the vascular perfusion at 15mmHg. Higher sampling number is required to have more accurate results.

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A Study on the Relationship between Vascular Perfusion and Interface Pressure on the Ischial Tuberosity in the Sitting Posture (않은 자세에서 둔부 좌골결절의 접촉압력과 혈류량과의 관계에 대한 연구)

  • Heo, Hyun;Bae, Tae-Soo;Mun, Mu-Sung
    • Journal of the Korean Society for Precision Engineering
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    • v.24 no.7 s.196
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    • pp.126-132
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    • 2007
  • Pressure-induced decubitus is a serious disease among the elderly people. Interface pressure occluding vascular perfusion is known to be a cause of decubitus. Therefore, it is essential to quantify the relationship between vascular perfusion and interface pressure among the elderly people to understand more about decubitus. Nine healthy elderly people (57.8$\pm$ 5.6 years, 63.3$\pm$ 7.0kg, 1.68$\pm$ 0.05m) were participated. Three healthy young people (31.7$\pm$ 3.2 years, 74.7$\pm$ 8.4kg, 1.75$\pm$ 0.04m) were also examined to be compared with the elderly group. Capillary vascular perfusion on the ischial tuberosity was recorded in the sitting posture as pressures were applied from 15mmHg to 135mmHg. The average interface pressure to occlude vascular perfusion (the average occlusion pressure) under the ischial tuberosity was 115.7mmHg in the elderly group. This value was not significantly different from the average occlusion pressure of the young group. Obesity effect on the occlusion pressure was investigated among the elderly group. The result was not significantly different between the obesity and the normal group in this study. This is a preliminary study to unveil the complicated cause of pressure-induced decubitus associated with occlusion of vascular perfusion. More subjects are required for the future study.

Sciatic Nerve Injury Following a Delayed Surgical Procedure for the Hamstring Muscle Avulsion from the Ischial Tuberosity - A Case Report - (슬근 좌골 결절 견열 손상의 지연 수술후 발생한 좌골신경 손상 - 증례 보고 -)

  • Kim Hui Taek;Yoo Chong Il;Yun Pyung Ju;Lee Jong Seo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.75-78
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    • 2002
  • Avulsion of the hamstring tendon from the ischial tuberosity is common in many sports, especially with younger athletes. The injury results from a sudden forceful flexion of the hip joint when the knee is extended and the hamstring muscles powerfully contracted. Early diagnosis and surgical repair with reattachment of avulsed muscles to the ischial tuberosity restore function and correct deformity. But, a delay in the diagnosis and treatment leads to a poor result functionally and clinically. Complication, such as heterotopic ossification and failure of the fixation, etc., were reported following a surgical procedure for this injury. However, sciatic nerve injury has not been reported in the literature. We report our experience of a sciatic nerve palsy after surgery that was performed three months after that the initial injury.

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Rupture of the ischial origin of the hamstring tendon - A case report - (좌골 결절부위 기시부에서 내측 슬괵건 파열 - 증례 보고 -)

  • Kim, Hyung Kan;Hwang, Sun Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.2
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    • pp.129-132
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    • 2011
  • A complete rupture of hamstring tendon originated from ischial tuberosity is a uncommon sports injury in adults. We present successful outcome obtained by attachment on ischial tuberosity using suture anchor in relatively rare case of the proximal rupture of the medial hamstring tendon sustained during landing with the review of literatures.

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산악용 자전거 안장의 개발방안

  • 조창규;윤명환;이면우
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1995.04a
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    • pp.529-533
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    • 1995
  • 안장은 인체하중이 집중되고, 자전거의 충격과 진동이 직접 전달되는 부위로서 주행 안락도를 높이고 buttock의 discomfort를 감소시킬 수 있도록 설계되어야 한다. 본 연구의 목적은 인체곡면을 본뜬 안장형상 설계를 통하여 buttock의 국부적 discomfort를 감소시키고자 하는 것이다. 인간의 앉은자세에 대한 해부학적 고찰을 통해 좌골결절(Ischial Tuberosity)과 치골결합면(Symphyseal Surface)이 안장과 직접 맞닿는 면으로 파악되었으며, 이들 부위에 대한 집중적 개선이 이루어져야 할 것으로 제안되었다. 문헌조사를 통해 의자설계시 고려해야 할 인체치수 및 지침을 파악하였으며, 안장과 의자의 기능비교를 통해 이를 선별적으로 적용하였다. 인체곡면 측정을 위해 Rod Matrix(3cm 간격, 13*20)방법을 이용하여 10명의 buttock contour를 측정하였으며, 측정된 자료를 분석하여 안장의 곡면형상을 결정하였다. General Comfort Rating, Body Part Discomfort 등의 주관적 안락도 평가방법을 통하여 기존 자전거 안장과 본 연구를 통해 개발된 안장을 비교 평가한 결과, 전반적인 안락도의 향상과 좌골결절 및 치골 결합부의 discomfort 감소효과를 가져온 것으로 파악되었다.

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A Study on the Evaluation of the Muscle Strength according to the Change of the Hamstring Muscle Length (슬괵근의 길이 변화에 따른 근력 평가에 관한 연구)

  • Choi Jae-Cheong
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.1-4
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    • 1999
  • The purpose of this study was to analyze the changes of the muscle strength and length according to the changes of evaluation postures. Subjects of this study were 13 male and 13 female students. 6 evaluation postures were selected for this study(K90H90, K90H45, K90H0, K70H90, K70H45, K70H0 ; K90=knee $90^{\circ}$ flexion, K70=knee $70^{\circ}$ flexion, H90=hip $90^{\circ}$ fleion, H45=hip $45\circ}$ flexion. H0=hip $0^{\circ}$ ). The peak torque and hamstring muscle length(from fibula head to ischial tuberosity) were measured at each postures. The peak torque level was evaluated by make use of the KIN-COM. The results were as follows : 1. The peak torque in male was significantly increased with changes of hip flexion angle but not in female(($90^{\circ}\;>\;45^{\circ}\;>0^{\circ}$). 2. The hamstring length and peat torque in male and female was significantly changed according to the alteration of evaluation postures.

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The literary review on the Treatment of Pressure Sore (褥瘡의 治療에 관한 문헌적 고찰)

  • Song, Jae-chul;Chung, Seok-hee;Lee, Jong-soo;Shin, Hyun-dae;Kim, Sung-soo
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.13 no.1
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    • pp.237-252
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    • 2000
  • Pressure sore is an area of ulceration and necrosis of the skin and underlying tissues usually occuring over the bony prominences of the body after prolonged or often repeated pressure. We reviewed and summarized the published articles and treatise on the treatment of pressure sore. The results were as follows : 1. Pressure sore occur due to prolonged or often repeated pressure. So it is better than decubitus ulcer that is called pressure sore. 2. The most common lesions of pressure sore are sacrum, ischial tuberosity, greater trochanter. 3. The cause of pressure sore are change of comprehension. urine, moisture, change of the ability of activity and exercise, shearing force. 4. The elements to influence on wound healing are collagen accumulation velocity, nutrition condition, Vitamine C, copper, iron. oxygen pressure, steroids, cell-toxic drug, radiation. 5. Non-operative treatments are managements of skin such as avoiding consistant pressure, dressing, preventing moisture, understanding patient and protecter, preventing spasm, improvement of systemic nutrition condition. 6. Operative treatements are debridement, suture, skin transplantation, muscle flap and musculaocutaneous flap surgery. Recently V-${\Gammer}$ advancement surgery in use of muscle and musculocutaneous flap is generally maded. 7. Complications of post-operation are wound rupture, infection, disappearance of transmitted skin, necrosis of flaps.

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The Effect of Applying Various Tools to the Stiffness and Muscle Tone of Hamstring Muscles (다양한 도구의 적용이 뒤넙다리근의 뻣뻣함과 근 긴장도에 미치는 영향)

  • Hwang, Sunghyun;Kim, Taeho
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.223-230
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    • 2020
  • Purpose : The purpose of this study was to examine the effects of tools (i., extracorporeal shock wave therapy, massage gun, and foam roller) on range of motion, muscle tone and pain threshold among patients with hamstring stiffness. Methods : Fourteen participants with hamstrings stiffness were recruited. Interventions were performed 6 times, and each session was for 30 seconds using the three tools. The range of motion, muscle tone, and pain threshold were measured. The order of the use of the three tools was randomly determined. The foam roller was made to move from the bottom of the hip crease to the upper part of the back of the hamstring. Additionally, velocity 5 vibration stimulation was performed on the hamstring using a massage gun. Moreover, vibration stimulation was performed on the hamstring with extracorporeal shock wave therapy 5 minutes, 5 Hz, and 1,500 strokes. The flexibility of the posterior thigh muscle was based on maintaining the knee and hip joints in a 90 ° bend in the supine position. The joint angle of the knee was measured, when the knee was actively extended, at the maximum point where the posterior thigh muscle was stretched. The elasticity of the posterior thigh muscle was measured while the subject was prone and in a relaxed state without any force. Measurements were made at the muscle abdominal area of the semitendinosus muscle of the posterior femur, and the area to be measured was marked with a pen. The measurement of the tenderness threshold of the posterior femur was measured using a tenderness meter(Commander Algometer, J-Tech, USA). The force value at the point at which the pressure sensation change to pain was measured after applying vertical pressure to the posterior femur muscle, which was the halfway point between the ischial tuberosity and the popliteal surface of the subject lying on their stomach. Results : The extracorporeal shock wave therapy increased stiffness and, muscle tone, and caused changes in the pain threshold, whereas the other two tools had no effect on these indices. Conclusion : Extracorporeal shock wave therapy has important effects on range of motion and muscle stiffness and can be used in warmup protocols.