• 제목/요약/키워드: Joint Diseases

검색결과 380건 처리시간 0.025초

결핵성 삼각근하 점액낭염 - 증례 보고 - (Tuberculous Subdeltoid Bursitis - A Case Report -)

  • 이우승;윤정로;강규복;양재혁;임형태
    • 대한관절경학회지
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    • 제14권1호
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    • pp.45-48
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    • 2010
  • 85세 여자 환자에서 발생한 결핵성 삼각근하 점액낭염을 경험하였기에 보고하고자 한다. 인접 관절의 침범 없이 발생하는 결핵성 점액낭염은 드물며 외상을 받기 쉬운 대전자, 슬개전 및 주두 점액낭 등에 주로 발생하지만 어느 곳에나 발생 할 수 있다. 결핵성 삼각근하 점액낭염에서 견관절 전외측부 통증, 압통 및 충돌 징후 양성 등 임상 증상 및 이학적 검사는 회전근 개 질환과 유사하며 자기공명영상 검사 및 관절경 소견에서 관찰되는 활액막의 비후 및 다발성의 미립체의 소견등은 류마토이드 관절염 등과 같은 활액막 침범 질환과 유사한 소견을 보일 수 있으므로 이러한 질환들과 감별을 요한다.

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폐경 후 요통환자에서 골밀도와 퇴행성 요추 병변과의 관계 (Correlation between Bone Mineral Density(BMD) and Degenerative Lumbar Disease in Postmenopausal Patients with Low Back Pain)

  • 박영은;김철수;김규태;이제균;안건상;유혜경
    • 대한한방부인과학회지
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    • 제19권3호
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    • pp.203-213
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    • 2006
  • Purpose : This study was carried out to evaluate correlation between Bone Mineral Density(BMD) and degenerative lumbar disease in postmenopausal low back pain patients. Methods : 69 postmenopausal patients with low back pain were examined. Magnetic resonance imaging was performed to evaluate degenerative lumbar disease and bone mineral density of lumbar spine was measured by Dual energy X-ray absorptiometry. Data were analyzed by Pearson's Linear Correlation Coefficient. Results : In postmenopausal patients with low back pain, BMD(T-score, Z-score) had negative correlation with the grade of intervertebral disc herniation and positive correlation with weight. Other lumbar diseases including Spinal stenosis, Spondylolisthesis and Facet joint arthrosis didn't have significant correlation with BMD. Conclusion : In postmenopausal patients with low back pain, BMD(T-score, Z-score) had inverse relationship with the grade of intervertebral disc herniation.

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이온영동법으로 투여된 Prednisolone에 의한 측두하악관절통의 완화 효과 (The Effects of Iontophoretically Applied Prednisolone on the Relief of TMJ Pain)

  • Yong-Hyeon Jeon;Sang-Cheol Yoon;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
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    • 제20권1호
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    • pp.89-96
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    • 1995
  • The purpose of this study was to assess the pain-relieving effect of iontophoretically applied prednisolone on the patients with temporomandibular joint (TMJ) pain. 30 TMJ pain patients participated in this study. Inclusion criteria for subject selection were 1) tenderness of TMJ on palpation and 2) visual analog scales (VAS) of above 20 mm. The patients with polyarthralgia, rheumatic arthralgia, and systemic diseases were excluded for this experiment. The patients were randomly assigned to one of three groups; (1) Group 1 for administration of 2% prednisolone, (2) Group 2 for administration of 1% prednisolone, and (3) Group 3 for administration of saline. Phoresor PM600(Motion Control Utah, U.S.A) was used for administration of drugs by iontophoresis. Baseline and post-medication pain levels were recorded by VAS, pressure pain threshold (PPT), and palpation index (PI). Post-medication data were compared with baseline data for each group. The results were as follows : 1. All the groups showed significant decrease of VAS scores after treatment. 2. PPT was significantly increase only in Group 1 and 2 not in Group 3. 3. PI was significantly decreased only in Group 1 and 2 not in group 3.

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경추회전제한검사법에 대한 소고; 근육검사법 관점에서 (A Study of Restricted Cervical Rotation Test; in the View of Manual Muscle Test)

  • 안성훈;이영준;손인철
    • 턱관절균형의학회지
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    • 제2권1호
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    • pp.8-12
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    • 2012
  • Objectives: It has been reported to continue that temporomandibular joint balancing medicine (functional cerebrospinal therapy; FCST) is effective in treating incurable diseases in clinic recently. FCST is based on the results of restricted cervical rotation test, it means that the results of restricted cervical rotation test has a very high reliability on test results. Methods: This study has the aim to understand restricted cervical rotation test method and to use well with high technical skill. So manual muscle test method which was based on the upper limb lifting resistance test method are compared with restricted cervical rotation test method and had been discussed. Results: Results are that restricted cervical rotation test by using the passive motion of arrested persons (patients) have high the reliability and accuracy. Conclusions: It is concluded that restricted cervical rotation test is the new type of manual muscle tests and the results of test are very high the reliability and accuracy so that the acquirement of test method is helpful in clinic practically.

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Systemic use of fluoroquinolone in children

  • Choi, Soo-Han;Kim, Eun Young;Kim, Yae-Jean
    • Clinical and Experimental Pediatrics
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    • 제56권5호
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    • pp.196-201
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    • 2013
  • Fluoroquinolones are an important class of antibiotics that are widely used in adult patients because of their broad spectrum of activity, good tissue penetration, and oral bioavailability. However, fluoroquinolone use in children is limited because juvenile animals developed arthropathy in previous experiments on fluoroquinolone use. Indications for fluoroquinolone use in patients younger than 18 years, as stated by the U.S. Food and Drug Administration, include treatment of complicated urinary tract infections and postexposure treatment for inhalation anthrax. In Korea, the systemic use of fluoroquinolones has not been approved in children younger than 18 years. Although concerns remain regarding the adverse musculoskeletal effects of fluoroquinolones in children, their use in the pediatric population has increased in many circumstances. While pediatricians should be aware of the indications and adverse effects of fluoroquinolones, recent studies have shown that the risk for musculoskeletal complications in children did not significantly increase following fluoroquinolone treatment. In addition, fluoroquinolones may be particularly helpful in treating multidrug-resistant infections that have not responded to standard antibiotic therapy in immunocompromised patients. In the present article, we provide an updated review on the safety and current recommendations for using fluoroquinolones in children.

한국(韓國)의 송이 발생(發生) 송림(松林)의 현황(現況)에 관한 조사(調査) 연구(硏究) (A Study on the Pine Forest Conditions Growing Tricholoma matsutake in Korea)

  • 이태수;김영련;조재명;이지열;소천진
    • 한국균학회지
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    • 제11권1호
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    • pp.39-49
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    • 1983
  • As Dr. Ogawa visited to Korea for joint research on Tricholoma matsutake, authors travelled 15 main producing districts of Tricholoma matsutake and had field survey on sample areas in these districts from September 23 to October 3 1981. The object of this investigation were to understand the actual conditions of pine forest and growing Tricholoma matsutake in Korea so as to find out relevant treatment of pine forest where the Tricholoma matsutake were growing. As a results, present environmental conditions such as weather, topography, soils, pine forest, vegetations, pine mushrooms(Tricholoma matsutake), other fungi and the relationship between Tricholoma matsutake and the diseases of pine forest were investigated. Model figures of topography and forest type on surveyed area have been drawn up. Some countermeasures to improve pine forest conditions in the aspect of producing Tricholoma matsutake were suggested through the prediction on the transition of pine forest.

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육미지황탕가미방(六味地黃湯加味方) 약침이 연골세포에 미치는 영향 (Effect of Yukmijihwang-Tang Gamibang Aqua-acupuncture on the Recovery of Chondrocyte Phenotype)

  • 최원주;민상연;김장현
    • 대한한방소아과학회지
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    • 제24권1호
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    • pp.117-125
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    • 2010
  • Objectives The purpose of this study is to examine the effect of chondrocyte re-differentiation in using ukmijihwang-Tang gamibang aqua-acupuncture. Methods In this study, chondrocytes were extracted from New Zealand white rabbit's knee joint, and cultured in monolayer after collagenase treatment. In the third passage, after the mRNA transcript of the type II collagen significantly reduced, diluted Yukmijihwang-Tang gamibang were added to cultured of chondrocyte, and its effect on the mRNA expression of type II collagen was quantitatively evaluated. Results As a result of treatment with Yukmijihwang-Tang gamibang in vitro for 48 hours, the mRNA expression of type II collagen was up-regulated. In addition, the result of H&E-staining in vivo indicated that chondrocyte-like tissues were formed in repairing injured cartilages after 12 weeks of treatment with Yukmijihwang-Tang gamibang. Conclusions These results indicated that Yukmijihwang-Tang gamibang was effective on the recovery of chondrocyte phenotype, and could be used for cartilage regeneration in arthritic diseases. However, more clinical study of Oriental medical treatment for this case might be also needed.

인진 추출물의 소염진통작용 (The Anti-inflammatory and Analgesic Activities of Artemisia capillaris Thunberg)

  • 김시나;김희석;남경숙;황성완;황성연
    • 생약학회지
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    • 제36권4호통권143호
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    • pp.338-343
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    • 2005
  • Inflammatory mediators such as interleukin-1 (IL-1), tumor necrosis $factor-{\alpha}\;(TNF-{\alpha}),\;interferon-{\gamma}\;(IFN-{\gamma})$ and lipopolysaccharide (LPS) are thought to play major roles in joint diseases such as a rheumatoid arthritis (RA), and there is considerable evidence playing a role for these cytokines in osteoarthritis (OA). Therefore, we have studied the effects on anti-inflammation and analgesic by ethyl acetate fraction from 70% ethanol extract of Artemisia capillaries (EAC). As a positive control, apigenin, which is known as an anti-inflammatory agent as an iNOS inhibitor, was used and showed the dose-dependent inhibitory effect. EAC showed strong inhibitory efficacy against cytokine-induced proteoglycan degradation, $PGE_2$ production, nitric oxide (NO) production, and matrix-matalloproteinases (MMPs) expression in rabbit articular chondrocyte. In the writhing test induced by acetic acid, EAC $(200{\sim}400\;mg/kg)$ exhibited a dose-dependent inhibition of writhing. The results indicate that EAC have anti-inflammatory and analgesic activities, and could be a good herbal medicine candidate for curing of RA and/or OA.

우슬과 초음파가 퇴행성관절염 백서의 관절 연골에 미치는 영향 (Effect of Achyrantis Radixs and Ultrasound in Osteoarthritis Rats Articular Cartilage)

  • 김은정;정현우;김계엽
    • 동의생리병리학회지
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    • 제22권2호
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    • pp.390-396
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    • 2008
  • Osteoarthritis(OA) diseases are characterized by joint pain, tenderness, limitation of movement, crepitus, occasional effusion, and variable degrees of inflammation without systemic effects. We investigated the effects of Achyrantis radixs cream treatment and low intensity ultrasound in monosodium iodoacetate(MIA) induced experimental osteoarthritis rat. Sprague-Dawley 40 rats of 7-8 weeks, weight $250\;{\pm}\;50$ g were divided into four groups including the control group and ostoarthritis group(30 rats). Histopathological examination, Mankin's score, and immunohistochemical were performed. Histological findings in control group that are similar to those observed in human osteoarthritis, such as disorganization of chondrocytes, erosion and fibrillation of cartilage surface, and subchondral bone exposure. Safranin O-fast green staining revealed that marked diffuse reduction of proteoglycans and chondrocyte treated with MIA. The Mankin's score were closely correlated to the grade of histological findings. The level of Bax and caspase-3 expression decreased experimental groups. This study shows that a Acyranthes Radix cream treatment and low intensity ultrasound exerts a beneficial influence on the severity of chondral lesion in osteoarthritis rats. This treatments could related to a reduced level of chondrocyte apoptosis through anti-apoptotoc capacities of MIA-induced apoptotic protein overexpression.

『동의보감(東醫寶鑑)』에 보이는 단계담음론(丹溪痰飮論)의 의사학적(醫史學的) 고찰(考察) (A medical historical study of Dan-kyei's congestion theory mentioned in 『DongEuiBoGam』)

  • 소진백
    • 한국의사학회지
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    • 제15권1호
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    • pp.147-182
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    • 2002
  • By studing the congestion theory of Choo Dan-kyei mentioned in "DongEuiBoGam", I have reached following conclusions. 1. Dan-kyei's congestion theory influenced greatly on "DongEuiBoGam". The congestion theory of "DongEuiBoGam" is built up with several theories centering round on Dan-kyei's theory and Huh-Jun's own opinion in addition. 2. Dan-kyei's congestion theory has given theoretical foundation to the classification and diagnosis of congestion reported in "DongEuiBoGam"-Congestion Chapter. 3. Dan-kyei's congestion theory offers many examples of symptoms reported in "DongEuiBoGam"-Congestion Chapter. It's shown well through outer symptoms, several congestion disease, congestion mass, and "congestion never sudden death", etc. 4. Dan-kyei's congestion theory has influenced greatly on treatment of congestion reported in "DongEuiBoGam"-Congestion Chapter, and it's well shown through spewing method, grand method in congestion treatment and common medicine of congestion, etc. 5. Dan-kyei's congestion theory offers variety of treating methods to symptoms caused by congestion reported in "DongEuiBoGam". It's shown variously through upper stomachache, stomachache, back pain, side pain, "San", joint pain, Summer disease, internal injury, cough and morning sickness, etc.. 6. Dan-kyei's congestion theory has factors that could be operated to common diseases of mordern people. They can be classified as food congestion, alcohol congestion, obstruction congestion and Qi congestion, and they are clinically very efficient.

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