• Title/Summary/Keyword: Knee Pain

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A Rare Case of Solitary Osteochondroma at the Temporomandibular Joint: A Case Report

  • Park, Byungho;Jang, Wan-Hee;Park, Tae-Jun;Lee, Bu-Kyu
    • Journal of Korean Dental Science
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    • v.12 no.2
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    • pp.66-72
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    • 2019
  • Osteochondroma is a bone tumor with cartilaginous growth potential that generally appears near the growth plate of long bones in areas such as hip, knee, and shoulder joints, related to the nature of endochondral ossification and it is known a common benign bone tumor. However, it has been very rare in craniofacial region possibly because craniofacial bone is largely formed by intramembranous ossification. Moreover, reports on the solitary type of osteochondroma in mandibular condyle has been extremely rare. Osteochondroma in mandibular condylar may show various symptoms similar to general temporomandibular joint disorders (TMDs), such as pain in the condylar area during mouth opening, internal derangement, facial asymmetry or posterior open bite. Therefore, it can be disregarded for a long time period without any adequate treatment. Surgical excision has been the treatment option for the solitary osteochondroma with very low recurrence rate reportedly. In this case report, a rare case of solitary osteochondroma developed in unilateral mandibular condyle is presented with emphasis on differential diagnosis with general TMDs.

Gait Analysis of the Chronic Lumbosacral Radiculopathic Patients (만성 요천추부 신경근병증 환자의 보행분석)

  • Choi, Byung-Ok;You, Jae-Eung;Jung, Seok
    • Physical Therapy Korea
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    • v.11 no.3
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    • pp.19-24
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    • 2004
  • The purposes of this study were to analyze gait patterns of patients with chronic lumboscaral radiculopathy and to investigate gait parameters which can reflect a functional deficit in relation to the level of lumbosacral radiculopathy. The study population consisted of 25 patients of chronic lumbosacral radiculopathy and 25 healthy control subjects. Conventional physical examinations and three-dimensional gait analyses were performed on all participants. The data were analyzed using an independent sample t-test. The results were as follows: (1) In the patients' group, cadence, walking velocity, stride length and double support time were less than in the control group (p<.05). (2) In the patients' group, maximum flexion of hip, maximum flexion of loading response, maximum flexion of swing phase on the knee and maximum plantar flexion of pre-swing were less than the control group (p<.05). Using three-dimensional gait analysis, we could identify specific gait parameters to reflect a functional deficit related to the level of lumbosacral radiculopathy.

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Work-related Musculoskeletal Disorders among Agricultural Workers

  • Lee, Soo-Jin;Park, Hwan-Jin
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.4
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    • pp.525-534
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    • 2011
  • This paper describes the current status of musculoskeletal disorders(MSDs) and its ergonomic risk factors, including the preventive intervention in terms of the working conditions and health promotion among agricultural workers. Korean agricultural workers have been exposed to the poor working condition. They have suffered from a variety of work-related injury and diseases more than the general population or the other occupational group. MSDs are one of the most prevalent problems threatening the agricultural worker's health and quality of life. Low back pain, osteoarthritis of hip and knee joint and carpal tunnel syndrome are well known MSDs that was found easily and frequently among agricultural workers. MSDs are worsened by poor ergonomic working conditions such as heavy weight lifting, repetitive movement and awkward posture which involves squatting with long sitting work on the ground, long working hours and heavy workload which are inherent in the greater part of agricultural works. Even though Korean agricultural workers are very weak population in terms of occupational safety and health, no many studies were conducted in the past and no many social and institutional supports were provided sufficiently. We need more interests and efforts in agricultural fields to improve its working condition and to promote health status of agricultural workers.

A Case of The Stroke Patient with Systemic lupus erythematosus(SLE) (뇌경색이 병발(倂發)한 전신성 홍반성 루푸스 환자 1례(例) 보고)

  • Lim, Seung-Man;Oh, Sang-Deok;Shin, Hyeon-Su;Kim, Yeong-Tae;Ra, Su-Yeon;Paik, Eun-Tan
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.729-733
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    • 2001
  • We report a case of the cerebellar infarction and pons, medulla and mid brain infarction seen in a 30-year-old female with systemic lupus erythematosus(SLE). SLE has been diagnosed at 1992, and treated with western medicine for 10 years. The patient with right hand tremor and dysarthria, as the symptoms of a cerebellar infarction, visited our hospital. During treatment, the patient constantly complained left knee pain, it turned out the bone infarction and ligament injury in the MRI scan at May, 18, 2001, that was the side effect of the long period steroid therapy. At June 1, 2001, the patient revealed quadriparesis, dysphagia and dizziness. So we took the brain MRI scan, it showed pons, medulla and mid brain infarction. As the consequence of the oriental treatments, the symptoms of SLE had the improvement and the values of BUN, Creatinine were improved. But the symptoms of the stroke were not much changed.

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Natural History of Spontaneous Healing of a Traumatic Radial Tear of the Lateral Meniscus: A Case Report (외측 반월상 연골에서 발생한 외상성 완전 방사상 파열 자가 치유의 자연 경과: 증례 보고)

  • Sim, Jae Ang;Yoon, Yong-Cheol;Lee, Sheen Woo;Lee, Beom Koo
    • Journal of Trauma and Injury
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    • v.28 no.1
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    • pp.21-26
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    • 2015
  • Complete radial tears of the lateral meniscus are relatively rare. Once torn, the injury can be debilitating due to disruption of the circumferential fibers of the meniscus. We experienced a case of a lateral meniscus with a complete radial tear at the midbody, where the two torn ends were displaced more than 1 cm and could not be approximated during arthroscopy. Thirteen months after surgery, follow-up MRI and second-look arthroscopic findings showed that the complete radial tear has healed spontaneously. However, twenty nine months after the second-look arthroscopy, the patient complained of severe knee pain during exercise. On follow-up MRI, increased sclerosis and newly developed bone marrow edema were observed in the lateral femoral condyle, compared with previous MR images. Finally, we performed meniscal allograft transplantation due to the defective properties of the completely healed lateral meniscus.

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Chondrosarcoma of the Calcaneus in 13 year old Aged Patient - A Case Report - (13세 환자의 종골에 발생한 연골육종 - 증례 보고 -)

  • Hong, Ki-Do;Ha, Sung-Sik;Park, Young-Keun;Lee, Hyo-Jin;Cha, Hyun-Jong
    • The Journal of the Korean bone and joint tumor society
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    • v.7 no.2
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    • pp.59-63
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    • 2001
  • Chondosarcoma of the calcaneus in young child is extremely rare. A thirteen-year old male patient has suffered from right heel pain for several months before. Dominant gross feature was hard mass and swelling on one entire right heel, and increased density and calcification on entire calcaneus with cortical destruction, and calcific densities on soft tissues around calcaneus were seen on roentgenogram of right ankle. It was diagnosed to be chondrosarcoma by bone biopsy. It was treated by below knee amputation and chemotherapy, and no recur and distant metastsis during 12 months after operation.

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Juvenile Hemangioma Occurred in Distal Femoral Epiphysis (소아의 대퇴골 원위부 골단에 발생한 혈관종)

  • Kim, Tai-Seung;Lee, Chang-Hoon;Park, Chan-Keum
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.1
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    • pp.37-41
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    • 2010
  • A hemangioma occurred in the bony epiphysis is extremly rare. A 5-year-old boy visited to our hospital with pain and flexion contracture on the right knee. MRI showed some lesions scattered in the epiphysis of the distal femur and the proximal tibia. Biopsy specimen from the distal femoral epiphysis revealed pathologic findings compatible with hemangioma. On 8 years follow-up, the lesion in the distal femoral epiphysis had been cured, and those in the proximal tibial epiphysis were spontaneously disappeared without surgery. The scanogram shows no leg length discrepancy and angular deformity. We reports a rare case of hemangioma occurred in the bony epiphysis with the results of 8 year follow-up with the review of literatures.

Ewing's Sarcoma of the Calcaneus:A Case Report

  • Choi, Joon-Hyuk;Yeo, Ji-Hyun;Kim, Mi-Jin;Shin, Duck-Seop;Cho, Kil-Ho
    • Journal of Yeungnam Medical Science
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    • v.21 no.2
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    • pp.256-261
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    • 2004
  • Ewing's sarcoma is rarely foundoccurs in the bones of the hands and feet. We report a case of Ewing's sarcoma of the left calcaneus in a 15-year-old girl who complained of left heel pain and swelling. An open biopsy was performed and histological examination showed the proliferation of uniform small round cells. Immunohistochemical staining for CD99 showed diffuse strong positivity in the cytoplasmic membrane of the tumor cells. After preoperative chemotherapy, a below knee amputation was performed.

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Chondroblastoma of the Patella with Secondary Aneurysmal Bone Cyst (슬개골에 발생한 연골모세포종의 동맥류성 골낭종화 - 증례 보고 -)

  • Hong, Joon-Seok;Kim, Sung-Kon;Park, Jong-Woong;Kang, Chang-Suk
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.4
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    • pp.235-238
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    • 1999
  • Chondroblastoma of the patella is a uncommon benign neoplasm in the middle aged person. Furthermore, a hemorrhagic cystic change associated with chondroblastoma is extremely rare. We experienced a case of chondroblastoma which underwent hemorrhgic cystic change. A fiftyyear-old female patient has suffered from right knee joint pain for 1 month before. Dominant gross feature was hemorrhagic cyst which was not involved into the joint space. Soft tissue was curetted and it was diagnosed to be chondroblastoma. The case was treated with curettage and bone graft.

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Synovial Chondromatosis in the Temporomandibular Joint: Report of Two Cases

  • Ha, Yong-Chan;Kim, Chul-Hwan
    • The Journal of the Korean dental association
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    • v.55 no.10
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    • pp.706-714
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    • 2017
  • Background Synocial chondromatosis(SC), a proliferative disorder of the synovial membrane. The etiology or cause of SC remains unclear. SC usually occurs in large articular joints such as knee, hip, elbow, and ankle. SC of the TMJ is very rare. It is a benign disease that mainly affects unilateral side. It can form cartilagenous and calcified loose bodies of various sizes and cause abnormal function of TMJ. Case Report In this paper, we report two cases of SC in the upper joint space of the left TMJ. One complained that "Sometimes the left jaw joint feels disoriented" and the other had no symptoms. CT scan and MRI showed left TMJ space widening, multiple tiny calcified mass. After clinical and radiographic analysis, we performed surgical removal of the lesion under genereal anesthesia. In the histologic examination, synovial chondromatosis was diagnosed in both patients. Conclusions We report two cases of synovial chondromatosis in the upper joint space of the left TMJ. We performed surgical removal of the lesion. The two patients showed good prognosis without recurrence or pain up to date.

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