• Title/Summary/Keyword: Loose bodies

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Diagnostic Value of Computed Tomography in Acetabular Fracture (관골구 골절에서의 전산화단층촬영술의 진단적 가치)

  • Kim, Sun-Yong;Park, Bok-Hwan;Ihn, Joo-Chul
    • Journal of Yeungnam Medical Science
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    • v.5 no.1
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    • pp.43-48
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    • 1988
  • We retrospectively analysed 22 patients pelvic CT, in whom the acetabular fracture were suspected in plain film. And compared and analysed the computed tomogram findings and plain radiographic findings. The results were as follows. CT enables better evaluation of shape, extent, and degree of separation of fragment. CT was helpful in detecting the combinded fracture and soft tissue injuries. CT showed intraarticular loose bodies, which were invisible on plain film. In patients with pelvic trauma, no necessary changing position during CT examination. CT was useful demonstrates the remnant of intraarticular osseous fragment and adequacy of reduction after surgery.

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Synoivial Chondromatosis of the Ankle Joint and Flexor Hallucis Longus Tendon Sheath (족관절 및 장족무지 굴건막에 동시에 발생한 활액막 연골종증)

  • Kim, Seong-Tae;Lee, Sung-Rak;Lee, Bong-Jin;Kim, Sung-Soo;Moon, Myung-Sang;Kim, Ki-Chun;Yoon, Min-Geun
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.2
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    • pp.173-176
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    • 2010
  • Synovial chondromatosis is a benign lesion forming multiple round cartilagenous nodules or osseous loose bodies in joint cavity. Predilection sites are known as knee, hip and elbow joints. However, the involvement of ankle joint was rarely reported in the literature. Moreover, extraarticular chondromatosis in synovial sheath or bursa of extremities is extremely rare. We present a case of synovial chondromatosis of the left ankle joint and flexor hallucis longus tendon sheath.

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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Associated Lesions of Magnetic Resonance Image in the Chronic Lateral Ankle Instability (자기공명영상에서 나타난 만성 족근관절 외측 불안정성 동반 병변)

  • Lee, Ho-Jin;Chu, In-Tak;Choi, Kwang-Cheon
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.19-22
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    • 2009
  • Purpose: This retrospective study was designed to determine the type and frequency of associated lesions in patients with chronic lateral ankle instability who had modified Brostrom lateral ankle ligament reconstruction. Materials and Methods: Between 2004 and 2007, 60 cases of 60 patients were enrolled in this study. A retrospective review of the magnetic resonance images of the affected ankle was conducted by two orthopedic surgeons who did not get any information about intraoperative findings and the lesions were admitted when two doctors were coincident. Results: The overall incidence of associated lesions found in this study was about 83%. Peroneal tenosynovitis was the highest frequency (32%), followed by osteochondral lesion of talus (28%), anterolateral impingement (15%), Os subfibula (13%), Os trigonum (12%), ankle synovitis (12%), anterior tibiofibular ligament tear (15%), anterior bony spur (7%). Another findings were loose bodies (5%), flexor tendon tenosynovitis (5%), medial osteophyte (3%). Conclusion: Identifying these associated lesions will be helpful in treating chronic lateral ankle instability especially when the surgeon have a plan to operate the instability. We suggest that the better results can be obtained when the associated lesions are corrected simultaneously.

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Arthroscopic Treatment of Stiff Elbow (주관절 강직의 관절경적 치료)

  • Moon, Young-Lae;Nam, Ki-Young
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.299-303
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    • 2010
  • Purpose: Management of the stiff elbow by arthroscopic procedure is an effective but technically demanding. Our purpose was to review the specific arthroscopic maneuver which can be useful for the stiff elbow. Materials and Methods: A stiff elbow that is refractory to conservative treatment can be treated surgically to remove soft tissue or bony blocks to motion. The olecranon or coronoid osteophyte and loose bodies have been removed arthroscopically with good results and rare complications. Results and Conclusion: For the successful arthroscopic management of elbow stiffness, it need to knowledge and skills for debride contracted tissue and preserve vital anatomic structure.

A Study on the Behavior of Combustion Wave Propagation and the Structure of Porous TiNi Body during Self-propagating High-temperature Synthesis Process

  • Kim, Ji-Soon;Gjuntera, Victor E.;Kim, Jin-Chun;Kwon, Young-Soon
    • Journal of Powder Materials
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    • v.17 no.1
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    • pp.29-35
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    • 2010
  • We produced cylindrical porous TiNi bodies by Self-propagating High-temperature Synthesis (SHS) process, varying the heating schedule prior to ignition of a loose preform compact made from (Ti+Ni) powder mixture. To investigate the effect of the heating schedule on the behaviour of combustion wave propagation and the structure of porous TiNi shape-memory alloy (SMA) body, change of temperature in the compact during SHS process was measured as a function of time and used for determining combustion temperature and combustion wave velocity. Microstructure of produced porous TiNi SMA body was observed and the results were discussed with the combustion characteristics. From the results it was concluded that the final average pore size could be controlled either by the combustion wave velocity or by the average temperature of the preform compact prior to ignition.

Development on the lungs of fetuses and neonates in Korean native goats (한국 재래산양의 태아 및 신생아의 폐 발달에 관하여)

  • 서득록;이국천;이순선;김종섭
    • Korean Journal of Veterinary Service
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    • v.20 no.1
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    • pp.55-67
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    • 1997
  • The morphological development of lungs in fetuses of 60, 90 and 120 days of gestation and neonates of Korean native goats was investigated by light, scanning and transmission electron mictroscope. The results were summarized as follows ; 1. Gross findings ; In the 60-days-old fetus, the lung was developed and differentiated into six lobes. 2. Light microscopic findings : The gland-like bronchioles were formed in loose mesenchyme at 60 days of gestation and the bronchial wall contained smooth muscles. The loose mesenchyme had been replaced by compact parenchymal tissue at 90 days of gestation and the cartilage plates appeared in bronchial wall which contained blood vessels, submucosal glands and smooth muscles. The lung parenchyma consisted of a fine network of alveoli at 120 days of gestation and the bronchial wall contained well-developed blood vessels, submucosal glands, cartilage plates and smooth muscles. In neonates, the lung tissue was similar to the mature lung tissue and the bronchial wall contained well developed cartilage plates. 3. Scanning electron microscopic findings : The epithelial cells lining the tubules were composed of cuboidal or columnar at 60 days of gestation and the epithelial cells lining the large airways were often ciliated : some were covered with stubby microvilli. The epithelial cells lining the canals were cuboidal at 90 days of gestation and the epithelial cells lining the bronchioles were ciliated cells or nonciliated(clara) cells, The clara cells contained row microvilli. The alvealor development of this stage was rapidly progressed ; the subdivision of canals by alveolar crests and assosiated wall attenuation resulted alveoli at 120 days of gestation and the respiratory bronchioles were lined by ciliated or nonciliated epithelial cells. In neonates, the epithelial cells lining the alveolar walls were mainly covered with pneumocyte type I ; Some were covered with pneu-mocyte type II. 4. Transmission electron microscopic findings : The epithelial cells lining the tubules were adhered with tight junction at apical borders of the adjacent cells at 60 days of gestation, which contained few organells and glycogen. The epithelial cells lining the canals were composed mostly of cuboidal cell at 90 days of gestation and the epithelial cells lining of the bronchioles were ciliated of nonciliated cell, which contained few organelles and abundant glycogen. The epithelial cells lining the alveolar walls were composed of pneumocyte type I and a few pneumocyte type II at 120 days of gestation. The epithelial cells lining of the bronchioles were ciliated or nonciliated cells. In neonates, pneumocyte type I was observed as flat and thin cytoplasmic extension in shape. Otherwise, pneumocyte type II was observed as cuboidal type with apical microvilli and contained osmiophillic lamellar inclusion bodies. Putting these various experiment results together, the lung development was slowly progressed at early stage, which was rapidly progressed in the late stage of gestation.

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Arthroscopic Treatment of Synovial Chondromatosis of the Shoulder Joint with Mini-open Procedure for the Lesions of Biceps Tendon Sheath (견관절에 발생한 활액막 연골종증의 관절경적 치료에서 소절개를 이용한 상완 이두건 건초 병변의 병행 치료)

  • Jo, Ki-Hyun;Oh, Joo-Han;Choi, Jung-Ah;Jung, Jin-Haeng;Gong, Hyun-Sik
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.69-73
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    • 2008
  • Synovial chondromatosis is an uncommon condition, and the involvement of the shoulder joint is rare. A 15 year old female patient presented to author's institution for right shoulder pain. We checked the plain radiographs and MRI. And they showed that a diagnosis of synovial chondromatosis in the shoulder, and they also demonstrated that the disease involved the bicipital tendon sheath as well as glenohumeral joint. We removed all loose bodies with total synovectomy by arthroscopic procedure, and a miniopen procedure for the lesions of biceps tendon sheath. Arthroscopic treatment affords excellent visualization of the shoulder joint with less morbidity. However, with current arthroscopic techniques, it is difficult to manage the synovial chondromatosis of biceps tendon in bicipital groove. The authors suggest that the complete elimination of synovial chondromatosis involving shoulder requires a mini-open procedure for the lesions of biceps tendon sheath in addition to the arthroscopic resection of the affected synovium and loose body removal in the glenohumeral joint.

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Temporomandibular joint synovial chondromatosis extending to the temporal bone: a report of two cases

  • Kim, Dae-Hoon;Lee, Eun Hee;Cho, Eunae Sandra;Kim, Jae-Young;Jeon, Kug-Jin;Kim, Jin;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.5
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    • pp.336-342
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    • 2017
  • Synovial chondromatosis is a rare benign lesion originating from the synovial membrane. It presents as adhesive or non-adhesive intra-articular cartilaginous loose bodies. Although the causes of synovial chondromatosis have not been fully elucidated, inflammation, external injury, or excessive use of joints have been suggested as possible causes. Synovial chondromatosis has been reported to occur most frequently at large joints that bear weights, with a rare occurrence at the temporomandibular joint (TMJ). When synovial chondromatosis develops at TMJ, clinical symptoms, including pain, joint sounds, and mouth opening may common. Moreover, synovial chondromatosis rarely spreads to the mandibular condyle, glenoid cavity, or articular eminence of TMJ. The goal of this study was to discuss the methods of surgery and other possible considerations by reviewing cases of patients who underwent surgery for synovial chondromatosis that extended to the temporal bone.

The Modified $Brostr{\ddot{o}}m$ Procedure for Chronic Lateral Ankle Instability (만성 족관절 외측 불안정성에 대한 $Brostr{\ddot{o}}m$ 변형 술식)

  • Song, Ha-Heon;Shim, Dae-Moo;Lee, Byoung-Chang;Kim, Dong-Churl;Cho, Yong-Woo;Yang, Jung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.1
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    • pp.81-85
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    • 2004
  • Purpose: The purpose of this study is to evaluate the surgical results of modified $Brostr{\ddot{o}}m$ procedure for chronic lateral ankle instability and to assess whether or not associated injuries may affect postoperative satisfaction. Materials and Methods: Twenty- four patients with chronic lateral ankle instability were evaluated retrospectively from August 1998 to March 2002. Average age was 29.3 years. All patients were performed pre & postoperative ankle anteroposterior and lateral view, stress anterior drawer and varus test using Telos device, MRI and intraoperative arthroscopic evaluations before ligament reconstruction. Results: Of the 24 cases, 23 cases was improved more than average 12 points on AOFAS scales. On modified scales of Hamilton, 3 excellent, 20 good, 1 fair results. On stress view, average 2.2 mm difference was improved on anterior drawer test and average 1.7 degree on varus test. Associated injuries were 8 osteochondral defects, 4 anterior impingements, 2 loose bodies, 2 os subfibulare, 2 os submalleolare and 2 partial ruptures of peroneus brevis. 8 cases with no associated injuries rated excellent or good. Conclusion: The modified $Brostr{\ddot{o}}m$ procedure is believed to be an effective and successful method for chronic lateral ankle instability that didn't respond to conservative treatment. Because associated injuries in chronic lateral ankle instability may affect postoperative satisfaction, appropriate detection and treatment may need for postoperative satisfaction.

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