• Title/Summary/Keyword: Microtrauma

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The Role of Ankle Arthroscopy in Patients with Chronic Ankle Pain (만성 족관절통 환자에서의 족관절 관절경 소견)

  • Kim, Seung-Ho;Ha, Kwon-Ick;Han, Kye-Young
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.164-167
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    • 1998
  • The purpose of this study is to evaluate the significance of arthroscopic examination in patients with chronic ankle pain. Eighty eight arthroscopic procedures were conducted due to symptoms of chronic ankle pain. The pathology of the 88 ankles could be categorized into four groups ; 22 anterior impingement syndrome, 20 anterolateal impingement syndrome, 22 instability and 20 osteochondral lesion, 59 of patients(67.0%) had trauma history and 14(15.9%) of patients had injured chronic repetitive microtrauma. During the arthroscopic procedure, we found unexpected chondral lesions of high incidence(39.1%). These lesions were not detected both by the physical examination and radiologic examinantion. These pathologies were treated during the course of arthroscopic procedure. We concluded that ankle arthroscopy may be a very useful and therapeutic tool in the patients who have not reponded to the conservative treatment. And due to high incidence of intra-articular pathology in patients with chronic ankle pain, arthroscopic examination should be performed prior to final decision.

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Sports Injuries of the Wrist (손목의 스포츠 손상)

  • Kim, Jong-Pil;Kim, Sung-Jin
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.8-16
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    • 2012
  • With the increase of participation in the sport activities, there has been a commensurate rise in the number of sport injuries. A more commonly encountered injured region in the upper-extremity is the wrist. Sport injuries are often characterized as overuse and traumatic. Traumatic injuries include fractures, dislocations, and ligament tears often seen in contact or collision sports. Overuse injuries, represented damages by a level of repetitive microtrauma sufficient to overwhelm the tissues$^{\circ}{\O}$ ability to adapt, include inflammatory conditions such as De Quervain$^{\circ}{\O}s$ disease, extensor carpi ulnaris tendinitis, intersection syndrome. Also included is a traumatic problem such as stress fractures of the hook of the hamate, subluxation of the extensor carpi ulnaris tendon, chronic scapholunate instabilities, and degenerative triangular fibrocartilage tears. This review will focus on both overuse and traumatic injuries of the wrist in the athletes. A significant emphasis will be placed on the evaluation, pearls and pitfalls of conservative and operative treatments.

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Characteristics and Treatment of Temporomandibular Disorder in Children and Adolescents: An Analytic Review

  • Park, Hyung-Seok;Ahn, Yong-Woo;Jeong, Sung-Hee;Jeon, Hye-Mi;Ok, Soo-Min
    • Journal of Oral Medicine and Pain
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    • v.42 no.4
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    • pp.89-101
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    • 2017
  • Purpose: The purpose of this study is to investigate the prevalence of temporomandibular disorders (TMDs) in children and adolescents, their characteristic contributing factors, the characteristic features of symptoms and symptoms, and the response to treatment. Methods: We studied the researches, that were the results of the searches for words such as temporomandibular disorder, TMD, children, adolescents, and juvenile through PubMed and DBpia. Results: According to a study conducted in Busan, the ratio of adolescents increased from 18.3% to 21% in 2008 compared to 2000, and the proportion of boys increased from 38.58% to 45.38%. One of the characteristic contributing factors for adolescents is the macrotrauma such as jaw trauma, vehicle accidents, sports, physical abuse, forceful intubation, and third molar extraction. The second is a microtrauma from parafunctional habit such as bruxism, clenching, hyperextension, wind instrument, and fingernail biting that can cause joint overload, cartilage breakdown, synovial fluid alterations, and other changes within the joint. The diagnosis of TMDs in juvenile adolescents is not significantly different from that of adults. Medical history, clinical examination and radiological examinations are required. Conclusions: In the temporomandibular joint history and assessment, all comprehensive dental history examination is required, including head and neck pain, mandibular dysfunction, previous orofacial trauma, history of present illness with an account of current symptoms. For the treatment and management of temporomandibular arthritis in juvenile adolescents, understanding the characteristics of TMDs in juvenile adolescents and thoroughly analyzing appropriate diagnosis and possible contributing factors through comprehensive history taking & examination, conservative treatment, including fast and active cautions education, will be essential.

Arthroscopic Treatment of Partial-thickness Rotator Cuff Tear

  • Kim Seung-Ho;Ha Kwon-Ick
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.266-277
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    • 1998
  • Forty-nine partial thickness rotator cuff tears underwent arthroscopic debridement or repair, and were followed up for a minimum of two years. Follow-up evaluations of the results were completed using a detailed functional questionnaire which was comprised of a rating of the UCLA shoulder scale and return to the previous sports activity and job. The average age of the 49 study patients was 46.5 years(range, 14 to 67 years). The patients were divided into four groups on the basis of the onset of the patient's symptoms. Thirty-five patients(72%) had partial tearing only on the articular surface, six(12%) on the bursal surface, and eight(16%) on both surfaces. Group I consisted of 21 patients with an average age of 56.7. Partial tearing in group I was attributed to the impingement syndrome. In group II, partial tearing of the rotator cuff was related to the anterior instability of the shoulder. This group included 9 patients with an average age of 27.9. In group III, all of the 8 patients were overhead athletes with an average age of 21.8. In this group, no isolated instances of significant trauma were related to the development of the shoulder pain. In group IV, 11 patients noted that a significant traumatic event preceded the onset of their pain. The average age of the patients was 34.9. Overall, 82% of the patients demonstrated satisfactory results and 18% revealed unsatisfactory results. The worst UCLA score and rate of return to the prior activity was noted in group III. In conclusion, partial thickness rotator cuff tear can be caused by subacromial impingement, instability, repetitive microtrauma, and macrotrauma. Arthroscopic debridement of partial tear of the rotator cuff provides a favorable outcome except in overhead athletes.

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Relationship between Kinesiotaping and compression wear for postural balance in healthy men: a cross-sectional study

  • Choi, Nak-Hoon;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.275-280
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    • 2020
  • Objective: Compression wear is an external aid which promotes performance and recovery, diminishes muscular microtrauma, reduces muscle fiber recruitment, improves neuromechanics, enhances coordinative activities, and reduces the perceived exertion. The purpose of this study was to investigate the relationship between athletic taping and compression wear on dynamic postural balance in healthy young men. The hypothesis was that the athletic taping and compression wear would affect dynamic postural balance, with athletic taping having a different effect on dynamic postural balance in healthy young adults. Design: Cross-sectional study. Methods: Thirty-seven healthy young men participated in this study. To examine the association between athletic taping and compression wear, 3 clinical measurement tools, including 5 times sit-to-stand (5xSTS), one-leg standing (OLS) test, and Y-balance test (YBT) in 5 different conditions, namely (1) non-supporting, and support with (2) athletic taping, (3) regular compression wear, (4) silicon compression wear, and (5) double-fiber compression wear were used. Results: The distance of the Y-balance test (YBT) on both the dominant and non-dominant sides showed a statistically difference among the 5 supporting conditions (p<0.05). The distance measured via the YBT in the non-support condition was significantly different than that in the other four supporting conditions (p<0.05). However, 5xSTS and OLS were not significantly different in these supporting conditions. Conclusions: The results of this study suggest that athletic taping, silicon compression wear, and double-fiber compression wear were more effective for dynamic balance than non-supporting and regular compression wear.

Comparison of Superior Labral Anterior Posterior (SLAP) Lesions: Sports versus Non-sports Induced Injury (스포츠 손상과 비스포츠 손상에 의한 상부 관절와 순 전후방(SLAP) 병변의 비교)

  • Lee, Kwang-Won;Lee, Seung-Hun;Yang, Dong-Hyun;Kam, Byoung-Sup;Choy, Won-Sik
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.175-182
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    • 2007
  • Purpose: This study compared the SLAP lesions caused by a sports-induced injury with those caused by a non-sports-induced injury. Materials and Methods: The study was performed on 54 patients who had undergone arthroscopic surgery for a SLAP lesion. There were 21 sports-induced-injury patients (group I) and 36 non-sports-induced injury patients (group II). The mean age of the men was 36 years and that of the women was 48 years. In both groups, the frequency of a concomitant injury and the clinical outcomes at the last follow-up was evaluated using the UCLA score, Rowe score, and the ASES score. Results: According to their injury mechanism, , there were 14 cases (67%) of repeated microtrauma injury in group I and 25 cases (75%) of compression injury type in group II. As a concomitant pathology, there was 11 cases of shoulder instability and 5 cases of a rotator cuff tear in group I, and 23 cases of rotator cuff tears and 14 cases of shoulder instability in group II. At the last follow up, group I showed slightly better clinical satisfaction (P>0.05). Conclusion: The possibility of a SLAP lesion accompanying other diseases is high. Therefore, an accurate assessment of concomitant injury lesions before surgery is important for the treatment outcome.