• Title/Summary/Keyword: intercondylar distance

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Cone-Beam Computed Tomographic Assessment of Temporomandibular Joint Morphology in Patients with Temporomandibular Joint Disc Displacement and in Healthy Subjects: A Pilot Study

  • Choi, Hang-Moon;Park, Moon-Soo
    • Journal of Oral Medicine and Pain
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    • v.41 no.2
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    • pp.41-47
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    • 2016
  • Purpose: The purpose of this study was to analyze the size and morphology of mandibular condyle and mandibular fossa between temporomandibular joint (TMJ) disc displacement (DD) patients and healthy subjects using cone-beam computed tomography (CBCT). Methods: Twenty healthy subjects and twenty TMJ DD patients participated in this study respectively. We made five measurements in mandibular condyle (medio-lateral dimension, antero-posterior dimension, condyle height, intercondylar distance and intercondylar angle) and two measurements in mandibular fossa (mandibular fossa depth and articular eminence angle) using CBCT image. Results: There was no difference between two groups in medio-lateral dimension. In case of antero-posterior dimension, average of healthy controls was larger than that of TMJ DD patients, but that was not significant statistically. There were no significant differences between two groups in condyle height. Comparing intercondylar distance and intercondylar angle between two groups, there was no significant difference between two groups. In comparison of mandibular fossa depth and articular eminence angle, there was no significant difference between two groups. Conclusions: We couldn't find any definite relationship between TMJ morphology and TMJ DD.

Evaluation of Bonwill triangle using cone beam computerized tomography in Korean (콘빔형 전산화단층영상을 이용한 한국인의 본윌 삼각에 대한 평가)

  • Kong, Hyun-Jun;Oh, Sang-Chun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.2
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    • pp.97-103
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    • 2018
  • Purpose: The aim of this study was to evaluate the Bonwill triangle of Korean using the cone beam computerized tomography (Cone-beam CT). Materials and Methods: 120 Koreans (60 males and 60 females) who visited Daejeon Dental College Hospital of Wonkwang University and who underwent the Cone-beam CT were selected. The Cone-beam CT images were analysed with Invivo 5.1 (Anatomage, San Jose, USA). After reorientation of axis, the intercondylar distance was measured by clicking both middle points of condyle. And the condyle-incisor distance was measured by clicking the middle point of condyle and contact point of the mandibular central incisor's incisal edge. The collected data were analysed using the SPSS Version 23.0 (IBM Inc., Armonk, USA) and statistical significance was verified by gender using independent t-test. Results: The mean intercondylar distance of Korean was 105.9 mm, and the male (108.3 mm) was statistically significantly larger than the female (103.4 mm). The mean condyle-incisor distance of Korean was 105.2 mm, and the male (108.1 mm) was statistically significantly larger than the female (102.3 mm). Conclusion: The mean intercondylar distance of Korean in this study was 105.9 mm that was smaller than well-known 110 mm of Caucasian and the male was statistically significantly larger than the female. Within the limitations of this study, it would be necessary to use the articulator which can adjust the intercondylar distance according to the individual for prosthodontic treatment of Korean.

OBSERVATION OF CONDYLES BY ROENTGENOGRAPHIC CEPHALOGRAM (두부X-선규격계측사진에 의한 하악두의 관찰)

  • Ahn Hyung Kyu
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.14 no.1
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    • pp.135-140
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    • 1984
  • In spite of many projections of TMJ, there are rarely satisfactory projections of TMJ. The author traced and measured the P-A cephalograms, which number is 70 in each male and female, them finding the following results. 1. The long axis of the condyle is 19.80㎜ on the right, and 19.89㎜ on the left in male, and that of 18.65㎜ on the right and 18.10㎜ on the left in female. 2. The intercondylar distance is 119.02㎜ in male, and 108.20㎜ in female, resulting that the intercondylar distance in male is much longer than that in female. 3. The right and left deviation of the midline passing through the center of the intercondylar distance and prosthion is +0.37㎜ in male, +0.64㎜ in female, and its range is from -4.6 to +5.7㎜ in male, and from -3.2 to +6.1㎜ in female, resulting that prosthion nearly coincides with midline. 4. The angle of the intercondylar distance and the long axis (vertical angle) is +5.48' in male, and +6.02' in female, resulting that there is a little difference between male and female and the angle of the right is greater than that of the left in both male and female. 5. The typology of the condyle in sum of male and female is; Right: A type 55 (39.3%), B type 66 (47.1%), C type, 12 (8.6%), D type, 7 (5.0%), E type, 0 (0%) Left: A type, 60 (42.9%), B type, 58 (41.4%), C type, 14 (10.0%), D type, 8 (5.7%), E type, 0 (0%) 6. The distribution of the typology between the right and the left is; AA 26 (18.6%), AB 50 (35.7%), AC 10 (7.1%), AD 3 (2.1%) BB 26 (18.6%), BC 13 (9.3%), BD 9 (6.4%), CC 0 (0%), CD 3 (2.1%)

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THE STRUCTURE OF THE MANDIBULAR CONDYLE IN THE PANORAMIC RADIOGRAPH -Ⅱ- (파노라마방사선사진에서의 하악과두구조 -Ⅱ-)

  • Choi Soon-Chul
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.23 no.2
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    • pp.207-211
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    • 1993
  • The auther has evaluated the panoramic image of the mandibular condyle according to its horizontal codylar angle(0°, 10°, 20°, 30°, 40°) and intercondylar distance( 9.5, 11.0, 12.5, 14.0㎝). The Results were as follows: 1. In all horizontal condylar angle, the farther the intercondylar distance was, the smaller the horizontal length in radiogram was. 2. The increased the horizontal condylar angle was, the longer in horizontal direction and the shorter in vertical direction the image of superior condylar surface was. 3. In case of large horizontal condylar angle, the real mesial surface of condyle was projected to the posterior surface on radiograph.

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The effects of the correction exercise program combined with stretching and elastic band exercise on femoral intercondylar distance, Q-angle, plantar pressure in undergraduate with genu varum (탄성밴드운동과 스트레칭을 이용한 교정운동프로그램이 내반슬 대학생들의 무릎간 간격, Q-각 및 족압의 변화에 미치는 영향)

  • Yu, Byong-Kyu;Kim, Eun-Hye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.2064-2072
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    • 2015
  • The aim of this study is to identify the effects of the correction exercise program on femoral intercondylar distance, Q-angle and plantar pressure in undergraduate with genu varum. A experimental study with a randomized controlled trial design was used. Thirty subjects with genu varum were allocated in two groups: the experimental group (n=15) or the control group (n=15). The experimental group conducted correction exercise program for 30 minutes a day, 5 times a week, for 6 weeks, while the control group did not perform any exercise. The correction exercise program group showed a significant decreased femoral intercondylar distance, plantar pressure of M 4, M 5 (Metatarsal 4, 5). Also the correction exercise program group significantly increased Q-angle, plantar pressure of Toe 2-5 and M 1, M 2, M 3 (Metatarsal 1, 2, 3) (Rt, Lt) (p<.05). Thus, we suggested that the correction exercise program may be suitable intervention to improve normal alignment in undergraduate with genu varum.

Pelvic, Hip, and Knee Kinematics of Stair Climbing in People with Genu Varum

  • Chae, Yun Won;Park, Seol;Park, Ji Won
    • The Journal of Korean Physical Therapy
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    • v.30 no.1
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    • pp.14-22
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    • 2018
  • Purpose: This study examined the effects of the lower limb alignment on the pelvis, hip, and knee kinematics in people with genu varum during stair walking. Methods: Forty subjects were enrolled in this study. People who had intercondylar distance ${\geq}4cm$ were classified in the genu varum group, and people who had intercondylar distance <4cm and intermalleolar distance <4cm were placed in the control group. 3D motion analysis was used to collect the pelvis, hip, and knee kinematic data while subjects were walking stairs with three steps. Results: During stair ascent, the genu varum group had decreased pelvic lateral tilt and hip adduction at the early stance phase and decreased pelvic lateral tilt at the swing phase compared to the control group. At the same time, they had decreased minimal hip adduction ROM at the early stance and decreased maximum pelvic lateral tilt ROM and minimum hip rotation ROM at the swing phase. During stair descent, the genu varum group had decreased pelvic lateral tilt at the early stance and decreased pelvic lateral tilt and pelvic rotation at the swing phase. In addition, they had decreased pelvic frontal ROM during single limb support and increased knee sagittal ROM during the whole gait cycle. Conclusion: This study suggests that a genu varum deformity could affect the pelvis, hip and knee kinematics. In addition, the biomechanical risk factors that could result in the articular impairments by the excessive loads from lower limb malalignment were identified.

Geometry of Resident's ridge with Multidetector-Row Computed Tomograph Image (다중검출기 컴퓨터 단층 영상 분석을 이용한 Resident's ridge의 형태학적 연구)

  • Roh, Jeong-Ho;Min, Byoung-Hyun;Park, Jeong-Wook;Ahn, Byung-Moon
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.40-44
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    • 2008
  • Purpose: The purpose of this study was to report the real geometry of Resident's ridge doing in anterior cruciate ligament reconstruction Materials and Methods: From Jan 2007 to Aug 2007, 48 cases which had normal distal femoral condyle analyzed with Multidetector-Row Computed Tomography. Resident's ridge was defined as change of height above 1 mm in lateral wall of intercondylar notch. Anterior-posterior length of intercondylar notch, length and height of Resident's ridge, distance of Resident's ridge from posterior cortex were estimated with 3-D reconstruction using $Lucion^{(R)}$ program. Results: Cases were $59{\pm}16$ years olds and male was 16 cases, female was 32 cases. 9 cases had no Resident's ridge, anterior-posterior length of intercondylar notch was $25.4{\pm}3.5$ mm, average of length and height of the Resident's ridge was $8.2{\pm}2.6,\;3.5{\pm}1.5$ mm. Distance of the Resident's ridge from posterior cortex was $7.6{\pm}2.6$ mm. Conclusion: Resident's ridge was used as landmark in anterior cruciate ligament reconstruction, which presented in many cases and which had distinct length and height.

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The Effect of Chuna Manual and Taping Treatment on Genu Varum (추나요법과 경근첩대요법이 내반슬 교정치료에 미치는 효과)

  • Kim, Kyoung-Seok;Lee, Jong-Soo
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.3
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    • pp.93-107
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    • 2010
  • Objectives : The purpose of this study was to assess the efficacy of Chuna and taping treatment in patients with genu varum. Methods : Twenty-seven patients(male:10, female:17) with genu varum were recruited in this study. Chuna treatment at pelvic, and taping treatment at both legs were applied to whole participants. Outcomes were assessed using Q-angle(Quadriceps angle, QA), tibiofemoral angle(TFA), width and length of lesser trochanter(LT), pelvic incidence(PI), pelvic(PT), sacral slope(SS), lumber lordosis angle(LLA), meridian-electromyography(MEMG), Korean western ontario and McMaster universities osteoarthritis index(KWOMAC), and distance of femoral intercondylar distance(ICD). Results : 1. QA, LT width and LT length in radiograph were significantly increased. 2. PI, SS, PT and TFA in radiograph were significantly decreased. 3. The left vastus medialis portion contraction of female was significantly decreased after treatment. 4. The left rectus femoris portion fatigue was significantly decreased after treatment in male subjects. 5. The vastus medialis portion fatigue was significantly decreased after treatment in female subjects. 6. The distance of femoral ICD was significantly decreased. Conclusions : This study showed that Chuna and taping treatment could be used as an effective method for the treatment of genu varum.

3-D CT EVALUATION OF CONDYLE HEAD POSITION, MANDIBULAR WIDTH, AND MANDIBULAR ANGLE AFTER MANDIBULAR SETBACK SURGERY (3-D CT를 이용한 악교정수술후의 하악 과두 위치와 하악폭경 및 하악각의 평가)

  • Kim, Jae-Won;Lee, Dong-Hyun;Lee, Su-Youn;Kim, Jae-Hyun;Lee, Sang-Han
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.4
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    • pp.229-239
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    • 2009
  • The purpose of this study is to evaluate the change in condylar position, width, and angle before and after orthognathic surgery using 3-dimensional computed tomograph. Pre and posterative 3-D CT was taken on 38 patients and through axial, frontal, sagittal measurements and by 3-dimensional reconstruction, the changes in condylar postion, mandibular width and angle were analyzed and others such as the difference in gender, operation and fixation method, setback length and in relation with temporomandibular disorders were done together too. The results were as follows: The inward rotation of condyle in axial condylar angle, the forward movement of right condyle in sagittal anterior-posterior distance, the superior movement of both condyles in sagittal superior-inferior distance, the decrease in gonial angle, the increase in mandibular width, the decrease in distance between the axial coronoid process distance and the increase in the frontal intercondylar distance were statistically significant. There were no statistically significant changes in gender difference, however in the difference in operation method, change in the gonial angle was observed and there was more change in bilateral sagittal split osteotomy group compared to two-jaw surgery group. In the difference in fixation method, the decrease in axial coronoid process distance and the change in sagittal anterior-posterior distance were statistically significant. In the difference in setback, the increase in setback didn't relate directly with the increased change in condyle position. In the relation with temporomandibular disorder, changes in left axial condylar angle and axial coronoid process distance were statistically significant. Changes in condylar position could be observed after the orthognathic surgery but it doesn't seem to have much of a clinical importance. The orthognathic surgery is effective in decreasing the mandibular angle, and it is not related with the temporomandibular disorder.