• Title/Summary/Keyword: medial

검색결과 2,241건 처리시간 0.036초

Location of Ulnar Nerve Branches to the Flexor Carpi Ulnaris during Surgery for Cubital Tunnel Syndrome

  • Won Seok, Lee;Hee-Jin, Yang;Sung Bae, Park;Young Je, Son;Noah, Hong;Sang Hyung, Lee
    • Journal of Korean Neurosurgical Society
    • /
    • 제66권1호
    • /
    • pp.90-94
    • /
    • 2023
  • Objective : Cubital tunnel syndrome, the most common ulnar nerve entrapment neuropathy, is usually managed by simple decompression or anterior transposition. One of the concerns in transposition is damage to the nerve branches around the elbow. In this study, the location of ulnar nerve branches to the flexor carpi ulnaris (FCU) was assessed during operations for cubital tunnel syndrome to provide information to reduce operation-related complications. Methods : A personal series (HJY) of cases operated for cubital tunnel syndrome was reviewed. Cases managed by transposition and location of branches to the FCU were selected for analysis. The function of the branches was confirmed by intraoperative nerve stimulation and the location of the branches was assessed by the distance from the center of medial epicondyle. Results : There was a total of 61 cases of cubital tunnel syndrome, among which 31 were treated by transposition. Twenty-one cases with information on the location of branches were analyzed. The average number of ulnar nerve branches around the elbow was 1.8 (0 to 3), only one case showed no branches. Most of the cases had one branch to the medial head, and one other to the lateral head of the FCU. There were two cases having branches without FCU responses (one branch in one case, three branches in another). The location of the branches to the medial head was 16.3±8.6 mm distal to the medial epicondyle (16 branches; range, 0 to 35 mm), to the lateral head was 19.5±9.5 mm distal to the medial epicondyle (19 branches; range, -5 to 30 mm). Branches without FCU responses were found from 20 mm proximal to the medial condyle to 15 mm distal to the medial epicondyle (five branches). Most of the branches to the medial head were 15 to 20 mm (50% of cases), and most to the lateral head were 15 to 25 mm (58% of cases). There were no cases of discernable weakness of the FCU after operation. Conclusion : In most cases of cubital tunnel syndrome, there are ulnar nerve branches around the elbow. Although there might be some cases with branches without FCU responses, most branches are to the FCU, and are to be saved. The operator should be watchful for branches about 15 to 25 mm distal to the medial epicondyle, where most branches come out.

한쪽 슬관절에서 내측 및 외측에 동시에 발생한 원판형 연골 - 1예 보고 - (Simultaneous Medial and Lateral Discoid Meniscus in one Knee joint)

  • 조영호;안혁수;장세앙;남승오
    • 대한관절경학회지
    • /
    • 제10권1호
    • /
    • pp.95-98
    • /
    • 2006
  • 원판형 연골은 주로 슬관절의 외측에 발생하는 것이 보통이며 드물게 내측에도 발생하는 것으로 알려져 있다. 그러나 내측 및 외측에 동시에 발생한 원판형 연골은 보고된 바가 없다. 저자들은 슬관절 동통을 주소로 내원한 15세 남자에서 자기 공명 영상 및 관절경을 이용하여 한쪽 슬관절에서 내측 및 외측에 동시에 발생한 원판형 연골을 진단하고 양측 모두에 대해 관절경하 부분 절제술로 치료하였기에 보고하고자 한다.

  • PDF

삼음교(SP6) 혈위에 관한 연구 - 족내과상 8촌설에 대하여 - (Study on the Acupoint Location of Sameumgyo (SP6) - Regarding the Theory of 8 Cun above the Tip of the Medial Malleoulus -)

  • 박상균
    • Korean Journal of Acupuncture
    • /
    • 제37권2호
    • /
    • pp.122-129
    • /
    • 2020
  • Objectives : The objective of this study was to examine the acupoint location of Sameumgyo (SP6) from classic literatures. Methods : A review of SP6 acupoint location on 13 classics of acupuncture and moxibustion was performed. Results : Differences of SP6 acupoint location were found by classics of acupuncture and moxibustion. 9 classics of acupuncture and moxibustion said the acupoint of SP6 was located on 3 cun above the tip of the medial malleoulus, however acupoint location of SP6 was described on 8 cun above the tip of the medial malleoulus by 4 classics of acupuncture and moxibustion. Conclusions : Through a classic literature review, it was possible for the explanation that the location of SP6 was 8 cun above the tip of the medial malleoulus, but it was not intended to overturn the theory of 3 cun above the tip of the medial malleoulus regarding location of SP6. This study may be the starting point for future experimental or clinical studies for exploring new acupoint, and is expected to follow up.

Effects of Sphingosine-1-phosphate on Vestibular Nuclear Neurons

  • ;;;;박종성
    • 대한의생명과학회지
    • /
    • 제16권1호
    • /
    • pp.46-52
    • /
    • 2010
  • This study was designed to investigate the effects of sphingosine-1-phosphate on the neuronal activity of rat medial vestibular nuclear neurons. Sprague-Dawley rats aged 14 to 16 days were decapitated under ether anesthesia. After treatment with pronase and thermolysin, the dissociated medial vestibular nuclear neurons were transferred into a chamber on an inverted microscope. Spontaneous action potentials and potassium currents were recorded by standard patch-clamp techniques under current and voltage-clamp modes respectively. 15 medial vestibular nuclear neurons revealed excitatory responses to 1 and $5\;{\mu}M$ of sphingosine-1-phosphate. The spike frequency and resting membrane potential of these cells were increased by sphingosine-1-phosphate. The amplitude of afterhyperpolarization was decreased by sphingosine-1-phosphate. Whole potassium currents of medial vestibular nuclear neurons were decreased by sphingosine-1-phosphate (n=12). Sphingosine-1-phosphate did not affect the charybdotoxin-treated potassium currents. These experimental results suggest that sphingosine-1-phosphate increases the neuronal activity of the medial vestibular nuclear neurons by altering the resting membrane potential and afterhyperpolarization.

내측 반월상 연골 파열에서 발생한 독립된 2개의 반월상 연골 낭종 - 1예 보고 - (2 Separate Meniscal Cysts Arising from Tears of the Medial Meniscus - A case report -)

  • 서무삼;박형택;김상효
    • 대한관절경학회지
    • /
    • 제9권2호
    • /
    • pp.214-217
    • /
    • 2005
  • 슬관절의 반월상 연골 낭종은 흔하지 않은 병소로 내측보다는 외측 반월상 연골에 더 흔하게 발생하며, 대개 반월상 연골의 수평파열과 동반되어 있다. 본 증례는 특별한 외상력 없이 내측 반월상 연골의 퇴행성 변화와 후 외측부에 종 파열 및 후각부의 횡파열과 동반된 독립된 2개의 반월상 연골 낭종을 가진 24세 남자 환자로, 관절경을 이용한 낭종 감압술과 반월상 연골 봉합술로 치료하였다.

  • PDF

Four Species of the Family Erebidae (Lepidoptera), New to Korea

  • Choi, Sei-Woong;Kim, Sung-Soo;Heo, Un-Hong;Kim, Nang-Hee;Jeon, Ju-A
    • Animal Systematics, Evolution and Diversity
    • /
    • 제36권2호
    • /
    • pp.123-127
    • /
    • 2020
  • This paper reports four species of Erebidae from the southern part of Korea: two Boletobiinae, Honeyania ragusana (Freyer, 1845), Enispa masuii Sugi, 1982, one Hermininae, Adrapsa ablualis Walker, 1859, and one Arctiinae, Stictane rectilinea (Snellen, 1879). Honeyania ragusana can be distinguished by the following: a blackish dot on the apex of the forewing with strongly curved medial lines, a long slender uncus and a strongly distally bifurcated valva with a large distally expanded costa and a thumb-shaped process of sacculus on the male genitalia as well as a sclerotized antrum, strongly tapered ductus bursae, and large corpus bursae on the female genitalia. Enispa masuii, a lichen feeder, can be distinguished by the whitish medial lines of the grayish fore- and hindwings, and a pair of rounded ball-shaped lamella antevaginalis, long, sclerotized ductus bursae, and pear-shaped corpus bursae without signum of the female genitalia. Adrapsa ablualis can be distinguished by the whitish medial lines of the fore- and hindwings and large medial process of the costa and dentate distal margin of the valva of the male genitalia. Stictane rectilinea can be distinguished by the broad dark grayish medial band of the forewing and the long knife-shaped valva with a strongly hooked process on the distal part of the sacculus of the male genitalia.

Tibial Plateau Leveling Osteotomy Combined with Tibial Tuberosity Transposition in a Dog with Medial Patellar Luxation and Cranial Cruciate Ligament Rupture

  • Kim, Ji-hye;Park, Jiyoung;Jeong, Seong Mok;Lee, Haebeom
    • 한국임상수의학회지
    • /
    • 제34권5호
    • /
    • pp.366-369
    • /
    • 2017
  • A 30 kg, 6-year-old spayed female Samoyed dog was referred with a history of intermittent weight-bearing lameness in her right hindlimb for 3 weeks. The patient hadsurgery to correct a medial patellar luxation in the same limb 3 years prior. Based on the physical examination and radiographic findings, MPL and CCLR of the right hindlimb were diagnosed. Pre-surgical arthroscopy examination was performed, revealing a complete rupture of the cranial cruciate ligament, medial caudal meniscal tears and fibrotic cartilagechanges on the trochlear groove. An arthroscopy-assisted partial meniscectomy was used to repair themedial caudal meniscus. To correct the tibial plateau angle and medial patellar luxation, a tibial plateau leveling osteotomy (TPLO) was performed. A tibial tuberosity transposition (TTT) was performed to realignthe quadriceps mechanism with the trochlear block recession followed by soft tissue reconstruction. The post-surgical recovery was uneventful, and the patient was weight-bearing with normal ambulation on the repaired limb. There were no complications, and the implants were well positioned at the last follow-up. The clinical outcome of the caseindicates that combining TPLO with TTTis a good surgical option for treatingconcurrent CCLR and MPL.

Closure Duration and Pitch as Phonetic Cues to Korean Stop Identity in AP-medial Position: Perception Test

  • Kang, Hyun-Sook;Dilley, Laura
    • 음성과학
    • /
    • 제14권4호
    • /
    • pp.25-39
    • /
    • 2007
  • The present study investigated some perceptual phonetic attributes of two Korean stop types, aspirated and lax, in medial position of an accentual phrase. The intonational pattern across syllables (Jun, 1993) is argued to depend on the type of stop (aspirated vs. lax) only in the initial position of an accentual phrase. In Kang & Dilley (2007), we showed that significant differences between aspirated and lax stops in medial position of an accentual phrase exist in closure duration, voice-onset time, and fundamental frequency (F0) values for post-stop vowels. In the present perception experiment, we investigated whether these phonetic attributes contribute to the perception of these two types of stops: The closure durations and/or F0's of post-stop vowels on accentual-phrase medial words were altered and twenty native Korean speakers then judged these words as beginning with an aspirated or lax stop. Both closure duration and F0 significantly affected judgments of stop identity. These results indicate that a wider range of acoustic cues that distinguish aspirated and lax Korean stops in production also plays a role in perception. To account for these results we suggest some phonetic and phonological models of consonant-tone interactions for Korean.

  • PDF

개에서 상완이두건 변형 전위에 의한 내측 견관절 탈구의 안정화 증례 (A Modified Stabilization of Medial Shoulder Luxation by Biceps Tendon Transposition in a Dog)

  • 이호현;윤성호;장광호;권영삼
    • 한국임상수의학회지
    • /
    • 제32권1호
    • /
    • pp.98-100
    • /
    • 2015
  • 10살령의 2 kg의 암컷 치와와가 다리를 딛지 못하는 전지파행으로 내원하였다. 촉진시 대결절은 정상 위치 보다 내측에서 촉진되었고 염발음이 간헐적으로 들렸다. 방사선학적 검사에서 좌측 내측 견갑상완 관절 탈구로 진단되었다. 또한, 양측성으로 3기의 내측 슬개골 탈구도 관찰되었다. 외과적으로, 내측 견관절 탈구를 상완이두건 전위술로 정복하였다. 환견은 수술 6주째 정상 보행이었고 다리를 딛게 되었다.

Acutrak 나사를 이용한 족관절 내과 골절의 치료 (Surgical Treatment of Using Acutrak Screw for Ankle Medial Malleolar Fracture)

  • 김광열;김형천;안수한;윤형조;조성준
    • 대한족부족관절학회지
    • /
    • 제14권1호
    • /
    • pp.84-89
    • /
    • 2010
  • Purpose: The purpose of this study is to evaluate the clinical and radiologic results of using Acutrak screws for treating ankle medial malleolar fracture. Materials and Methods: We reviewed 38 cases of ankle medial malleolar fracture treated with Acutrak screws from February 2005 to May 2008. Results: In clinical result, there were 30 exellent cases, 7 good cases, 1 fair case. In radiologic result, there is no case with reduction loss. Average union time is 10.5 weeks. Conclusion: We conclude that Acutrak screw fixation is a useful method for ankle medial malleolar fracture, there are many advantages in accurate anatomical reduction, small incision, short operative time.