ABSTRACT
OBJECTIVE: To study the acromial type, acromial angle, acromial tilt and subacromial distances which known as extrinsic factors of subacromial impingement syndrome in groups of subacromial impingement syndrome and normal control. METHOD: The radiography of shoulder named shoulder series composed of AP view, arch view and impingement view was performed in thirty patients with subacromial impingement syndrome and ninety persons with normal adult and we measured the acromial type, acromial angle, acromial tilt, subacromial distances and subacromial spur. RESULTS: Mean subacromial distances of impingement group were 11.3+/-2.4 mm in AP view, 11.1+/-2.5 mm in arch view and those of normal control group were 11.1+/-2.2 mm in AP view, 10.4+/-1.9 mm in arch view. Incidences of acromial type I,II,III in impingement group were 15 (50%), 10 (33.3%), 5 (16.7%) respectively and those in normal control group were 20 (22.2%), 46 (51.1%), 24 (26.7%) respectively. Incidence of subacromial spur was 19 (63.3%) in impingement group and 52 (57.8%) in normal control group. Mean subacromial spur size was 10.0+/-5.4 mm in impingement group and 12.4+/-4.5 mm in normal control group. Mean acromial angle was 27.1+/-8.3 degree in impingement group and 29.1+/-8.7 degree in normal control group. Mean acromial tilt was 28.0+/-6.39 degree in impingement group and 31.8+/-3.4 degree in normal control group. CONCLUSION: No significant statistical difference between subacromial impingement syndrome group and normal control group in acromial type, acromial angle, acromial tilt and subacromial distance known as extinsic factors of subacromial impingement syndrome.
Subject(s)
Adult , Humans , Incidence , Radiography , Shoulder , Shoulder Impingement SyndromeABSTRACT
The main objectives of this study were to assess the age related changes of biochemical indices of bone turnover in postmenopausal osteoporotic females, and to assess the correlations of these indices with bone mineral density(BMD) of lumbar spine measured by dual energy X-ray absorptiometry(DEXA). Subgects were 70 osteoporotic women in pre and postmenopausal periods. The results showed that Postmenopausal women had higher level of Osteocalcin(OS) and Deoxypyridinoline(DPYD) with lower level BMD of lumbar spine compared with premenopausal women. Age, height, and weight had significant correlations with BMD of lumbar spine. Also a significant correlation was observed between the OS and DPYD. Pre and postmenopausal osteoporotic women(5, 10, 15 year duration) were similar for the rate of bone turnover. These results indicate that the biochemical indices used in our study are the potential markers to predict an age related change of BMD, as well as bone turnover rate of the lower BMD subjects. The combination of BMD measurement and assessment of the bone turnover rate by measuring biochemical indices would be helpful for the screening and treatment of patients with risks of osteoporosis.
Subject(s)
Female , Humans , Bone Density , Mass Screening , Osteocalcin , Osteoporosis , Postmenopause , SpineABSTRACT
To determine the therapeutic effect of closed-needle irrigation of knee for pain from osteoarthritis(OA), we conducted a randomized, single blind, 8 week prospective trial study. A comparison was done between the closed-needle irrigation of knee and standard conservative treatment in 30 patients with non-end stage OA of the knee. Statistically significant differences (P<0.05) favoring closed-needle irrigation of knee over conservative treatment were noted by the Visual Analog Scale for pain in these patients. Overall assessments on effectiveness of therapy by patients(Patient's global assessment) and physician(Knee rating scale) were also statistically superior among closed-needle irrigation group. We conclude that the closed-needle irrigation of knee for the treatment of pain from osteoarthritis is an effective treatment and is superior than the traditional conservative treatment in therapeutic effect.
Subject(s)
Humans , Knee , Osteoarthritis , Prospective Studies , Visual Analog ScaleABSTRACT
One of the sequelae of spinal cord trauma which start soon after the onset of injury is the loss of the calcium from bone. Bone mineral and matrix resorption causes negative calcium balance, and eventually osteoporosis. Etidronate disodium(etidronate) is an oral diphosphonate compound known to reduce bone resorption through the inhibition of osteoclasic activity. Since continuous oral treatment with high doses of etidronate may lead to the impairment of bone mineralization and the cessation of bone remodeling, a ideal therapeutic regimen consist of the intermittent cyclical administration of the diphosphonate in a dose that inhibits bone resorption. To assess the effect of etidronate on bone metabolism and bone mineral density after spinal cord injury, we studied two groups of 7 spinal cord injury(SCI) patients with etidronate and 7 SCI patients without etidronate. Seven patients of treatment group received oral etidronate (5 mg/kg/day) for 2 weeks followed by a 10-week period in which no drugs were given. This sequence was repeated 4 times, for a total of 48 weeks. The results showed that the patients receiving etidronate had siginificant decrease in the serum osteocalcin(OC), urine deoxypyridinoline(D-PYD) level but no increase in their mean bone density. We can carefully conclude that intermittent cyclical therapy with etidronate siginificantly reduces bone metabolic rate and inhibit bone mineral loss on osteoporosis in spinal cord injury patients.
Subject(s)
Humans , Bone Density , Bone Remodeling , Bone Resorption , Calcification, Physiologic , Calcium , Etidronic Acid , Metabolism , Osteoporosis , Spinal Cord Injuries , Spinal CordABSTRACT
The purpose of this study was to establish the normal values of tendon reflex in normal Korean adults. Ankle tendon reflex(ATR), patellar tendon reflex(PTR) and medial hamstring tendon reflex (MHTR) responses were recorded in 96 limbs of 48 normal Korean adults by delivering tendon taps with an electric reflex hammer. Latency to the onset of the triggered response, peak to peak amplitude and duration of the wave were measured after several repetitions. Minimum latency and duration of the elicited response were chosen to calculate normal means. Side differences were also evaluated. As amplitude showed a marked interindividual variation and side to side variation, lowest recorded value was selected to represent the lower limit of normal. Mean values of latency, duration and amplitude were 30.27?3.18 msec, 11.05?1.08 msec and 1.98?0.89 mV for ATR, 16.37?1.58 msec, 20.63?1.68 msec and 1.56?0.76 mV for PTR and 20.25?2.14 msec, 10.95?1.57 msec and 0.71?0.56 mV for MHTR. Age, height, and leg length showed significant correlation with the latency of ATR, PTR and MHTR latency(P<0.001). We believe our results can be used as guideline researches in clinical practice.
Subject(s)
Adult , Humans , Ankle , Extremities , Leg , Patellar Ligament , Reference Values , Reflex , Reflex, Stretch , TendonsABSTRACT
Thermography shows skin temperature changes in various conditions of body. Skin temperature changes according to the subcutaneous blood flow which is regulated by the autonomic nervous system. Peripheral neuropathic pain can be influenced by the sympathetic activities which also can change the skin temperature of affected sites. To evaluate the usefulness of thermography in the detection of peripheral neuropathic pain, authors analyzed thermographic images of 47 cases with peripheral nerve injuries of upper extremities. The peripheral nerve injuries were confirmed by Electromyographic studies in all of the cases. The peripheral neuropathic pain was present in twenty three cases. The results show that 97.5% of nerve injury patients with pain and 45.8% of nerve injury patients without pain had abnormal thermograms with a mean temperature changes of delta T=0.99oC deltaT=0.13oC respectively. Authors conclude that thermography can be an usefal tool for the detection of peripheral neuropathic pain.
Subject(s)
Humans , Autonomic Nervous System , Neuralgia , Peripheral Nerve Injuries , Peripheral Nerves , Skin Temperature , Thermography , Upper ExtremityABSTRACT
Rotator cuff injury and impingement syndrome have been thought to be related to the structure of acromion, such as subacromial distance, acromial type, acromial spur and acromial angle. Evaluation was done in 90 normal shoulders without impingement or rotator cuff injury, using shoulder X-ray series, composed of AP view, impingement view, and arch view. As results, 52(52.8%) of them had subacromial spur by the impingement views. The spur size was 12.4+/-4.5 mm and increased with age without statistical significance(p>0.05). The subacromial distance was 11.1+/-2.2 mm in AP view and 10.4+/-1.9 mm in arch view without statistical difference for age and sex(p>0.05). Among 90 normal shoulders, the acromion was quite often curved Type II, 51.1%, type I, 22.2%, and type III 26.7%. Mean acromial angle was 29.1 degrees in arch view and increased with age(p0.05). These results suggest their clinical relevance to the impingement syndrome and the rotator cuff injury.
Subject(s)
Acromion , Rotator Cuff , ShoulderABSTRACT
No abstract available.