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Purpose@#Anterior cruciate ligament reconstruction (ACLR) is one of the most common procedures in sports medicine.It is important for patients to determine whether or not to return to the pre-operative state after the ACRL. This study is to evaluate the objective and subjective analysis of the knee joint function and to compare between injured knee and non-injured knee in those with ACLR.Methods: This cross-sectional study recruited 15 individuals with ACLR using autograft (age, 27.87±4.10 years; height, 172.56±4.81 cm; weight, 75.51±13.03 kg; time to surgery, 27.11±14.03 months). International Knee Document Committee subjective knee evaluation form and Lower Extremity Assessment Protocol (LEAP) including muscle strength, static and dynamic postural control, functional task was used to assess the knee joint function. Deficit ratio between injured knee and non-injured knee and independent t-test were used for analysis. @*Results@#Injured knee has significantly decreased isokinetic extension strength (90º/sec), isometric flexion strength and one-leg hopping distance (p＜ 0.05). @*Conclusion@#Although individuals who successfully returned to play (RTP) did not experience subjective dysfunction and pain, there are items of LEAP that indicates deficit ratio between injured knee and non-injured knee. Therefore, when considered whether and when to RTP, it is very important to assess not only subjective dysfunction and pain but also whether the patient has recovered to a level similar to that of the non-injured knee in various aspects of the knee joint.
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Background and Objectives@#Ranula is a type of pseudocyst caused by the leakage of saliva from the mouth floor, mainly the sublingual gland, and is classified into a simple ranula and a plunging ranula according to its location clinically. Currently known surgical treatment for ranula includes incision and drainage, marsupialization, ranula excision, and sublingual gland resection. The aim of this study was to help decision making for the treatment of ranula by analyzing the complications including the recurrence rate of each treatment.Subjects and Method We retrospectively reviewed 148 patients with ranula who had been treated from March 2000 to November 2019. All of the patients underwent one of the following treatments: incision and drainage, marsupialization, ranula excision, and sublingual gland resection. Complications including recurrence rate of each treatment were analyzed. @*Results@#Of 144 patients, 92 were simple ranula and 52 were plunging ranula. Four patients underwent incision and drainage, 24 patients with marsupialization, 12 patients with ranula excision, and 104 patients with sublingual gland resection. The recurrence rates according to the treatment of total ranula were 100%, 29.2%, 50.0%, and 8.7%, respectively, in the order of incision and drainage, marsupialization, ranula excision, and sublingual gland resection. There were no complications other than the recurrence of the ranula. @*Conclusion@#In the treatment of ranula, sublingual gland resection is considered to be the most appropriate method with minimal risk of complications and a low recurrence rate.
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A 57-year-old male patient with nasal congestion and nasal congestion, which occurred 1 month prior to the hospital visited. PNS CT and MRI was performed and revealed right orbital cellulitis, sinusitis and brain abcess. Surgical drainage was determined by rhinology, ophthalmology and neurosurgery. The right sphenoid sinus was identified as an open mucosal mucosa, and blackish mucosa was found on the right sphenoid sinus. Eucleation was performed. Infected orbital tissue removal and orbital abscess drainage were performed. Neurosurgery performed dura incision, drainage and removal of a large amount of abscess pattern, and duroplasty with artificial dura. Actinomyces odontolyti was identified by pus culture, and postoperative antibiotic treatment and dressing were performed, but infection aggravation persisted, resulting in deterioration of general condition, multiple organ damage, and cerebral infarction.
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PURPOSE: To investigate the alteration of lower extremity movement during maintaining balance test with their eyes closed in chronic ankle instability (CAI) patients compared to healthy group with and without plantar cutaneous sensation. METHODS: Ten healthy volunteers (age, 23.40±2.22 years; height, 165.42±6.67 cm; weight, 60.93±13.42 kg) and 10 CAI patients (age, 23.90±2.56 years; height, 166.89±10.50 cm; weight, 67.43±12.96 kg), were recruited. Subjects immersed both feet in an ice water for 10 minutes and performed three trials of a single-leg stance balance test with their eyes closed while standing on a force plate for 10 seconds. RESULTS: CAI group showed increased knee flexion, reduced knee external rotation, and hip internal rotation compared to the healthy group from single-limb stance with eyes closed after diminished plantar cutaneous sensation. However, there was no significant interaction between group and time. CONCLUSION: These findings indicate that the postural kinematic analyses revealed that individuals with CAI used different strategy of controlling their lower extremities, which alters transverse plane motion of hip and knee compared to the healthy group in order to compensate for their ankle deficits after freezing the plantar cutaneous.
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Humans , Ankle , Foot , Freezing , Healthy Volunteers , Hip , Ice , Knee , Lower Extremity , Sensation , WaterABSTRACT
BACKGROUND AND OBJECTIVES@#Voice evaluation is classified into subjective tests such as auditory perception and self-measurement, and objective tests such as acoustic and aerodynamic analysis. When evaluating dysphonia, subjective and objective test results do not always match. The purpose of this study was to analyze the relationship between subjective and objective evaluation in patients with dysphonia and to identify meaningful parameters by disease.MATERIALS AND METHOD: The total of 322 patients who visited voice clinic from May 2017 to May 2018 were included in this study. Laryngeal lesions were identified using stroboscopy. Pearson correlation test was performed to analyse correlation between subjective tests including GRBAS scale and voice handicap index, and objective tests including jitter, shimmer, noise to harmonic ratio (NHR), cepstral peak prominence (CPP), maximal phonation time (MPT), mean flow rate, and subglottic pressure.@*RESULTS@#In vocal nodule and sulcus vocalis, among GRBAS system, grade and breathiness showed good correlation with CPP, and roughness showed good correlation with jitter or shimmer. In unilateral vocal cord paralysis (UVCP), grade and breathiness showed a very good correlation with CPP, and also good correlation with jitter, shimmer, NHR, and MPT. Also asthenia showed good correlation with CPP and MPT. Vocal polyp has a limited association with other diseases.@*CONCLUSION@#In patients with dysphonia, grade and breathiness showed good correlation with CPP, jitter, and shimmer, and reflect the state of voice change well especially in UVCP, CPP, and MPT.