• Title/Summary/Keyword: Root tear

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Medial Meniscus Posterior Horn Root Tear in Adolescent during Sport Activity - A Case Report - (스포츠 운동중 청소년에서 발생한 내측 반월상 연골의 뿌리 파열 - 1예 보고-)

  • Cho, Jin-Ho
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.71-75
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    • 2013
  • Root tear of the posterior horn of the medial meniscus can occur from trauma or chronic degeneration, leading to meniscus extrusion, articular cartilage loss, osteophyte formation, and medial joint space narrowing. It is common on middle age with or without minor trauma. We experienced a case of medial meniscus posterior horn root tear in 13 years old boy during baseball game. We performed 1 direct suture anchor repair for medial meniscus posterior horn root tear in adolescent and report clinical result.

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Treatment of cemental tear associated with periapical lesion using regenerative surgery; A case report (재생술식을 이용한 치근단 병소를 동반한 백악질 열리의 치료)

  • Kang, Hyo-Jin;Jung, Gyu-Un;Pang, Eun-Kyoung
    • The Journal of the Korean dental association
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    • v.54 no.5
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    • pp.365-373
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    • 2016
  • Purpose: Cemental tear is a specific type of root surface fracture characterized by a complete separation of a cemental fragment along the cementodentinal junction or a partial split within the cementum along an incremental line. It is suggested to be a factor for periodontal or periapical tissue destruction. The aim of this study is to present a diagnosis and treatment of cemental tear associated with periapical lesion with root canal treatment and regenerative periodontal surgery. Treatments: A 60-year-old male who had a history of sports trauma on the mandibular right central incisor about 10 years ago presented with apical cemental tear. Clinical examination showed a slightly dark yellowish discoloration and sinus tract that was located on the apical labial mucosa. The mobility and percussion were also assessed on the diseased tooth and recorded as $Miller^{\circ}{\phi}s$ Class II and tenderness to percussion. The probing depth was within the normal limit (<3 mm). Radiographic examination revealed a radiolucent lesion at the apical area and extended to distal aspect of the tooth along the fragment of cemental tear. After root canal treatment, periapical surgery was performed. The bony defect was exposed and then the detached root fragment was removed. Apical root resection and retrograde filling with Mineral Trioxide Aggregate (MTA) were accomplished and the bony defect was filled with deproteinized bovine bone mineral (DBBM) and covered with biodegradable collagen membrane. Results: After 9-month follow-up, healing of the mandibular right central incisor was uneventful and no swelling, purulence or pain was revealed in the associated area. Probing pocket depth was favorably stable, and the tooth mobility was decreased to the Miller's Class I. Conclusions: Apical cemental tear associated periapical lesion could be successfully treated with removal of the detached cementum in combination with apical surgery and GTR procedure.

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Treatment of the cemental tear

  • Park, Ye-Sol;Lee, Jae-Hong;Jeong, Seong-Nyum
    • Oral Biology Research
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    • v.42 no.4
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    • pp.248-253
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    • 2018
  • Cemental tears are uncommon form of root fracture that can lead to rapid localized periodontal attachment loss. Studies have described periodontal breakdown as being associated with the separation of the cementum from the underlying tooth structure. The aim of this case report is to assess the outcome of treatment of cemental tear with several surgical treatment regimens. Three patients with cemental tear were treated with different surgical method. In all three cases, the cemental tear occurred on maxillary right central incisors. In each case, the root fragment were removed, the localized defect was treated using different surgical methods including guided tissue regeneration and bone graft followed by scaling and root planting. In all three cases, symptoms subsided after the treatment and clinical attachment level was improved up to 2 mm at 3 month after surgery. Both conventional and regenerative periodontal surgery could achieve successful outcomes.

Arthroscopic repair of medial meniscal root tear using suture anchor in adolescent - A case report - (소아에서 발생한 내측 반월상 연골 후방 골 기시부 파열의 봉합 나사를 이용한 수술적 치료 - 증례 보고 -)

  • Kang, Min Soo;Kim, Kyung Taek;Choi, Sung Jong;Park, Won Ro
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.2
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    • pp.133-136
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    • 2011
  • The medial meniscal root tear is relatively common internal derangement of knee that is occurred in middle age without trauma. We experienced a case of traumatic medial meniscal root tear in 11 years old child and repaired it with a metallic suture anchor. Thus we report this case with a review of current literature.

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Arthroscopic Repair of Anterior Root Injury in Lateral Meniscus Using Suture Anchor - Case Report and Technical Note - (Suture anchor를 이용한 외측 반월판 연골 전방 뿌리 파열의 관절경적 치료 -증례 및 술기 보고-)

  • Kim, Do-Young;Yoo, Yon-Sik;Lee, Sang-Soo;Jeong, Un-Seob;Seo, Eun-Min;Park, Seung-Jae
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.1
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    • pp.41-45
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    • 2011
  • As awareness of root tear of meniscus have been increased, it became necessary to have an intensive repair. Posterior horn tear, especially for a lot of repair methods and the results have been reported recently. The report of the anterior root tear has yet to be found. We recently encountered a patient with an iatrogenic meniscal subluxation caused by past experienced partial menisectomy for discoid meniscus. Thus, we repots the technique and clinical results of arthroscopic repair of subluxated lateral meniscus anterior root tear using suture anchor.

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The Clinical Results of Arthroscopic Modified Pull-Out Suture for Root Tear of Posterior Horn of Medial Meniscus (관절경하 내측 반월상 연골 후각부 뿌리 파열의 수정된 견인 봉합술후의 임상적 결과)

  • Cho, Jin-Ho
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.37-43
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    • 2012
  • Purpose: This study is to evaluate the clinical results of pull-out suture for root tear of posterior horn of medial meniscus. Materials and Methods: Between March 2006 and February 2011, We studied 40 cases with the root tear of posterior horn of medial meniscus which follow up more than 1 years. Mean age was 49.5 years old. We excluded osteoarthritis or varus deformity patients more than 5 degrees. pull-out suture was performed to the patients with grade 0-2 of Kellgren and Lawrence classification. According to Outerbridge classification, evaluation of cartilage damage was performed during arthroscopy. Evaluation of clinical result was used the Lysholm score. Results: The mean pre-operation Lysholm score was 63.9 and post-operation score was 86.3. The complete failure rate was 3 of 40 cases (7.5%). Twenty of 40 cases (50%) showed cartilage lesions in weight bearing portion of medial femoral condyle which were 12 cases in grade 1, 5 cases in grade 2 and 3 cases in grade 3 according to the Outerbridge classification. Conclusion: In the treatment of pull-out suture for root tear of posterior horn of medial meniscus, exclusion of more than moderate arthritis or varus deformity is very importment. Pull-out suture seems to be a useful treatment of the root tear of posterior horn of medial meniscus in mild osteoarthritis or varus deformity of middle ages.

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Clinical and Radiological Findings of Nerve Root Herniation after Discectomy of Lumbar Disc Herniation

  • Bae, Jun-Seok;Pee, Yong-Hun;Jang, Jee-Soo;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.52 no.1
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    • pp.62-66
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    • 2012
  • The authors report 2 cases of nerve root herniation after discectomy of a large lumbar disc herniation caused by an unrecognized dural tear. Patients complained of the abrupt onset of radiating pain after lumbar discectomy. Magnetic resonance imaging showed cerebrospinal fluid signal in the disc space and nerve root displacement into the disc space. Symptoms improved after the herniated nerve root was repositioned. Clinical symptoms and suggestive radiologic image findings are important for early diagnosis and treatment.

Delayed-onset Muscular Paralysis after Cutaneous Herpes Zoster Mimicking Rotator Cuff Tear -Case Report- (회전근개 파열과 유사한 양상을 보인 피부 대상 포진의 지연성 근육 마비 - 증례 보고 -)

  • Oh Joo Han;Gong Hyun Sik;Kim Hyun Ho
    • Clinics in Shoulder and Elbow
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    • v.7 no.2
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    • pp.94-97
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    • 2004
  • Herpes zoster presents clinically with cutaneous vesicular eruption and pain along the dermatome, but it can sometimes cause muscular paralysis. When the disease involves cervical root, it is included in the differential diagnosis of shoulder diseases. A sixty-six year old patient, complaining of severe pain and weakness of his left shoulder, was referred to the authors as having a partial tear of the supraspinatus tendon on MRI. However, the authors found out a paralysis of the sixth cervical root in the patient by electrophysiologic studies, noting that the patient had been affected with a herpes eruption in the neck and arm two months before. Zoster paresis has been reported to be associated with the cutaneous eruption within two weeks of its onset, making its diagnosis not so difficult. The authors report a case of delayed-onset muscular paralysis after cutaneous herpes zoster, which presented just like a rotator cuff tear.

A TCP-Friendly Congestion Control Scheme using Hybrid Approach for Enhancing Fairness of Real-Time Video (실시간 비디오 스트림의 공정성 개선를 위한 TCP 친화적 하이브리드 혼잡제어기법)

  • Kim, Hyun-Tae;Yang, Jong-Un;Ra, In-Ho
    • Journal of the Korean Institute of Intelligent Systems
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    • v.14 no.3
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    • pp.285-289
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    • 2004
  • Recently, due to the high development of the internet, needs for multimedia streams such as digital audio and video is increasing much more. In case of transmitting multimedia streams using the User Datagram Protocol (UDP), it may cause starvation of TCP traffic on the same transmission path, thus resulting in congestion collapse and enormous delay because UDP does not perform TCP-like congestion control. Because of this problem, diverse researches are being conducted on new transmission schemes and protocols intended to efficiently reduce the transmission delay of real-time multimedia streams and perform congestion control. The TCP-friendly congestion control schemes can be classified into the window-based congestion control, which uses the general congestion window management function, and the rate-based congestion control, which dynamically adjusts transmission rate by using TCP modeling equations and the like. In this paper, we suggest the square-root congestion avoidance algorithm with the hybrid TCP-friendly congestion control scheme which the window-based and rate-based congestion controls are dealt with in a combined way. We apply the proposed algorithm to the existing TEAR. We simulate the performance of the proposed TEAR by using NS, and the result shows that it gives better improvement in the stability needed for providing congestion control than the existing TEAR.

Arthroscopic All-Inside Repair of Medial Meniscus Root Tear Using 18 Gauge Spinal Needle and Suture Anchor -A Report of Surgical Technique- (18 Gauge 척수 주사 바늘과 Suture Anchor를 이용한 내측 반월상 연골 경골 후방 부착부 파열의 관절경적 All-Inside 봉합술 - 수술 술기 보고 -)

  • Kim, Jong-Min;Jung, Sung-Hoon;Lee, Sang-Ho;Park, Byeong-Mun;Lee, Kil-Hyeong;Jeon, Ho-Seung
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.1
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    • pp.66-71
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    • 2012
  • The posterior root of medial meniscus maintains normal meniscal function by circumferential hoop tension and prevents extrusion of meniscus and progression of osteoarthritis. A complete tear of posterior root of medial meniscus leads to loss of hoop tension, it is important to repair it and preserve the function of the medial meniscus. Recently, a variety of arthroscopic assisted reduction and repair techniques have been used. We create an arthroscopic all-inside suture technique using a 18 gauge spinal needle and suture anchor that is easier and more convenient compared with the previous techniques. So we report this technique with a review of current literatures.

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