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슬개골 엑스선 영상 촬영을 위한 보조기구의 개발과 활용

Development and use of Supporting Device for Patellar X-ray Imaging

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초록

In this study, it focuses on the development of radiographic devices for patellar imaging. On the previous X-ray examination of patella and patellofemoral joint, it analyzed the problems which could affect the results: unstable patients’ pose, radiation exposure, and deterioration of image quality. The purpose of the research is to propose a future use of a developed device with an explanation of the process, function, and advantage of the device including the methods. The device is developed to focus on the diagnosis of the longitudinal and longitudinal fractures of the patella and patella/femoral joint, displacement such as dislocation, bone formation, stenosis of the patella/femorla joint, and cartilage wear. Due to the patient's anxious posture, it caused a shaking image, overlapping structures, and etcs, these factors challenge to diagnose accurately. In addition, the existing Settegast method and Hughston method, which are most frequently performed in the hospital field, are not suitable for the presence or absence of features or dislocation due to the heavy load on the patella of the patient. The developed device requires patients in a lying position and placing only their leg on the device, it increases the conveniences of the examination and decreases unnecessary radiation exposure of the patient except the patellar examination area. Moreover, one of the systems in the device fixes the detector, where the patients no longer need to hold the detector nor be in unstable posture, but describes the structure of the patella/femoral joint more clearly. Hoping the device will apply to more patients.

Abstract

In this study, it focuses on the development of radiographic devices for patellar imaging. On the previous X-ray examination of patella and patellofemoral joint, it analyzed the problems which could affect the results: unstable patients’ pose, radiation exposure, and deterioration of image quality. The purpose of the research is to propose a future use of a developed device with an explanation of the process, function, and advantage of the device including the methods. The device is developed to focus on the diagnosis of the longitudinal and longitudinal fractures of the patella and patella/femoral joint, displacement such as dislocation, bone formation, stenosis of the patella/femorla joint, and cartilage wear. Due to the patient's anxious posture, it caused a shaking image, overlapping structures, and etcs, these factors challenge to diagnose accurately. In addition, the existing Settegast method and Hughston method, which are most frequently performed in the hospital field, are not suitable for the presence or absence of features or dislocation due to the heavy load on the patella of the patient. The developed device requires patients in a lying position and placing only their leg on the device, it increases the conveniences of the examination and decreases unnecessary radiation exposure of the patient except the patellar examination area. Moreover, one of the systems in the device fixes the detector, where the patients no longer need to hold the detector nor be in unstable posture, but describes the structure of the patella/femoral joint more clearly. Hoping the device will apply to more patients.

참고문헌 (9)

  1. 김홍식, "생활체육 참여 노인들의 어르신전담생활체육지도자에 대한 신뢰가 수업만족과 지도만족 및 지속적인 참여와의 관계", 한국사회체육학회지, (34), pp.691~701 (2008), 한국사회체육학회[DOI]
  2. Kang SS, "TEXTBOOK of Radiographic Positioning and Clinical Diagnosis", pp.721~723 (2008), Chung-Ku publishing Co
  3. Agliett P, "Insall & Scott", pp.807~936 (2006), Churchill Livingstone Elsvier
  4. Kyung HS, "Diagnostic approach method to patellofemoral joint instability", Journal of Korean Orthopaedic Sports Medicine, 7(2), pp.84~94 (2008)
  5. Kim EJ, "Usability evaluation of the examining patella test method", Conf Proc Korean Society of Radiological Science fall Conference (2008)
  6. 성열훈, "체형변화에 적합한 X-선 검사대 일체형 Merchant 보조장비의 유용성 평가", 한국산학기술학회논문지, 14(6), pp.2773~2779 (2013), 한국산학기술학회[DOI]
  7. Laurin CA, "The tangential x-ray investigation of the patellofemoral joint. X-ray tech-nique, diagnostic criteria and their interpretation", Clin Orthop, (144), pp.16~26 (1979)
  8. Laurin CA, "The abnormal lateral patellofemoral angle. A diagnostic roentgenographic sign of recurrent latellar subluxation", J Bone Joint Surg Am., 60(1), pp.55~60 (1978)
  9. Merchant AC, "Roentgenographic analysis of patello-femoral congruence", J Bone joint Surg Am, 56(7), pp.1391~1396 (1974)

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