๊ธฐ๋ง๊ณ ์‚ฌ ๋‚ด์šฉ ๋ชฉ์ฐจ

  • HOD๊ฐ€ ์•„๋งˆ ์‹œํ—˜๋ฒ”์œ„ ์ œ์™ธ์˜€๋˜ ๊ฑธ๋กœ ๊ธฐ์–ต..!
  1. Supraspinatus tendinopathy (๊ฐ€์‹œ์œ„๊ทผ ํž˜์ค„๋ณ‘์ฆ)
  2. Infraspinatus fibrotic contraction (๊ฐ€์‹œ์•„๋ž˜๊ทผ ์„ฌ์œ ์„ฑ ์ˆ˜์ถ•)
  3. Quadriceps contracture
  4. Gracilis and Semitendinosus fibrotic myopathy
  5. Superficial Digital Flexor Tendon Displacement
  6. Congenital Hydrocephalus (์„ ์ฒœ์„ฑ ์ˆ˜๋‘์ฆ)
  7. Intracranial arachnoid cyst (IAC)
  8. Chiari-Like Malformation (CLM)

์ค‘๊ฐ„๊ณ ์‚ฌ_์š”์•ฝ

์งˆ๋ณ‘์š”์•ฝ
๋ฌด์™ธ1(A) - 1. Panosteitis (๋ฒ”๊ณจ์—ผ)์–ด๋ฆฐ ๋Œ€ํ˜•๊ฒฌ์—์„œ ์ž์ฃผ ๋‚˜ํƒ€๋‚จ. ์žฅ๊ณจ ๊ณจ๋ง‰ํ•˜์— ์—ผ์ฆ์ด ์ƒ๊ฒจ ์ƒˆ๋กœ์šด ๋ผˆ ์กฐ์ง์ด ๋น„์ •์ƒ์ ์œผ๋กœ ํ˜•์„ฑ๋˜๋ฉฐ ํŒŒํ–‰ ๋ฐ ๋ผˆ ํ†ต์ฆ์ด ๋‚˜ํƒ€๋‚˜๋Š” ๊ฒƒ. ํŒŒํ–‰ ๋ถ€์œ„๋Š” ๋ฐ”๋€œ. ์„ฑ๊ฒฌ์ด ๋˜๋ฉฐ ์ž์—ฐ์Šค๋Ÿฝ๊ฒŒ ํšŒ๋ณต๋˜์–ด โ€˜์„ฑ์žฅํ†ตโ€™์ด๋ผ๊ณ ๋„ ๋ถˆ๋ฆผ. ์˜์–‘๊ณต ๊ทผ์ฒ˜ ์–ผ๋ฃฉ๋œ๋ฃฉํ•œ ๊ณจ๋ฐ€๋„ ์ฐจ์ด๊ฐ€ ํŠน์ง•.
๋ฌด์™ธ1(A) - 2. Bone Neoplasia (BN)๋ผˆ๋‚ด์— ์ข…์–‘. ํŒ”๋‹ค๋ฆฌ ๊ณจ๊ฒฉ(๋Œ€ํ˜•๊ฒฌโ†‘ ), ๋ชธํ†ต ๊ณจ๊ฒฉ(์†Œํ˜•๊ฒฌโ†‘ )์—์„œ ๋ฐœ์ƒํ•˜๋ฉฐ, ๋Œ€ํ˜•๊ฒฌ์—์„œ ๋” ์ž˜ ๋ฐœ์ƒ. ํ ์ „์ด ์ดํ›„ ํ•ฉ๋ณ‘์ฆ์œผ๋กœ ์˜ˆํ›„๊ฐ€ ์ข‹์ง€ ์•Š์Œ. enlarged and firm limbs. ์ˆ˜์ˆ  ๊ธฐ๋ฒ•์€ Bone biopsy ๋˜๋Š” Amputation.
๋ฌด์™ธ1(A) - 3. Osteomyelitis (๊ณจ์ˆ˜์—ผ)์ฃผ๋กœ ๊ฐ์—ผ์œผ๋กœ ์ธํ•ด ๋ฐœ์ƒํ•œ ๋ผˆ์˜ ์—ผ์ฆ. ์—ฐ์กฐ์ง ๋ถ€์ข…. ๋Œ€๋ถ€๋ถ„ ฮฒ-lactamese-producing Staphylococcus pseudintermedius ์˜ ๋‹จ์ผ ๊ฐ์—ผ์œผ๋กœ ๋ฐœ์ƒ.
๋ฌด์™ธ1(A) - 4. ATR (Achilles Tendon Rupture)๊ธ‰์„ฑ ์™ธ์ƒ ๋˜๋Š” ํž˜์ค„์˜ ๊ณผ๋„ํ•œ ํŒฝ์ฐฝ์œผ๋กœ muscle-tendon unit์ด ์™„์ „ํžˆ ๋˜๋Š” ๋ถ€๋ถ„์ ์œผ๋กœ ์†์‹ค๋˜๊ณ , ๊ทผ์œก์ด ํŒŒ์—ด. Tenorrhaphy(ํž˜์ค„๋ด‰ํ•ฉ์ˆ ) ๋˜๋Š” ์™ธ๋ถ€ ์ ‘ํ•ฉ์œผ๋กœ ์น˜๋ฃŒ.
๋ฌด์™ธ1(A) - 5. Hypertrophic Osteopathy (HO)๋น„๋Œ€์„ฑ ๊ณจ๋ณ‘์ฆ-ํŠนํžˆ metatarsal/carpal, long bone ๊ทผ๋ฐฉ์—์„œ ์ƒˆ๋กœ์šด ๋ผˆ ์กฐ์ง ํ˜•์„ฑ. ๋Œ€์นญ์ ์ธ ํŒŒํ–‰, ๋ปฃ๋ปฃํ•œ ๊ฑธ์Œ, ๋ฐœ์—ด, ๋ฌด๊ธฐ๋ ฅ์ฆ, ํ™œ๋™ ์ €ํ•˜, ์‚ฌ์ง€์˜ ๋ถ€์ข… ๋ฐœ์ƒ. ๊ธฐ์ €์งˆํ™˜ ์น˜๋ฃŒ๊ฐ€ ์ค‘์š”.
๋ฌด์™ธ1(A) - 6. Joint Neoplasia (JN)์ค‘๊ฐ„ ์—ฐ๋ น์˜ ๋Œ€ํ˜•๊ฒฌ์—์„œ ๋งŽ์ด ๋ฐœ์ƒ. ๊ด€์ ˆ๋‚ญ ์ฃผ๋ณ€์—์„œ ๋ฐœ์ƒํ•˜๋Š” ์ข…์–‘. ๋ผˆ์˜ ์œตํ•ด๋ฅผ ์ผ์œผํ‚ค๋ฉฐ ์ „์ด๋จ. ํŒŒํ–‰๊ณผ ๊ด€์ ˆ ๊ทผ์ฒ˜ ์ข…๊ดด(mass) ๊ด€์ฐฐ. ๊ตญ์†Œ ์ ˆ์ œํ•ด๋„ ์žฌ๋ฐœํ•˜๋Š” ๊ฒฝ์šฐ ๋งŽ์œผ๋ฏ€๋กœ, ์ ˆ๋‹จ(amputation)์ด ๊ถŒ์žฅ๋จ.
๋ฌด์™ธ1(A) - 7. Craniomandibular osteopathy (CMO)3-8๊ฐœ์›” (์ฃผ๋กœ 5-7๊ฐœ์›”) ์— ๋ฐœ์ƒํ•˜๋Š” ์ฆ์‹์„ฑ ๋ผˆ ์งˆํ™˜์œผ๋กœ, mandible ๊ทผ์ฒ˜์—์„œ ๋ผˆ๊ฐ€ ํŒŒ๊ดด๋˜๊ณ  ํก์ˆ˜๋˜๋ฉฐ ์ƒˆ๋กœ์šด ๋ผˆ๋กœ ๋Œ€์ฒด๋จ. ์„ฌ์œ ํ™”๊ฐ€ ์ง„ํ–‰๋˜๋ฉฐ, ์•„๋ž˜ํ„ฑ๊ณผ ๊ณ ์‹ค์ด ์–‘์ธก์œผ๋กœ ๋น„๋Œ€๋˜์–ด ์ž…์„ ๋ฒŒ๋ฆด ๋•Œ ํ†ต์ฆ์ด ์žˆ๊ฑฐ๋‚˜ ๋ฒŒ๋ฆฌ๊ธฐ ์–ด๋ ค์›Œํ•จ. ๋จน๊ธฐ ํž˜๋“ค์–ด ์‹์š• ๋ถ€์ง„, ํƒˆ์ˆ˜, ์ฒด์ค‘ ๊ฐ์†Œ ๋“ฑ ๋‚˜ํƒ€๋‚จ. 11-13๊ฐœ์›”๋ น์ฏค ์ž๋ผ๋ฉด์„œ ๋‚˜์•„์ง€๋‚˜, ์‹ฌํ•œ ์ผ€์ด์Šค๋ฉด ์˜ˆํ›„๊ฐ€ ์•ˆ ์ข‹์Œ. West highland, Scottish, Cairn terriers ์ข…์—์„œ ์ž˜ ๋‚˜ํƒ€๋‚จ.