• Title/Summary/Keyword: 굴곡 구축

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Ganglion in the Anterior Cruciate ligament as a Cause of Flexion Contracure of the Knee Joint - A Case Report - (전방 십자 인대의 결절종으로 인한 슬관절 굴곡 구축 - 1례보고 -)

  • Kim, Joon-Sik;Yang, Moon-Seung
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.1
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    • pp.77-79
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    • 1998
  • Ganglion in the anterior cruciate ligament is quite rare finding at the time of knee arthroscopy. We experienced a 58 years old female pateint with a ganglion in the anterior cruciate ligamentwho complained gradual development of flexion contracture of left knee joint and treated with arthroscopic excision of ganglion resulted in freedom from flexion contracture of her knee joint.

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Survey and Research of Geographic and geologic centers in South Korea using GIS (GIS를 이용한 남한의 지질 및 지리적 중심에 관한 연구와 조사)

  • Hwang, Jae-Hong;Jeong, Won-Seok;Na, Gi-Chang
    • 한국지구과학회:학술대회논문집
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    • 2005.09a
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    • pp.437-445
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    • 2005
  • 지리 중심에 대해서 확실하게 정립된 정의와 이에 대한 여러 가지 방식이 존재하기 때문에 연구자들은 지리 중심을 산출하는데 있어 많은 어려움을 겪는다. 또한 지표면은 굴곡이 심하고 다양한 암상으로 구성되어 밀도 분포가 매우 불균질하고 그 경계 또한 불규칙한 굴곡이기 때문에 중심점을 구한다는 것이 매우 어렵다. 따라서 한 지역에 중심의 정의와 산출 방식에 따라서 여러 중심점이 존재 할 수 있는 것이다. 지리중심결정에 대한 유일한 해법은 없으며 어떤 과학자도 단정할 수 있는 방법은 존재하지 않는다. 본 연구의 목적은 지리정보시스템 분석을 통하여 남한내륙의 지리적, 지질학적 중심지를 정확히 밝히고 학술적으로 정립하는데 있다. 이를 위하여 기존 연구된 사료 수집은 물론 자료 처리를 위한 수치 지형도, 수치 지질도 등의 자료 등을 수집하였다. 또한 지질 및 지리정보 시스템 구축을 위한 사전 준비 작업으로 한국에서 적용된 사례 및 외국의 적용 사례를 파악하고 데이터 수집 및 처리 과정을 적용해 보았다. 그리고 지리정보 시스템의 분석 개념을 설명함으로써 이 분석방법이 얼마나 타당한 분석방법인지에 대해서 고찰해보았다. 중심을 구하기 위해 적용된 조건은 지각이 등밀도 평면일 경우와 암상에 따라 불균질한 평면일 경우로 가정하였으며 이에 따른 남한 내륙의 무게중심점 및 기하학적인 중심점은 매우 다양하게 산출되었다. 그 결과 단순 남한내륙의 해안선 경계를 이용한 여러 중심점들은 대체적으로 충청북도 남부의 반경 20km 이내의 버퍼영역에 밀집하고 있음을 알 수 있었다.

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The Severity DB Construction for Unpaved Road Through Measuring 3D Road Profile (3차원 노면굴곡 측정을 통한 운용지역 비포장 기동로의 가혹도 DB 구축)

  • Lee, Jeonghwan;Lee, Sangho;Cho, Jinwoo;Kang, Esok
    • Journal of the Korea Institute of Military Science and Technology
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    • v.20 no.2
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    • pp.231-237
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    • 2017
  • The profile of unpaved road is an important issue in the reliability of endurance test. Efforts on measuring 2D road profile and analyzing the severity have been continued in the study of performing reliable endurance test evaluations through reflecting the results of such measurement and analysis. However, 2D road profile has limitation in measuring the profile in the road width direction because data is obtained along the trailer wheel track. Therefore, in order to measure 3-dimensional shape of road surface and construct severity DB of 3D road profile, Changwon Proving Ground(CPG) of Agency for Defense Development(ADD) developed 3D profilometer which is composed of laser scanner, IMU, GPS, encoder and so on. This paper focuses on the analysis of unpaved road severity using 3D road profile for army operation roads. This results will be used to manage test courses severity of CPG.

Pathophysiology of Stiff Elbow (주관절 강직의 병태 생리)

  • Song, Hyun-Seok;Yoon, Hyung-Moon
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.286-292
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    • 2010
  • Purpose: Stability of joints and maintenance of range of motion are needed for optimum function. The most common complaint about the elbow joint is joint stiffness. Recent articles have reported good outcomes in the treatment of stiff elbow joints. However, deciding which procedure to use is always difficult. Materials and Methods: Morrey et al. reported that the functional range of motion of the elbow joint is $30-130^{\circ}$ of flexion-extension and $50^{\circ}C$ of supination and pronation. About 90% of daily activities are done using this range of motion. Stiff elbow joints can be classified according to the traumatic events that caused the problem or the location of the main pathology. Intraarticular pathology includes severe articular mismatch, intraarticular adhesions, loss of articular cartilage, mechanical blockade by osteophytes, loose bodies, and hypertrophied synovium. Extraarticular pathology includes severe capsular adhesion due to the trauma or to dislocation, contracture of the collateral ligaments or muscles, bony bridge. Results and Conclusions: The main pathology underlying the loss of extension is the fibrous contracture of the anterior capsule. In this pathology, an anterior capsulectomy would be helpful. The main pathology underlying the loss of flexion is the contracture of the posterior band of medial collateral ligament.

Arthroscopic Anterior Capsular Release of a Post-traumatic Flexion Contracture in the Elbow (외상성 주관절 굴곡 구축에 시행한 관절경하 전방 피막 유리술)

  • Kim, Seung-Key;Park, Jong-Beom;Koh, Young-Seok;Chang-Han,
    • Clinics in Shoulder and Elbow
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    • v.1 no.1
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    • pp.72-77
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    • 1998
  • We treated 5 elbows with post-traumatic flexion contractures (mean contracture: 51 degrees) by arthroscopic anterior capsular release and post-operative alternative flexion and extension splint. Each elbow had been resistant to at least six months of conservative therapy. An incongruent ulno-humeral articulation was considered to be a contraindication to this procedure. All patients complained of the residual deformity and some functional deficit. All patients, after failure of non-operative therapy, desired a operative treatment. At follow-up(mean 21.8 months), there was a mean post-operative contracture of 19 degrees, which is within a functional range of motion. So we conclude that arthroscopic capsular release in selected patients is reasonable alternative to open release.

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Throwing injury of elbow

  • 최창혁
    • 대한정형외과스포츠의학회:학술대회논문집
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    • 2003.11a
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    • pp.158-166
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    • 2003
  • 반복적인 투구동작은 성장기의 주관절에 손상을 주기 쉬우며 투구 시 통증을 유발할 경우, 투구를 중지하고 관절의 능동적 휴식을 통해 유연성을 회복하고 점차 근력강화운동을 시행해야 한다. 유소년기 Little league elbow의 주된 병변인 상완골 내상과 골단염을 포함한 대부분의 손상은 보존적 요법으로 치료가 가능하며, 굴곡구축 등의 운동제한을 동반한 통증이나 관절 내 유리골편 등의 감입으로 인한 증상이 있을 경우 수술적 치료를 요하며, 성인의 경우 내측 측부인대의 만성 불안정성 둥에 대해서 인대 재건술 등의 수술적 치료가 고려된다. 투구 시 주관절의 손상은 대부분의 경우 과 사용으로 인한 것이며, 특히 성장기에 손상의 예방이 무엇보다 중요하다. 따라서 부모와 코치 그리고 경기 관계자 둥이 성장기 소년의 근력과 관절의 상태가 성인과 다름을 이해하고, 운동의 강도와 횟수를 적절히 조절하며 손상시 조기치료를 받을 수 있는 환경을 조성하는 것이 필요하다.

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Automatic generation of 3D Models Using Construction of Cloth 2D Patterns (다양한 의복의 2D패턴구성을 통한 3D모델의 자동생성)

  • 강성휘;신승철;조은규;장운석;최창석;김효숙
    • Proceedings of the Korea Institute of Convergence Signal Processing
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    • 2001.06a
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    • pp.185-188
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    • 2001
  • 본 논문에서는 의복의 2D패턴을 구성하여, 3D모델을 자동생성하는 방법을 제안한다. 먼저, 의복의 2D CAB 패턴으로부터 여러가지 의복 2D모델을 자동생성한 후, 의복 패턴별 2D모델을 붕합(Seaming)하여 3D모델을 생성한다. 봉합과정에서 B-Spline을 이용하여 인체의 굴곡과 의복의 공극을 고려하여 의복착용 후의 3D모델을 재구성하고, Z-buffer를 개량한 저리버퍼를 사용한 선적분을 통하여 3D모델을 구성하고 있다. 이때 의복의 3D 모델의 구조에 따라 부분적으로 의복 표면의 인체가 노출되는 현상을 검색하여( Collision Detection ), 의복 3D 모델을 부분적으로 수정하고 있다. 나아가서, 의복 원단에 대한 텍스처DB를 구축하여 다양한 색상의 의복을 코디할 수 있다.

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Arthroscopic Treatment for the Pigmented Villonodular Synovitis in the Knee (슬관절에 발생한 색소 융모 결절성 활액막염의 관절경적 치료)

  • Bae, Dae-Kyung;Cho, Nam-Su
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.1
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    • pp.22-26
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    • 2001
  • Purpose : To confirm the efficacy of arthroscopic synovectomy fur the pigmented villonodular synovitis in the knee. Materials and Methods : Between October 1996 and February 2000, the arthroscopic synovectomy had been performed in six patients(six knee joints), whose diagnoses were confirmed by pathologist. All patients complained of painful swelling in involved knee and four of the six patients had trauma history. There were three male and three female patients. Average age was 35.8 years ranging from 16 to 67 years. Follow up period was average 22.7 months(range, $13\~53$ months). Results : According to arthroscopic findings, there were three localized forms and three diffuse forms. At their last follow-up examinations, all patients had improvement in pain, swelling and range of motion and there was no evidence of recurrence. Conclusion : Complete arthroscopic excision is the definitive treatment for localized pigmented villonodular synovitis and meticulous arthroscopic excision through all portals including posterior portal can be considered as a valid alternative to traditional open synovectomy for the patients with diffuse pigmented villonodular synovitis.

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Clinical Outcome after Surgical Treatment of Intra-articular Comminuted Fracture of the Distal Humerus in the Elderly: Open Reduction and Internal Fixation Versus Total Elbow Arthroplasty (고령의 상완골 원위부 관절내 분쇄골절의 수술적 치료: 관혈적 정복술 및 내고정술과 일차적 주관절 전치환술의 임상적 결과)

  • Kim, Doo-Sup;Yoon, Yeu-Seung;Yi, Chang-Ho;Woo, Ju-Hyung;Rah, Jung-Ho
    • Clinics in Shoulder and Elbow
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    • v.15 no.2
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    • pp.130-137
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    • 2012
  • Purpose: To evaluate and report the clinical outcome after surgical treatment of intra-articular comminuted fracture of distal humerus in the elderly with osteoporosis. Materials and Methods: From January 2007 to October 2009, 24 patients aged older than 65 years with intra-articular comminuted fracture of distal humerus underwent surgical treatment. 18 patients (Group I) were managed using primary open reduction and internal fixation (OR IF) through the modified posterior approach and 6 patients (Group II) were taken primary total elbow arthroplasty. The average follow up period was 17.2 months. According to the AO classification, there were 8 C2, 16 C3 type fractures. All enrolled patients were evaluated radiographically and clinically. Clinical outcomes were assessed with the Mayo Elbow Performance, Disabilities of Arm and Shoulder and Hand, and Musculoskeletal Functional Assessment functional questionnaires. Results: The bony union was observed in 18 patients in group I at average 14 weeks. There were 2 patients with neurapraxia of whom the ulnar nerve symptom did not improve despite of anterior transposition. And non-union at osteotomy sites was seen in 2 patients. The mean Mayo Elbow Performance score was 87.0. The mean DASH score was 32.4. The average arc of elbow flexion was $121.0^{\circ}$ (range, $95{\sim}145^{\circ}$) with mean flexion-contracture of $12.0^{\circ}$ (range, 0 to 35). 6 patients in Group II showed no complication during follow up periods. The mean Mayo Elbow Performance score was 89.1. The mean DASH score was 44.3. The average arc of elbow flexion was $125.1^{\circ}$ (range, $100{\sim}145^{\circ}$) with mean flexion-contracture of $12.6^{\circ}$ (range, 0 to 30). Conclusions: With careful patient selection, Total elbow arthroplasty as well as OR IF could achieve good outcomes in elderly of comminuted intra-articular distal humerus fracture with osteoporosis.

Arthroscopic Treatment for the Pigmented Villonodular Synovitis in the Knee (관절경을 이용한 슬관절의 색소 응모 결절성 활액막염의 치료)

  • Kim, Kyung-Taek;Kim, Chul-Hong;Lee, Myung-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.111-115
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    • 2001
  • Purpose : To confirm the efficacy of arthroscopic synovectomy for the pigmented villonodular synovitis in the knee. Materials and Methods : We analysed 8 patient(9 cases) that were diagnosed and performed arthroscopic synovectomy as pigmented villonodular synovitis from July 1992 to May 2000. The diagnosis was confirmed by pathologist. The average follow-up period was 29 months(range, $15\~48$ months). The average age at initial visit was 40.4 years(rage, $15\~67$ years). Male were 6 cases and female 2 cases. The average duration from onset of the symptom to the operation was 23 months($2\~86$ months). Previous history of the trauma was noted in 2 case. There was 1 case involved both knee joints. Results : According to the athroscopic findings, there were 4 localized forms and 5 diffuse forms. At preoperational examinations, the average of flexion contracture was $4.4^{\circ}(0\~5^{\circ})$ and that of the further flexion was $117.8^{\circ}(90\~135^{\circ})$. At last follow-up examinations, the knee range of motion was normalized, the average of flexion range was $133.9^{\circ}(120\~140^{\circ})$. All patients had improvement in pain, swelling and range of motion and there was no evidence of recurrence. Conclusion : In the pigmented villonodular synovitis, arthroscopic synovectomy can be considered one of the good modality to expect good results.

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