• The Journal of Korean Orthopaedic Ultrasound Society
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• v.7 no.2
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• pp.89-97
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• 2014

Purpose: To evaluate the ultrasonographic findings of the elbows on group screening of middle school baseball players. Materials and Methods: Ninety-three players (age: 12-15, mean 13.5 years) of four middle school baseball team were evaluated with bilateral elbow ultrasonographies in the field regardless of elbow pain. Medial and anterolateral ultrasound examination of the both elbow were performed in the field to detect any abnormalities including medial epicondylar separation or fragmentation and capitellar osteochondritis dissecans respectively. We analyzed the relationship among elbow pain, physical findings and sonographic abnormalities and the differences of sonographic abnormalities between pitchers and fielders. Results: Thirty-six of 93 (39%) players had sonographic abnormalities of elbow in dominant arm, 30 with medial epicondylar apophyseal separation or fragmentation, 2 with osteochondritis dissecans, 4 with both lesions. Twenty-nine of 37 (78%) players with elbow pain had sonographic abnormalities. On physical examination, players with medial epicondylar abnormalities had medial epicondylar tenderness (59%) and pain on valgus stress test (52%), and 5 of 6 (83%) players with osteochondritis dissecans showed flexion contracture more than $5^{\circ}$. The incidence of medial epicondylar abnormalities between pitchers and fielders was statistically not significant but osteochondritis dissecans was more prevalent in pitchers (p<0.05). Conclusion: Elbow sonography is a simple and useful screening tool in the field and also effective for early detection of medial epicondylar abnormalities or osteochondritis dissecans that could be the main causes of elbow pain in adolescent baseball players.

• Journal of the Korean Arthroscopy Society
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• v.6 no.1
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• pp.43-48
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• 2002

Purpose : We evaluated the results of the arthroscopic treatment of nine cases of synovial chondromatosis in the knee joints. Materials and Methods : From June 1989 to September 1999, eight patients nine cases with synovial chondromatosis involving knee joints underwent arthroscopic total synovectomy and removal of loose bodies. There were 6 females and 2 males. The average age at surgery was 44.1 years(range, 20-57 years). The average follow-up period was 5.9 years (range, 2.5-7.3 years). All cases had pain and swelling and two cases had locking preoperatively. Flexion contracture was found in three cases. Results : Pathologic finding revealed Milgram I in one case, Milgram II in six cases and Milgram III in two cases. There were six cases of generalized synovial hypertrophy and one case of localized type. All patients had symptomatic relief by arthroscopic total synovectomy and loose body removal. Second arthoroscopic surgery was performed in one patient due to recurred lesions 11 months after the primary surgery. Conclusion : Clinical results of the synovial chondromatosis with arthroscopic total synovectomy and loose body removal were satisfactory. Arthroscopic total synovectomy was also effective for the recurred case.

• Journal of the Korean Arthroscopy Society
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• v.7 no.2
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• pp.220-225
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• 2003

The meniscal cyst of knee joint is a rare disease, and the discoid meniscal cyst has not been reported in Korea. We report 3 cases of the discoid meniscal cyst confirmed by MRI and arthroscopy. In physical examination, all cases have tenderness of the knee joint. One has palpable mass of knee joint and the other one has limitation of knee motion with knee flexion contracture of 10 degrees and positive McMurray test at external rotation of the knee. All cases are complete discoid meniscus, which are, one medial discoid meniscus and two lateral discoid meniscus through MRI. We confirmed horizontal tear of meniscus in all cases and the location of meniscal cysts are anterior hem of meniscus in one and body of meniscus in two. We could get excellent results in all 3 cases that return to normal knee range of motion.

• Journal of Korean Orthopaedic Sports Medicine
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• v.6 no.2
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• pp.92-98
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• 2007

Purpose: We evaluated the clinical results of arthroscopic ACL reconstruction using quadrupled hamstring tendon with tibial remnant-preserving technique. Materials and Methods: Thirty-five cases were evaluated from Feb, 2003 to May, 2006. The average interval from injury to surgery was $2.6{\pm}1.6$ months. The cause of injury was mostly sports-related trauma. The average follow-up period was 17 months. Tibial remnant was preserved as much as possible and caution was taken not to damage the remnant during ACL reconstruction. Postoperative rehabilitation was the same as the usual rehabilitation method after ACL reconstruction, except for delaying motion for 2 weeks with an extension locking brace. Clinical evaluation was performed using ROM; Lachman test; pivot-shift test; anterior displacement measurement using KT-2000 arthrometer; Lysholm score and proprioception measured by single limb standing test. Results: There was no limitation of knee motion without contracture. The Lachman test and pivot-shift test were both negative. The side-to-side difference of anterior displacement measured using KT-2000 arthrometer was improved from 6.7 mm to 2.2 mm. The average Lysholm score improved from 81 to 96. The single limb standing test for proprioceptive evaluation showed no significant difference from a normal leg. Conclusion: ACL reconstruction with tibial remnant-preserving technique can preserve mechanoreceptors with prorioception and expect good functional recovery.

• Proceedings of the Korea Water Resources Association Conference
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• 2010.05a
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• pp.1817-1821
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• 2010

본 연구에서의 지리정보시스템(GIS)을 이용한 사방댐 입지선정모델 개발은 산사태 발생 예측을 위한 사면안정성 평가 기준을 개발하여 사방댐 지점을 선정하기 위하여 체계적으로 표준화된 시스템을 구축하는 것이 목표이며, 2002년 태풍 '루사'와 2003년 태풍 '매미'에 의하여 토석류와 산사태가 발생한 서부경남 지역의 38개 지점에 대하여 항공사진 수집 및 현장조사를 수행하고, 산사태 발생에 관계되는 강우, 지형, 지질 및 토양, 임상 등을 인자로서 규정하였다. 연구결과 서부경남지역에서 발생한 산사태는 지리산, 가야산, 좌굴산 등 EL. 500m 이상의 비교적 고도가 높은 산악지역에서 지형성 집중호우에 의하여 발생하는 것으로 분석되었으며, 강우량과 산사태의 상관분석결과 시강우량 70mm 이상 및 누가강우량 230mm 이상에서 산사태의 발생빈도가 높은 것으로 나타났다. 또한 산사태 발생지점에서의 고도(평균해수면 기준)와 능선의 고도와의 비를 백분율로 계산하여 빈도를 살펴보면 산사태 발생지점이 능선의 90% 이상의 고도에서 산사태의 발생빈도가 53%로 가장 높고, 80-90%는 21%, 70-80% 16%의 순으로 산사태 발생빈도가 감소하고 있으며, 고도가 더욱 낮아져 산사태 발생지점이 60% 이하로 내려가면 산사태 발생빈도는 급격히 감소한다. 예를 들어 능선의 고도가 1000m일 경우 900m 이상의 고도(90% 이상)에서 산사태 발생빈도가 가장 높고 600m 이하의 고도(70% 이하)에서는 발생빈도가 급격히 저하하는 것으로 나타났다. 산사태 발생지점의 표면 굴곡도에 따른 산사태의 발생빈도는 대부분의 평행사면에서 74%, 약간 오목사면에서 26%가 발생하는 것으로 나타났다. 각 지구의 지질 및 토양별 산사태 발생빈도는 화성암계열의 지질 및 자갈/암괴 섞인 토사의 토양에서 발생하는 것으로 분석되었고, $34-40^{\circ}$ 사면경사에서 40%, $26-34^{\circ}$ 사면경사에서 26%, $26^{\circ}$ 이하의 사면경사에서 22%가 주로 발생하였으며, $40^{\circ}$ 이상의 높은 사면경사에서는 극히 미미하였다. 또한 임상 기준으로는 침엽수림에서 주로 발생하는 것으로 나타났다. 본 연구에서는 이상의 결과를 기초로 매우 안정, 안정, 부분적 안정, 불안정, 매우 불안정, 위험 지역으로 구분하고, 평가한 결과는 불안정 33개소, 매우 불안정 5개소 등 38개소 지점 모두에 사방댐 설치가 필요한 것으로 분석되었다.

• Korea journal of population studies
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• v.28 no.2
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• pp.97-129
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• 2005

Korean society recently witnesses a rapid lllcrease of suicide across all ages. In particular, suicide in old ages jumps up ill a very unexpected way. Furthermore, the order of suicide in the cause of death across all ages is becoming higher and higher in Korea. This study provides details of suicide that occurs in Korean society with the comparison to that of Japan at the descriptive level. It is not well known why suicide in Korean surges recently. Several previous research show the possibility that surging suicide is closely related to the worsened economic conditions especially since the economic crisis in 1997. They adopt economic growth, unemployment rate, income distribution, household finance index as economic indicators in their research. This study also adopts those indicators and conducts a correlation analysis in two periods, 1990-1997 and 1998-2004. It is found that there is no correlation between economic indicators and suicide in the period of 1990-1997. On the other hand, there is a very strong correlation between income distribution and suicide in the period of 1998-2004. Other economic indicators except income distribution does not have any significant correlation with suicide. This finding suggests that currently increasing suicide in Korea may be a result of economic polarization, which has been worsened since the economic crisis in 1997.