• Journal of Korean Orthopaedic Sports Medicine
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• v.3 no.2
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• pp.98-99
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• 2004

소절개 봉합술은 관혈적 봉합술에 비해 동반된 관절와 상완 관절(glenohumeral joint) 내의 병변을 확인하고 이에 대한 처치를 시행할 수 있으며, 견봉하 감압술과 함께 동반된 견봉 쇄골 관절의 병변을 치료할 수 있다. 또한 삼각근 기시부에 대한 손상을 최소화하기 때문에 빠른 재활과 조기 퇴원을 시행할 수 있는 등의 장점이 있다 관절경적 봉합술에 비해서는 수술 술기가 어렵지 않기 때문에 항상 좋은 결과를 기대할 수 있다 회전근 개 파열에 대한 수술을 시행할 때 관절경적 봉합술이 모든 경우에서 관혈적 또는 소절개 봉합술에 비해 좋은 결과를 나타내는 것은 아니다. 환자가 심한 골다공증이 있는 경우, 기술적 문제가 있는 경우, 봉합 후 회전근 개에 지나친 긴장이 염려될 때는 항상 소절개 봉합술로의 전환을 시도하여야 한다. 소절개 봉합술을 시행한 경우에도 관절경적 봉합술시와 비슷한 좋은 결과를 얻을 수 있고, 치료의 결과는 수술의 방법보다는 정확한 술기 및 수술 전 환자의 상태에 좌우된다고 하겠다.

• Journal of Chest Surgery
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• v.32 no.5
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• pp.465-470
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• 1999

Background: Facial hyperhidrosis patients have as much difficulty in personal relationships as the palmar and axillary hyperhidrosis patients. There have been no appropriate treatment, but recently, satisfactory results have been obtained through sympathetic blockade. Thoracoscopic thoracic sympathectomy for facial hyperhidrosis has been known to resect cervicothoracic (stellate) ganglion, but its inherent complications such as Horner syndrome have made the surgeons hesitant to use this method. We, through our experiences in treating palmar and axillary hyperhidrosis for the past 6 years, believed that T2 sympathicotomy would be enough for facial hyperhidrosis and have experimented and obtained satisfactory results. Material and Method: From June 1997 to May 1998, 38 consecutive patients underwent bilateral thoracoscopic T2 sympathicotomy with 2mm instruments at Seoul National University Hospital. Result: All patients were relieved of excessive sweating in their faces immediately after the operation. Postoperatively, 5 patients (13.2%) required insertion of chest tubes because 3 had incomplete reexpansion of the lung, and 2 had hemothorax from severe adhesion. Other complications related to the surgical procedures, such as Horner's syndrome, and brachial plexus injury, were not detected in any cases. The mean hospital stay was mean 1.7$\pm$0.9 days after surgery. Conclusion: T2 sympathetic ganglion is the appropriate resection site for facial hyperhidrosis, and complications such as Horner syndrome can be prevented by not cutting the stellate ganglion. In addition, it is possible to perform the operation by using a 2 mm thoracoscopic instrument, and may obtain much better results.

• The Journal of the Korean bone and joint tumor society
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• v.14 no.2
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• pp.198-202
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• 2008

Although Osteoid osteoma has occurred in every bone of the body, it is rarely found at the elbow and in younger children than 5 years old. In 2 years old child, diagnosis can be delayed because of nonspecific clinical, radiological features and making it difficult for the child to communicate with physician. We report a case of osteoid osteoma of the distal humeral metaphysis with intracapsular nidus and synovitis of elbow in 2 years old girl who was treated by a surgical excision.

• Journal of Chest Surgery
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• v.29 no.10
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• pp.1160-1165
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• 1996

We report a case of an angiosarcoma arising from the subclavian artery, a site not previously described. A 19-year-old girl, born with a rudimentary first rib, has been suffered from arterial thoracic outlet syndrome due to a complete occlusion of the third portion of the subclavian artery for 1 year. Partial claviculectomy, excision of completely occluded arterial segment, and reconstruction with great r saphenous vein graft were done. Histologic study for the subclavlan artery revealed mural type anglosarcoma. The histochemici1 staining for factor VIII related antigen was positive. The debilitating symptoms that did not allow her a normal daily life, almost subsided postoperatively. And she has remained well with no clinical evidence of disease for 4 months post-operation.

• Clinics in Shoulder and Elbow
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• v.6 no.2
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• pp.149-160
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• 2003

Purpose: to determine the results after open intramedullary nailing and tension band suture technique in proximal humerus fracture for improving the stability and decreasing the complications. Materials and Method: Authors reviewed 27 patients treated by open intramedullary nailing and tension band suture technique. Mean follow-up period was 39 months (24-59months). Surgical neck fracture were 6 cases, surgical neck fracture with shaft fracture were 3 cases, three part fracture with greater tuberosity fracture were 17 cases, four part fracture was 1 case and fracture and dislocation were 2 cases Results: We got the bony union in 26 cases. Average pain scale was 1 point (0-6), Neer score was 86 point(45-99) and ASES score was 85 point(40-100). We separate all cases in two groups based on age (65 years), L-spine t-score (-2.5) and Neer classification (2 and 3 part). There is no significance in pain scale, Neer score and ASES score between each group. Conclusion: As a method of surgical treatment on severe proximal humeral fractures, we recommend intramedullary nailing and tension band suture technique and it may have particular advantages in early exercise and satisfactory functional outcome.

• The KSFM Journal of Fluid Machinery
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• v.11 no.2
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• pp.20-28
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• 2008

Recently, butterfly valves are used as control valves for industrial process. However, there are not so many reports on cryogenic butterfly valves in spite of broad application in LNG storage station and LNG carriers. Present study is focused on the investigation of the detailed hydrodynamic and aerodynamic characteristics of cryogenic butterfly valves to contribute to the operation during the handling on LNG transportation system, and to the practical utilization in design of butterfly valves and actuators. The results show that large recirculation vortices in the region downstream of the valve are founded and the cavitation flows are intensively generated on the surface of valve disc at the relatively small opening angle. The aerodynamic characteristics, lift, drag and torque, acting on the valve disc are calculated. The pressure distribution and the pressure loss coefficient of the cryogenic butterfly valve show almost similar pattern with those of the butterfly valve which is used on the normal temperature.

• The KSFM Journal of Fluid Machinery
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• v.11 no.2
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• pp.13-19
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• 2008

Butterfly valves are widely used as control valves for industrial process. For the definition of optimum configuration of the valve, wide range of related studies has been actively conducted in the case of working fluids of water or air under the normal temperature. Recently, internal flow and performance characteristics of cryogenic butterfly valve for LNG carrier take a growing interest in the field of research and development. Therefore, present study is aimed to investigate the internal flow and performance characteristics of the cryogenic butterfly valve because the study result for the valve can be hardly found at present. Part 1 of this paper describes the study result of a butterfly valve model under the condition of the normal temperature. Succeeding Part 2 of this paper will describe the internal flow characteristics of a cryogenic butterfly valve for LNG carrier. The results of Part 1 show that pressure loss coefficients and flow rate coefficients obtained by the present experiment and CFD analysis agree well each other. Moreover, internal flow visualization for the valve by CFD analysis and PIV measurement have revealed complicated flow patterns of the internal flow field in detail.

• Journal of Korean Institute of Industrial Engineers
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• v.37 no.3
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• pp.209-215
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• 2011

The objective of this study was to determine whether there are differences in hand muscle activities (APB : abductor pollicis brevis, ED : extensor digitorum, ECU : extensor carpi ulnaris, and EI : extensor indicis) and subjective discomfort according to the three mouse sizes (small, medium, large) and two task types (pointing and scrolling). The mouse size and task type showed significant interaction effects on the total NEMG (p = 0.004) and on the NEMG of the abductor pollicis brevis muscle (p = 0.001). The total NEMG and the NEMG of APB showed the highest value in the 'scrolling' task using the 'small' mouse. However, the NEMG of the EI was different according to the mouse size, and the 'small' mouse showed the lowest value. The subjective discomfort was the lowest in the 'medium' mouse, and all nine subjects preferred the 'medium' size. The hand-size related anthropometric variables showed different correlations according to the task type and mouse size with the NEMGs and subjective discomfort. The results of this study could be used as a basic information for the determination of the proper mouse size according to the hand size.

• Clinics in Shoulder and Elbow
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• v.10 no.1
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• pp.131-135
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• 2007

We report an isolated anterior dislocation of the radial head in a 23-year-old man after a fall on the outstretched arm. At the time of the injury, the patient's elbow was in a position of mild flexion and pronation which was suddenly further pronated as he fell down. The radial head was incarcerated by the lateral portion of brachialis muscle, and annular ligament was interposed between capitellum and radial head. Open reduction was performed. During 12 months follow-up, reduction of radial head was well maintained without a limitation of range of motion.

• Journal of the Korean Arthroscopy Society
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• v.13 no.1
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• pp.77-81
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• 2009

In patients with full-thickness tears of the rotator cuff, the tendon is usually detached from its bony insertion in the greater or lesser tuberosity. We experienced an unusual pattern of rotator cuff tear in two cases, in which complete rotator cuff tears occurred at the tendinous portion (i.e., intrasubstance tears) with more than a 1cm remnant attached to the greater tuberosity. Arthroscopic tendon-totendon repair was performed without remnant removal in both cases. Follow-up MRI at 6 months showed re-tear of the rotator cuff at the previous tear site in both of our patients. To prove the availability of arthroscopic tendon-to-tendon repair in such cases, a larger case follw-up and biomechanical studies are required.