• Title/Summary/Keyword: 완관절

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Injuries and Prevention methods Associated with In-Line Skate (인라인 스케이트시 발생한 손상 밑 예방)

  • Lim Hong Chul;Chun Seung Joo;Rho Young Jin;Hwang Jin Ho;Park Chan Eung;Kim Tae Un
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.163-167
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    • 2003
  • Purpose: The purpose of this study is to describe causes and injury mechanisms during inline skating and to find preventive measures .Materials and Methods: We have carefully selected 57 patients who have been treated in our hospital and nearby hospital. There are 37 males and 20 females, and mean age is 9 years 9 months (range,6-40 years old) . We have meticulously investigated their injured sites, their favorite location for inline skating , their use of protective means while they were on the wheels and their injury mechanisms . Results: Injury consisted of 50 fractures,1 meniscal tear,2 medial collateral ligament rupture and 4 contusion or sprain. Fracture sites varied as follows : 33(66$\%$) cases in distal radius and ulna,5(10$\%$) in elbow. 3(6$\%$) in diaphysis of humerus, etc Location at the time of injury varied as follows : 22 cases(39$\%$) in their apartment complex, 19 cases in (33$\%$) narrow streets, and 16 cases(28$\%$) in parks Only five patients admitted that any means of protection were used.2 cases only had knee pad on , 1 case put on elbow pad in addition, and 2 cases put on wrist guard as well. However none of the patients had helmet on Conclusion: We would strongly like to stress the importance of using sufficient protections and of choosing area where it is safe to ride, in order to reduce the risk of accidents. In addition, continuous and effective prior education from inline skate circles may be in order before riding the inline skate.

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Biomechanical and Physiological Comparative Analysis of the Single-Radius Knee Arthroplasty Systems and Multi-Radius Knee Arthroplasty Systems (무릎인공관절 단축범위(Single-Radius) 수술자와 다축범위(Multi-Radius) 수술자의 운동역 학적 및 운동생리학적 비교분석)

  • Jin, Young-Wan;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.18 no.11
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    • pp.1532-1537
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    • 2008
  • The purpose of this study was to investigate the effect of different arthroplasty designs on knee kinematic and lower limb muscular activation for up-stair and down-stair movement. 3-D video analysis of whole body and joint kinematics and EMG analysis of quadriceps and hamstrings were conducted. One-way ANOVAs were used for statistical analyses (p=0.05). The single-radius group exhibited more arthroplasty limb quadriceps EMG and hamstring coactivation EMG than the multi-radius group. Single-radius demonstrated more abduction angular displacement and reached peak abduction earlier than the multi-radius arthroplasty limb. The single- radius the percent body fat showed similar values in the Elderly, Single and Multi-radius group among the periods, however Control group was Lowered among the periods. Single-radius group limb also increased the quadriceps muscle activation level to produce more knee extension moment to compensate for the short quadriceps moment arm. Resting metabolic rate was significantly increased in control group in the period of LI. Energy expenditure was extremely increased in all groups except control group among the periods. We can say this is the exercise effects.

Effect of Chest Compression Position Depending on the Rescuer's Hip Joint Angle During Basic CPR (심폐소생술 수행자의 엉덩관절 각도가 심폐소생술 결과에 미치는 영향)

  • Lee, Jae-Min;Yun, Hyeong-Wan
    • Fire Science and Engineering
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    • v.34 no.2
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    • pp.103-109
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    • 2020
  • This study aims to investigate the improvement in basic CPR quality on the basis of the hip joint angle of the rescuer among students in the Department of Emergency Medical Technology who completed a basic CPR curriculum. In this study, we carried out a comparative analysis using SimPad SkillReporter and Resusci Anne® QCPR® to measure the quality of CPR (depth of chest compressions, full relaxation, compression speed, and more) on the basis of the rescuer's hip joint angle in accordance with the 2015 AHA Guidelines and conducted chest compressions and CPR 5 times in a 30:2 ratio. It was found that maintenance of the rescuer's hip joint angle at 90 degrees while compressing and relaxing the chest made a statistically significant difference in both the experimental and control groups. Moreover, this indicated that the closer the hip joint angle was to 90 degrees, the better was the quality of basic CPR. However, there was no significant difference in the hip joint angle, degree of CPR, depth of chest compressions, chest compression speed, chest compression and relaxation percentages (%), accuracy of chest compressions, hands-off time during CPR, and percentage of chest compression time (p > 0.05). Maintaining the hip joint angle at 90 degrees for basic CPR was not significantly different from not maintaining this angle. Nonetheless, good results have been obtained at moderate depth and 100% recoil. Therefore, good outcome and high-quality CPR are expected.

Normal Glenohumeral and Scapulothoracic Movement at the Coronal Plane (정상인의 관상면에서의 관절와상완운동 및 견갑흉곽운동)

  • Rhee Yong-Girl;Vim Chang-Moo
    • Clinics in Shoulder and Elbow
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    • v.1 no.1
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    • pp.93-99
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    • 1998
  • We measured the glenohumeral and scapulothoracic movements during abduction of the arm in the coronal plane with radiologic analysis in the 30 shoulders of normal male adults who were without pain, limitation of motion, and history of trauma. In the resting position, the glenoid cavity of the scapula faced somewhat superiorly in over 80 percents of the individuals, the mean superior tilting was 5.7 degrees. The mean total scapulothoracic movement was 65.8 degrees and the mean total glenohumeral movement was 106.8 degrees during abduction of arm in the coronal plane. The mean ratio of the glenohumeral movement to the scapulothoracic movement was 1.6 and this GH/ST ratio was decreased toward the extreme abduction. When the arm was abducted, external rotation of the humeral head occurred and this external rotation was increased smoothly during 0 degree through 90 degrees, but steeply above 90 degrees. The acromiohumeral interval was 10.9 mm at the resting positon, and this interval decreased during the arm abduction. The superior migration of the humeral head was 3.1 mm while abducting the arm. Our measurement of the relationships of glenohumeral and scapulothoracic movements at the coronal plane would be useful in the understandings of the biomechanics of shoulder, but further study would be required for the analysis of the three dimensional relationship because of the limitation of our two dimensional analysis.

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Ultrasound-guided Extracorporeal Shock Wave Therapy Combined with Multiple Needling for Calcific Tendinitis in Shoulder (견관절의 석회화 건염에 대한 초음파 유도하 다발성 천공술 및 고에너지 체외 충격파 병합치료)

  • Jung, Tae Wan;Song, Dong Ik;Lee, Soon Hyuck;Jeoung, Woong Kyo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.1
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    • pp.13-19
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    • 2014
  • Purpose: To evaluate the effectiveness of ultrasonography-guided combined multiple needling and high-energy extracorporeal shock wave therapy (ESWT) for calcific tendinitis of the shoulder. Materials and Methods: We included 42 calcific tendinitis patients who underwent ultrasonograpy-guided multiple needling followed by high-energy ESWT who visited the clinic from January 2010 to June 2013. The average follow up period was 45 weeks. Clinical evaluation was done before and after 12 weeks from treatment, in clinical terms using pain visual analogue scale (P-VAS), ASES, UCLA scores reflecting performance and symptom improvement, and in sonographic terms by studying the changes in size of the calcific nodules. Results: A statistically significant improvement was seen in P-VAS, ASES, UCLA scores and decreased calcification size on sonographic evaluation. Conclusion: Ultrasonography-guided combined multiple needling and high-energy ESWT is considered as a useful method which could provide clinical function improvement and reduction of calcification deposit.

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Reconstruction with Vascularized Fibular Epiphyseal Transplantation of Humeral Head Deformity by Septic Arthritis (생비골 성장판 이식술을 통하여 화농성 관절염에 의한 상완골두 변형의 재건)

  • Chung, Duke Whan;Park, Kwang Hee;Seo, Jae Wan
    • Archives of Reconstructive Microsurgery
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    • v.21 no.2
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    • pp.137-142
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    • 2012
  • Purpose: To report the clinical and radiological result of the vascularized fibular epiphyseal transplantation in the treatment of humeral head deformity by septic arthritis Material & Methods: A 3 years old male who has humeral head deformity and bone defect by septic arthritis on neonatal period. We replaced bone defect as vascularized fibular epiphyseal transplantation and lengthened humerus shaft for humerus discrepancy. We followed it up for 14 years. Result: We saw the callus formation 2 months after surgery and obtained bone union, one year after surgery. The transplanted fibular bone got hypertrophy. We could check full range of motion on lt. shoulder and The bone deformity was not worsened and The graft did not displaced on last follow up. Conclusion: Humeral head reconstruction by vascularized fibular epiphyseal transplantation showed good clinical outcome.

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Generation of Falling Motion for Humanoid Robot Using GA (GA를 이용한 휴머노이드 로봇의 넘어짐 자세 생성)

  • An, Kwang-Chul;Cho, Young-Wan;Seo, Ki-Sung
    • Journal of the Korean Institute of Intelligent Systems
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    • v.17 no.6
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    • pp.843-848
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    • 2007
  • This paper introduced an automatic generation method of falling motions for humanoid robots to minimize a damage. The proposed approach used a GA based optimization technique to find a set of joint trajectories which minimize a damage of the falling over and down. A couple of fitness functions are provided to generate various falling motions. To verify the proposed method, experiments for falling motions were executed for Sony QRIO robot in Webots simulation environments.

A STUDY ON THE OCCLUSAL CONTACT OF THE SUBJECTS WITH TEMPOROMANDIBULAR JOINT SOUND (측두악관절 잡음자의 교합접촉에 관한 연구)

  • Yoon, Kwang-Hyun;Kang, Dong-Wan
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.1
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    • pp.51-61
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    • 1993
  • The purpose of this study was to evaluate a possible occlusal contributing factor on the pathogenesis of temporomandibular joint sound by a new computer aided method for analysis of occlusal contact. 20 subjects without temporomandibular joint sound as control group and 20 subjects with temporomandibular joint sound as experimental group in the TMJ clinic, dental infirmary, School of Dentistry, Chosun University were selected so as to investigate the distribution and intensity of the bilateral occlusal contacts on silicone rubber bites in habitual intercusal position through a computer aided system. The following results were obtained : 1. The distribution and intensity of the occlusal contact could be analyzed and expressed as color density value per levels by this computer aided method. 2. There was not statistical significance between control and experimental group in total occlusal contacts. 3. There was statistical significance between control and experimental group In the total difference of right and left occlusal contacts.(P<0.05).

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Non Linear Finite Element Analyses of Ceramic/Ceramic Pairs of Total Hip Replacements Using High Trauma-Like Loads (고응력 외상에의한 고관절용 세라믹/세라믹 쌍의 비선형 유한요소법 분석)

  • Karyo, Daniel;Lee, Su-Wan
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2005.11a
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    • pp.179-180
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    • 2005
  • Non linear finite element analyses were performed in various configurations of stem-ball head. High stresses were found for the cases when the stem tended to penetrate less into the ball head. An upgraded design of the cone may improve the loading of the ball head to resist trauma-like loading more effectively than manipulating the ball diameter. When the surgeon needs to use small ball heads (i.e. 22 mm), the use of zirconia seems to be appropriate also. After simulating a trauma like loading of the materials, it was found that the deepness of the cone to locate the stem is of major importance for the performance of the device. Further work, considering more sizes for the cone design should be performed in order to determine an optimal depth for the cone in relation to the diameter of the ball head. Also the simulation of contacts pairs including polyethylene and CoCr is important for further research.

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A Study on Occupant Neck Injury in Rear End Collisions (후방추돌시 탑승자 목 상해 감소를 위한 연구)

  • 이재완;윤경한;박경진
    • Transactions of the Korean Society of Automotive Engineers
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    • v.8 no.3
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    • pp.130-138
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    • 2000
  • The position of the automobile seat back is very important for the neck injury in the rear-end collisions. The effects of the position have been evaluated experimentally. A sled simulator is utilized with a velocity of 33 km/h. The position is varied by the angle of seat back from 25 to 65 degrees. All the configurations of the seat are fixed except the angle. The neck injuries are calculated by the equations accepted in the industries. Also, the sled tests with other velocities are carried out for the comparison study. Using the results of the test, the effects of seat back strength are discussed to minimize the occupant neck injury in rear end collisions.

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