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Reconstruction of the Glenoid Using Iliac Bone Graft for Recurrent Anterior Shoulder Instability with Severe Glenoid Bone Defect - A Report of Two Cases - (관절와의 심한 골결손을 동반한 견관절 전방 불안정성에서 장골 이식술을 이용한 관절와 재건술 - 2예 보고 -)

  • Lee, Seong-Man;Jung, Won-Ju;Lee, Hyun-Joo;Jeon, In-Ho
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.117-122
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    • 2010
  • Purpose: The purpose of this report was to assess a surgical technique-using an autogenous tricortical iliac crest bone graft in patients with epilepsy-for anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency. Materials and Methods: We studied two cases of recurrent anterior dislocation of the shoulder due to epilepsy. These cases were treated with anatomical glenoid reconstruction using an autogenous tricortical iliac crest bone graft. Results: Both cases achieved bone union in 5 months. There was no recurrence of instability and pain. Both cases had normal range of motion. Conclusion: Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency using an autogenous tricortical iliac crest bone graft is a successful surgical technique for achieving shoulder stability.

A Study on Parameters of Soft Recoil Mechanism for Reduction of Recoil Force (주퇴력 저감을 위한 연식 주퇴 메커니즘의 매개변수에 관한 연구)

  • Yang, Tae-Ho;Lee, Young-Shin;Lee, Kyu-Sub;Jun, Sang-Bae;Kang, Kuk-Jeong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.36 no.7
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    • pp.823-828
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    • 2012
  • The soft recoil mechanism was an effective mechanism for reducing the recoil force by forwarding momentum. There were some parameters such as the fire angle, firing position, and initial pressure of the recuperator, which influenced the forwarding momentum. These parameters affected the generation of the forwarding momentum in the soft recoil mechanism. To design for the mechanism, the parameters affecting momentum were studied to consider some reasonable conditions. Among the various parameters, the initial pressure of the recuperator and firing position was confirmed as a key factor to have affected the momentum. It was determined that the recoil force had a minimum value when the initial pressure of the recuperator was 180.

Delayed Diagnosis of Volar Dislocation of the Distal Ulna after Treatment of the Radial Shaft Fracture (요골 간부 골절 치료 후 지연 발견된 원위 척골의 전방 탈구)

  • Jeon, Suk Ha;Lee, Sanglim
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.427-432
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    • 2021
  • Delayed treatment of volar dislocation of the distal radioulnar joint can result in wrist pain, limited rotation of the forearm, and degenerative arthritis that could be managed only by salvage procedures. A 24-year-old male patient presented with wrist pain and a loss of forearm rotation after surgery for a radial shaft fracture. The shaft of the radius was fixed with a plate and screws with a volar angulation of 7°. The ulnar head was dislocated volar to the distal radius, and the bone defect in the ulnar head was impacted into the volar rim of the sigmoid notch of the radius, preventing the head from being reduced in the joint. Corrective osteotomy of the malunited radial shaft and sliding osteotomy of the proximal ulnar head were performed to fill the distal bone defect. Pain and range of the forearm rotation were improved at postoperative 19 months.

Arthroscopic ACL Reconstruction Using Quadrupled Hamstring Tendon with Tibial Remnant-preserving Technique (슬괵건을 이용하여 경골부 잔류 조직을 보존한 관절경적 전방십자인대 재건술)

  • Kyung, Hee-Soo;Oh, Chang-Wug;Kim, Poong-Taek;Lee, Byung-Woo
    • 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.

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A Kinematical Analysis of Mae-ukemi (forward breakfall) in Judo (유도전방낙법의 운동학적 특성 분석[I])

  • Kim, Eui-Hwan;Kim, Ji-Tae
    • Korean Journal of Applied Biomechanics
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    • v.12 no.2
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    • pp.131-142
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    • 2002
  • The purpose of this study was to analyze kinematic variables of a Mae-ukemi (forward breakfall :MU) in Judo through 3-D image analysis with five Judoka with over 2 years' career (2nd dan, 3rd dan). The kinematic variables include posture, and distance variables; the mean values and the standard deviations for each variable were obtained to analyze kinematic variables of a MU in Judo. From the data analysis and discussion, the following conclusions were drawn : 1) Posture variables : The angles of wrists during right before Mae-ukemi (RBU) were extended from the just MU position(MUP) and flexed from in the right after MU(RAU), and there was a difference in the displacement between the angles of the right and left wrists. The angles of elbows were flexed in the ready position from in the RAU. The angles of ankles were flexed from the ready position to that down position, extended from the down position to that transition, and flexed from the transition positiont to that RAU. 2) Distance variables : The distance height between the mat and shoulders in the RBU(32.2cm) to in the MUP(18.3cm) and in the RAU(20.5cm). during that height between the mat and hips in the RBU(48.0cm) to in the MUP(23.4cm), and in the RAU(30.6cm).

Effective Feature Correspondence using Omnidirectional Epipolar Geometry for Mobile Robot (전방향 등극기하를 이용한 이동로봇의 효과적인 특징대응)

  • Kang, Hyun-Deok;Jo, Kang-Hyun
    • Proceedings of the KIPE Conference
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    • 2005.07a
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    • pp.601-604
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    • 2005
  • 본 논문에서는 전방향 등극기하를 이용하여 이동로봇의 효과적인 표식대응에 대하여 기술한다. 전방향 영상에서 등극점과 등극선의 특성에 따라 추출된 특징의 영상내 위치를 추정한다. 예측된 특징의 영상위치정보를 통해 효과적인 특징 대응을 하며 본 연구에서는 두영상에서 8개의 대응점을 이용하여 기초행렬 F를 구하고 이것으로 특징의 공간정보를 계산한다. 따라서 기초행렬 F에서 계산된 기초행렬 E로부터 로봇은 자신의 위치와 운동정보(회전, 병진운동)를 알 수 있다. 또한 효과적인 특징대응을 위해 탐색범위를 축소함으로써 계산시간의 단축과 강인한 특징대응을 제시하였다.

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The effect of Horseback riding simulat or, Sling and Kendall Exercise on a cranio-vertebral angle and neck pain in Young Adults with Forward Head Posture (승마시뮬레이터, 슬링과 Kendall 운동이 머리전방자세를 가진 젊은 성인의 머리척추각과 목 통증에 미치는 영향)

  • Kim, Hyun-Sung;Park, jae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.468-474
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    • 2020
  • The aim of this study was to compare the effect of a horseback riding simulator, Slings and Kendall Exercise on a cranio-vertebral angle and the neck pain of the Forward Head Posture. This study included 30 young people with forward head posture. They were randomly divided into three groups. Each group performed the exercises for six weeks three times a week from September 2018 to November 2018. The variations of cranio-vertebral angle and neck pain were analyzed using paired t-tests and a one-way ANOVA test. The results of the study are as follows. Three groups showed significant variations of cranio-vertebral angle and neck pain (p < 0.05). But comparison of cranio-vertebral angle and neck pain between the groups showed no significant difference (p > 0.05). This study found that each exercise group for forward head posture was effective for inducing normal cervical alignment and neck pain relief. Therefore, various exercises can improve the forward head posture.

A Comparison of Outcomes after Early and Delayed Reconstruction in the Acute Anterior Cruciate Ligament Injuries (급성 전방십자인대 손상 환자에서 조기 재건군과 지연 재건군의 결과 비교)

  • Lee, Soo Won;Kim, Sung Hwan;Kim, Yoon Gi
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.1
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    • pp.34-39
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    • 2012
  • Purpose: This study performed to compare degree of joint stiffness and clinical results between early and delayed reconstruction of acute anterior cruciate ligament (ACL) injuries. Materials and Methods: Thirty-four Patients who underwent ACL reconstruction between March 2008 and October 2010 enrolled this study. We divided the patient into 2 groups, early reconstruction group underwent surgery before a week, delayed reconstruction group underwent surgery after 3 weeks, before 6 weeks. All the patients underwent aggressive joint motion exercise till surgery and enrolled post operative rehabilitation program including self exercise. We checked range of motion, the Lachman test, the pivot shift test, the Lysholm score, the International Knee Documentation Committee (IKDC) score and the Tegner score to evaluate the results. Results: At the final follow up. The Lysholm score was 91.82 in the early group and 94.83 in the delayed group. All the cases were rated above B (near normal) on IKDC score (P=0.217, P=0.845). The Tegner score was 6.7 in the early reconstruction group and 7.1 in the delayed group (P=0.840), there was no difference between the groups for the range of motion (P=0.873, P=0.873), no complication such as deep vein thrombosis or infection, no difference in the Lachman test, pivot shift test (P=0.606, P=0.118). Conclusion: We could obtain satisfactory clinical results in both the early and delayed reconstruction groups of acute ACL injuries. Therefore, the early reconstruction of ACL performed before a week could be one of the treatment options for acute ACL injury.

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Effects of Stabilization Exercise Applying Sling Neurac Method on Pain and Cervical Alignment in Young Adults with Forward Head Posture

  • Jin-Wook Lee;Moon-Kyun Lim
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.5
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    • pp.95-102
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    • 2023
  • The purpose of this study was to the effects of the Sling Neurac stabilization exercise(SNSE) on pain, cervical lordosis angle(CLA), and cervical gravity line(CGL) in young adults with a forward head posture. The subjects of the study were selected as SNSEG(n=10) and control group(n=10), they were conducted for 70 minutes three times a week for 8 weeks. Study results showed that pain(p<.001), CGLe(p<.01) were significantly decreased and CLA(p<.001) were also significantly increased in the SNSEG. In conclusion, SNSE is effective in improving the proprioceptive sense of the LM group and activating the muscle. Co-activation with the GM group was found to be effective in improving the CLA and CGL. Therefore, reactivation of the deep neck flexors and suboccipital muscles is an important factor in pain control and postural alignment, and is suggested as an effective intervention method to improve forward head posture.