• 척추신경추나의학회지
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• 제9권1호
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• pp.89-101
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• 2014

상기 증례에서 저자는 극상근건 부분 파열 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS 평가를 통해 다음과 같은 결론을 얻었다. 1. 극상근건 부분 파열로 견통 및 견관절 ROM 제한 발생한 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS에서 현저한 개선 보인 것을 확인할 수 있었다. 2. 비교적 증례가 많지 않고 한방적 치료 과정이 정립되어 있지 않은 극상근건 부분 파열에 한방 치료와 ART 치료를 병행하는 것이 효과가 있음 을 알 수 있었다.

• Clinics in Shoulder and Elbow
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• 제22권1호
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• pp.9-15
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• 2019

Background: Latissimus dorsi (LD) tendon transfer is used as a treatment option for massive irreparable posterosuperior rotator cuff tears, and recently, an arthroscopic-assisted technique was introduced. This study was undertaken to evaluate the clinical and radiological outcomes of arthroscopic-assisted LD tendon transfer for the management of irreparable rotator cuff tears in active middle-aged patients. Methods: The records of five patients (two males) with irreparable tears involving the supraspinatus and infraspinatus tendons managed by arthroscopic-assisted LD tendon transfer were retrospectively reviewed. Clinical outcomes were assessed using the visual analogue scale (VAS) pain scale, American Shoulder and Elbow Surgeon's (ASES) scores, the University of California Los Angeles (UCLA) scale, and ranges of motion. Postoperative integrities of transferred tendon were evaluated by magnetic resonance imaging in 4 patients and by ultrasound in one. Results: Mean patient age was 55 years (range, 48-61 years), and mean follow-up period was 20 months (range, 12.0-27.2 months). Mean VAS score significantly improved from $6.6{\pm}2.6$ preoperatively to $1.8{\pm}2.5$ postoperatively (p=0.009), mean ASES score increased from $67.6{\pm}9.2$ to $84.6{\pm}15.1$, and mean UCLA score from $18.0{\pm}1.4$ to $28.8{\pm}8.5$ (all p<0.001). Postoperative imaging of the transferred LD tendon showed intact repair in 4 patients. The remaining patient experienced LD transfer rupture and a poor outcome. Conclusions: Arthroscopic-assisted LD tendon transfer improved shoulder pain and function in patients with massive, irreparable rotator cuff tears, and may be an option for this condition, especially in physically active patients.

• 한국구조물진단유지관리공학회 논문집
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• 제12권5호
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• pp.179-189
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• 2008

본 연구는 능동텐던을 이용 지진을 받는 구조물의 최적 능동제어 방법에 관한 수치해법 적용 및 프로그램 개발에 목적이 있다. 능동텐던 시스템에 의한 제어이론을 적용하기 위해서 Ricatti 폐회로 알고리즘을 이용하였으며, 시간지연 문제를 고려하였다. 최적제어의 정식화를 위해서 SUMT기법의 최적화에 의해 성능지수를 최소로 하는 최적 가중치행렬을 추정토록 하였다. 구조물에서의 능동텐던의 최적 위치 선정을 위해서 가제어지수에 의한 방법을 소개하였다. 수치 예를 통해, 제어기의 최적 위치선정을 고려한 능동최적제어가 지진하중을 받는 구조물의 성능제어에 우수한 효과를 나타내는 것으로 평가되었다.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2001년도 학술대회
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• pp.123-128
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• 2001

in young, active, strenuous patients $\blacksquare$ stabilization for unstable SLAP lesion $\blacksquare$ tenodesis for ruptured biceps tendon above the groove $\blacksquare$ repair for ruptured biceps tendon below the groove $\blacksquare$ relocation for biceps instability in old, inactive patients $\blacksquare$ no need stabilization for unstable SLAP lesion $\blacksquare$ debride/tenotomy for partial ruptured biceps tendon $\blacksquare$ leave alone/trimming of stump for complete ruptured biceps tendon $\blacksquare$ tenodesis/in-site fixation for biceps instability

• 대한정형외과 초음파학회지
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• 제1권1호
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• pp.58-63
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• 2008

비골 건 탈구 손상의 발생 기전은 전형적으로 대부분이 발목 외상 후에 발생하며, 발목이 심하게 배부 굴곡된 상태에서 비골 건이 갑작스럽고 심하게 구축하는 경우에 흔히 발생한다. 본 손상이 재발하는 경우에는 단 비골 건 파열이 자주 동반되며, 초음파 검사로 비골 구에서 탈구 되는 소견을 확인 할 수 있다. 만성 재발성 탈구는 수술적 치료가 필요하며 비골 구를 깊게 하는 술식을 시행하여 좋은 결과를 얻을 수 있다. 전 경골건의 비외상성 파열은 고령 층 중 활동성 높은 부류에서 만성 자극에 의한 마멸, 국소적 스테로이드 주사, 당뇨병성 건염이나 염증성 관절증과 같은 전신질환에 의해 건의 연속성이 약화된 상태에서 호발한다.

• Clinics in Shoulder and Elbow
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• 제1권2호
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• pp.147-153
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• 1998

Biceps tendon dislocation combined with rupture of subscapularis tendon is not a common lesion and there has been few case reported in Korea. We experienced one fifty Six years old male patient who shows typical features on physical examination and roentgenographic finding. He was injured by direct trauma on his right shoulder in adducted and external rotated position. He showed positive findings on passive external rotation test and lift-off test. On MR!, the subscpaularis tendon was totally ruptured and the biceps tendon was dislocated to anteromedial aspect of the glenoid labrum, which was typical finding. On the arthroscopic examination, the subscapularis tendon was totally ruptured from its humeral attachment and the biceps tendon was not seen in its normal anatomical position and it was dislocated antermedially to the glenoid labrum. We repaired the subscapularis tendon to humerus by use of suture anchor and the biceps tendon was relocated to its normal anatomical position in the intertubercular groove. On the post operative 6 months follow up, the patient shows improvements in his subjective symptoms and active range of motion.

• 한국공간구조학회논문집
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• 제8권4호
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• pp.73-80
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• 2008

본 논문의 목적은, LQR 제어이득의 효율적 산정에 의한 지진하중을 받는 빌딩 구조물의 능동지진제어를 위하여 능동텐던 장치를 적용한 구조물의 지진응답제어를 위한 최적화 방법을 제시한 것이다. 텐던을 이용한 구조물 지진응답제어 문제의 정식화를 위해 Ricatti 폐회로 제어이론 및 위상보정에 의한 시간지연현상을 도입하였으며, 상태방정식의 해를 산정하기 위해 전달 행렬을 이용한 수치해석법을 이용 사다리꼴적분법에 의해 상태벡터의 해를 산정하였다. 성능지수의 최적화를 위해, 최소 가중행렬비를 설계변수로, IBC 2000의 허용층간변위 규정과 텐던의 최대제어력을 제약조건으로 하여, SUMT 기법에 의해 최적 해를 산정토록 최적제어 프로그램을 개발하였다. 8층 빌딩구조물에 대한 적용 예에서, 최적제어를 적용한 시스템이 비제어 시스템에 비해 층간제어효과가 우수하고, 일정 가중행렬비 적용 제어시스템에 비해 낮은 성능지수가 요구되었다.

• Structural Engineering and Mechanics
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• 제61권3호
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• pp.347-357
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• 2017

The applications of active control is being more popular nowadays. Several control algorithms have been developed to determine optimum control force. In this paper, a Chaotic Particle Swarm Optimization (CPSO) technique, based on Logistic map, is used to compute the optimum control force of active tendon system. A chaotic exploration is used to search the solution space for optimum control force. The response control of Multi-Degree of Freedom (MDOF) shear buildings, equipped with active tendons, is introduced as an optimization problem, based on Instantaneous Optimal Active Control algorithm. Three MDOFs are simulated in this paper. Two examples out of three, which have been previously controlled using Lattice type Probabilistic Neural Network (LPNN) and Block Pulse Functions (BPFs), are taken from prior works in order to compare the efficiency of the current method. In the present study, a maximum allowable value of control force is added to the original problem. Later, a twenty-story shear building, as the third and more realistic example, is considered and controlled. Besides, the required Central Processing Unit (CPU) time of CPSO control algorithm is investigated. Although the CPU time of LPNN and BPFs methods of prior works is not available, the results show that a full state measurement is necessary, especially when there are more than three control devices. The results show that CPSO algorithm has a good performance, especially in the presence of the cut-off limit of tendon force; therefore, can widely be used in the field of optimum active control of actual buildings.

• 대한족부족관절학회지
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• 제22권3호
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• pp.127-130
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• 2018

A 3rd degree burn on the heel including the Achilles tendon is vulnerable and requires active treatment to improve the functional outcomes. Previously, there have been a few treatments on severe burns, such as amputation, debridement or simple skin graft. The cooperative technique of an anterior lateral thigh flap with Achilles tendon reconstruction can be an innovative procedure that preserves the major arteries. The authors review a case and report the clinical outcome.

• Smart Structures and Systems
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• 제18권1호
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• pp.31-52
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• 2016

The paper first reviews the theory of active tendon control with decentralized Integral Force Feedback (IFF) and collocated displacement actuator and force sensor; a formal proof of the formula giving the maximum achievable damping is provided for the first time. Next, the potential of the control strategy for the control of suspension bridges with active stay cables is evaluated on a numerical model of an existing footbridge; several configurations are investigated where the active cables connect the pylon to the deck or the deck to the catenary. The analysis confirms that it is possible to provide a set of targeted modes with a considerable amount of damping, reaching ${\xi}=15%$. Finally, the control strategy is demonstrated experimentally on a laboratory mock-up equipped with four control stay cables equipped with piezoelectric actuators. The experimental results confirm the excellent performance and robustness of the control system and the very good agreement with the predictions.