• Clinics in Shoulder and Elbow
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• v.20 no.4
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• pp.240-243
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• 2017

The incidence of contrast media extravasation has been increasing gradually. Most contrast media extravasations only can cause pain, swelling and erythema. However, in more severe cases, skin necrosis, ulceration, or compartment syndrome may occur, often necessitating a surgery. Early diagnosis and treatment should be established on the spot in order to avoid such a severe damage. We present a case of 42-year-old woman with a compartment syndrome in the right upper extremity caused by extravasation of computed tomography contrast media.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2009.03a
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• pp.210-210
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• 2009

For a bursal-side retracted laminated rotator cuff tear, simple repair of the retracted bursal-side rotator cuff might be insufficient because the repaired tendon could remain as an intratendinous tear of the rotator cuff. We present a repair method for intratendinous rotator cuff tears using the suture-bridge technique. We believe that this method helps to preserve the remnant rotator cuff tendon without tissue damage and restores the normal rotator cuff footprint in bursal-side delaminated rotator cuff tears.

• Clinics in Shoulder and Elbow
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• v.20 no.3
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• pp.167-171
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• 2017

Here, a case of a 59-year-old man with rotator cuff tear and impingement syndrome caused by an ossified coracoacromial ligament is presented. Ossification of the coracoacromial ligaments can occur because of degenerative changes due to trauma or repeated stress, which can lead to impingement syndrome. Therefore, when coracoacromial ligament ossification is present, rotator cuff damage due to impingement syndrome should be considered. Here, we conducted arthroscopic subacromial decompression, removal of the ossified coracoacromial ligament, and supraspinatus and subscapularis tendon repairs. We achieved satisfactory surgical outcomes without relapse; therefore, we report this case with a literature review.

• Journal of the Korean Arthroscopy Society
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• v.3 no.2
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• pp.138-141
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• 1999

Purpose : This study was to evaluate the effectiveness of arthroscopic management for septic elbows. Materials and Methods : The subjects were 7 patients ranged in age from 6 to 32 years. All patients were diagnosed as having septic arthritis of the elbow after arthrocentesis. Emergency arthroscopic lavage, debridement, and selective synovectomy for infective and necrotic tissue were performed. All patients had a follow-up period of more than 12 months by checking leukocyte count, ESR, CRP and range of motion. Results : For children, we found a return to normal of laboratory tests for infection after an average of 8.4 days while for adults, it required 12.3 days. After 12 months all patients showed normal elbow function as well as normal blood tests. Conclusion : We found arthroscopic management for septic arthritis of the elbows made it possible to visualize the pathologic findings directly and protect further articular damage. In conclusion, arthroscopic management is one of the efficient methods for controlling the joint infection.

• Journal of the Earthquake Engineering Society of Korea
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• v.26 no.1
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• pp.13-22
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• 2022

This study proposes a low-cycle fatigue life derived from measurement points on pipe elbows, which are components that are vulnerable to seismic load in the interface piping systems of nuclear power plants that use seismic isolation systems. In order to quantitatively define limit states regarding leakage, i.e., actual failure caused by low-cycle fatigue, in-plane cyclic loading tests were performed using a sine wave of constant amplitude. The test specimens consisted of SCH40 6-inch carbon steel pipe elbows and straight pipes, and an image processing method was used to measure the nonlinear behavior of the test specimens. The leakage lines caused by low-cycle fatigue and the low-cycle fatigue curves were compared and analyzed using the relationship between the relative deformation angles, which were measured based on each of the measurement points on the straight pipe, and the moment, which was measured at the center of the pipe elbow. Damage indices based on the combination of ductility and dissipation energy at each measurement point were used to quantitatively express the time at which leakage occurs due to through-wall cracking in the pipe elbow.

• Journal of the Korea institute for structural maintenance and inspection
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• v.28 no.3
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• pp.91-99
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• 2024

Piping systems are crucial facilities used in various industries, particularly in areas related to daily life and safety. Piping systems are fixed to the main structures of buildings and facilities but do not support external loads and serve as non-structural elements performing specific functions. Piping systems are affected by relative displacements owing to phase differences arising from different behaviors between two support points under seismic loads; this can cause damage owing to the displacement-dominant cyclic behavior. Fittings and joints in piping systems are representative elements that are vulnerable to seismic loads. To evaluate the seismic performance and limit states of fittings and joints in piping systems, a high-stroke actuator is required to simulate relative displacements. However, this is challenging because only few facilities can conduct these experiments. Therefore, element-level experiments are required to evaluate the seismic performance and limit states of piping systems connected by fittings and joints. This study proposed a method to evaluate the seismic performance of an elbow specimen that includes fittings and joints that are vulnerable to seismic loads in vertical piping systems. The elbow specimen was created by connecting straight pipes to both ends of a 90° pipe elbow using flexible groove joints. The seismic performance of the elbow specimen was evaluated using a cyclic loading protocol based on deformation angles. To determine the margin of the evaluated seismic performance, the limit states were assessed by applying cyclic loading with a constant amplitude.

• Korean Journal of Exercise Nutrition
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• v.17 no.2
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• pp.25-34
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• 2013

This study was conducted to investigate the relationship between ACE gene polymorphism and muscle damage parameters after eccentric exercise. 80 collegiate males were instructed to take an eccentric exercise with the elbow flexor muscle through the modified preacher curl machine for 2 sets of 25 cycles (total 50 cycles). The maximal isometric strength, muscle soreness, creatine kinase (CK), and myoglobin (Mb) were measured before exercise, and 0, 24, 48, 72, and 96 hrs after exercise. The result showed that after the eccentric exercise, the maximal isometric strength significantly decreased by more than 50% (p < 0.001) and the muscle soreness, CK, and Mb significantly increased compared to those before the exercise (p < 0.001). The ACE gene polymorphism of the subjects was classified using real-time polymerase chain reaction (real-time PCR). The result showed that it consisted of 38 cases of type II (46.4%), 33 cases of type ID (43.4%), and 9 cases of type DD (10.2%). The Hardy-Weinberg equilibrium for ACE gene polymorphism was shown to have p = 0.653, which showed that each allele was evenly distributed. Although significant differences in the changes in the maximal isometric strength, muscle soreness, CK, and Mb were found according to time course (p < 0.001), no significant differences in the changes in the maximal isometric strength, muscle soreness, CK, and Mb were found according to ACE gene polymorphism. Furthermore, no significant difference in the changes in the muscle damage parameters was found according to interaction between ACE gene polymorphism and time course (p > 0.05). In conclusion, the level of the muscle damage parameters changed in the injured muscle after eccentric exercise, but these changes in the muscle damage parameters were not affected by ACE gene polymorphism. The result of this study indicates that ACE gene is not a candidate gene that explains muscle damage.

• Clinics in Shoulder and Elbow
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• v.23 no.1
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• pp.37-40
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• 2020

Heterotopic ossification is formation of bone in atypical extra-skeletal tissues and usually occurs spontaneously or following neurologic injury with unknown cause. We report a 46-year-old female with right shoulder pain and restricted range of motion (ROM) for 3 months without history of trauma. Magnetic resonance imaging (MRI) showed a lesion within the rotator cuff supraglenoid. Excisional biopsy from a previous institution revealed a heterotopic ossificans (HO). Following repeat MRI and bone scan, histopathology from arthroscopic resection confirmed an HO. The patient demonstrated improved pain and ROM at follow-up. Idiopathic HO rarely occurs in the shoulder joint, and resection of HO should be delayed until maturation of the lesion to avoid recurrence. The current case showed that arthroscopic HO resection provides an excellent surgical view to ensure complete lesion removal and minimize soft tissue damage at the supraglenoid area. Furthermore, the minimally invasive procedure of arthroscopy may reduce rehabilitation time and facilitate early return to work.

• Clinics in Shoulder and Elbow
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• v.18 no.1
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• pp.47-51
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• 2015

Iatrogenic damage of the rotator cuff followed by postoperative shoulder function loss is a potential complication after antegrade intramedullary nailing (AIN) for a humeral fracture. The authors present a case of arthroscopic rotator cuff repair and subacromial decompression of a non-healed rotator cuff tendon (mainly supraspinatus) and secondary impingement syndrome caused either by the tear or a proud nail after AIN for a mid-shaft humeral fracture. At presentation, the patient complained of right shoulder pain and 'snapping', especially during forward elevation and abduction of the shoulder, of 4 years duration. Right shoulder pain started sometime after pain due to the humeral shaft fracture, operation had subsided, and persisted after nail removal. Arthroscopic findings showed a longitudinal rotator cuff tear at the nail entry point that had not healed and severe fibrous hypertrophy on the acromion underspace, which is a unique finding since most longitudinal splits of tendon fibers are more likely to heal than conventional rotator cuff tears detached from bone. The torn rotator cuff was repaired after debridement and placing side-to-side sutures. At his 34-month follow-up after rotator cuff repair, the patient showed complete recovery and had excellent clinical scores.

• Smart Structures and Systems
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• v.15 no.1
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• pp.41-55
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• 2015

This study proposes a laser based impedance measurement system and impedance based pipe corrosion and bolt-loosening monitoring techniques under temperature variations. For impedance measurement, the laser based impedance measurement system is optimized and adopted in this paper. First, a modulated laser beam is radiated to a photodiode, converting the laser beam into an electric signal. Then, the electric signal is applied to a MFC transducer attached on a target structure for ultrasonic excitation. The corresponding impedance signals are measured, re-converted into a laser beam, and radiated back to the other photodiode located in a data interrogator. The transmitted impedance signals are treated with an outlier analysis using generalized extreme value (GEV) statistics to reliably signal off structural damage. Validation of the proposed technique is carried out to detect corrosion and bolt-loosening in lab-scale carbon steel elbow pipes under varying temperatures. It has been demonstrated that the proposed technique has a potential to be used for structural health monitoring (SHM) of pipe structures.