• The Journal of the Korean bone and joint tumor society
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• v.20 no.2
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• pp.85-88
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• 2014

Localized forms of giant cell tumor are known to arise commonly in the synovial membrane of the finger joints. Multinucleated giant cells are its characteristic pathology finding, giant cell tumor shows a low rate of recurrence after complete excision. When occurring at the knee joints, giant cell tumor manifests a wide form of symptoms, from no symptom at all, to intermittent locking. Complete excision is possible by arthroscopy, but if done incompletely, it is reported to recur in 45% of cases. We present here a case of giant cell tumor that has arisen from the anterior portion of the posterior cruciate ligament, excised by arthroscopy and followed by pathologic confirmation.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.9
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• pp.525-531
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• 2019

Efforts to utilize human gestures to effectively implement a more natural and interactive interface between humans and computers have been ongoing in recent years. In this paper, we propose a new algorithm that accepts consecutive three-dimensional (3D) depth images, defines a hand model, and robustly extracts the human hand region based on six palm joints and 15 finger joints. Then, the 3D depth images are adaptively binarized to exclude non-interest areas, such as the background, and accurately extracts only the hand of the person, which is the area of interest. Experimental results show that the presented algorithm detects only the human hand region 2.4% more accurately than the existing method. The hand region extraction algorithm proposed in this paper is expected to be useful in various practical applications related to computer vision and image processing, such as gesture recognition, virtual reality implementation, 3D motion games, and sign recognition.

• Archives of Reconstructive Microsurgery
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• v.19 no.1
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• pp.12-20
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• 2010

Purpose: Industrial punch accidents involving fingers cause segmental injuries to tendons and neurovascular bundles. Although multiple-level segmental amputations are not replanted to regain function, most patients with an amputated finger want to undergo replantation for cosmetic as much as functional reason. The authors describe four cases of digital amputation by an industrial punch that involved the reinstatement of the amputated finger involving a joint and neurovascular bundle. Amputated segments were replanted to restore amputated surfaces and distal segments. Methods: A single institution retrospective review was performed. Inclusion criteria of punch injuries requiring replantation were applied to patients of all demographic background. Injury extent (size, tissue involvement), operative intervention, pre- and postoperative hand function were recorded. Result: Four cases of amputations were treated at our institute from 2004 to 2008 from industrial punch machine injury. Average patient age was 32.5 years (25~39 years) and there were three males and one female. Sizes of amputated segments ranged from $1.0{\times}1.0{\times}1.2\;cm^3$ to $3{\times}1.5{\times}1.6\;cm^3$. Tenorrhaphy was conducted after fixing fractured bone of the amputated segments with K-wire. Proximal and distal arteries and veins were repaired using the through & through method. The average follow-up period was thirteen months (2~26 months), and all replanted cases survived. Osteomyelitis occurred in one case, skin grafting after debridement was performed in two cases. Because joints were damaged in all four cases, active ranges of motion were much limited. However, a secondary tendon graft enhanced digit function in two cases. The two-point discrimination test showed normal values for both static and dynamic tests for three cases and 9 mm and 15 mm by dynamic and static testing, respectively, in one case. Conclusion: Though amputations from industrial punch machines are technically challenging to replant, our experience has shown it to be a valid therapy. In cases involving punch machine injury, if an amputated segment is available, the authors recommend that replantation be considered for preservation of finger length, joint mobility, and overall functional recovery of the hand.

• Journal of the Ergonomics Society of Korea
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• v.24 no.4
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• pp.15-21
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• 2005

Use of a glove made of materials with a low elasticity decreases the performance of the hand such as agility, dexterity, range of motion, and grip strength. The present study examined if the adverse effects of a low-elastic glove can be reduced by a design which accommodates the changes of hand surface lengths by hand motion. Two glove designs which provide patches of elastic cloth and pleats at the finger joints and knuckle were developed by considering the hand surface length changes, and then compared with two conditions(bare hand and conventional glove design that does not consider the dynamic characteristics of the hand dimensions) in terms of completion time in peg board insertion task, maximum grip strength, discomfort in hand motion, discomfort in force exertion, and overall discomfort by 24 right-handed participants. The test results confirmed that wearing of a glove significantly reduced the agility and grip strength capability of the hand and indicated that the novel designs were effective to lessen the performance decreases compared to the conventional design. Also, of the glove designs, the pleat glove design was found most preferred for both better hand performance and less subjective discomfort.

• Archives of Plastic Surgery
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• v.45 no.4
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• pp.363-366
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• 2018

Background Camptodactyly refers to permanent flexion contracture at the proximal interphalangeal joint. Most cases are limited to fifth-finger involvement. Although common, the treatment of camptodactyly is controversial. Many published studies have emphasized conservative treatment, while others have described surgical procedures. The problem with this deformity is that it presents in several forms, which means that there is no single model for effective treatment. The aim of this paper is to present the difficulties encountered with this condition and the management thereof on an individual basis. Methods This is a case series of 14 patients (nine males, five females) who underwent surgical treatment. The results were classified using the method from Mayo Clinic as excellent, good, fair, and poor. Results Fourteen patients with 15 fingers underwent surgery, and the results achieved were as follows: excellent, 0; good, 1; fair, 6; poor, 8. The treatment of camptodactyly still remains controversial, and hence proper planning individualized to each patient is needed to achieve the maximal improvement with realistic goals. Conclusions Although we performed individualised surgery, our careful follow-up was not able to identify any method as superior over another with respect to gain in extension and loss of flexion. We therefore propose that the extensor mechanism should not be disturbed during surgery to treat camptodactyly cases.

• Journal of Institute of Control, Robotics and Systems
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• v.15 no.1
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• pp.99-104
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• 2009

This article describes the analysis of stable grasping for multi-fingered robot. An analysis method of stable grasping, which is based on the three-dimensional acceleration convex polytope, is proposed. This method is derived from combining dynamic equations governing object motion and robot motion, force relationship and acceleration relationship between robot fingers and object's gravity center through contact condition, and constraint equations for satisfying no-slip conditions at every contact points. After mapping no-slip condition to torque space, we derived intersected region of given torque bounds and the mapped region in torque space so that the intersected region in torque space guarantees no excessive torque as well as no-slip at the contact points. The intersected region in torque space is mapped to an acceleration convex polytope corresponding to the maximum acceleration boundaries which can be exerted by the robot fingers under the given individual bounds of each joints torque and without causing slip at the contacts. As will be shown through the analysis and examples, the stable grasping depends on the joint driving torque limits, the posture and the mass of robot fingers, the configuration and the mass of an object, the grasp position, the friction coefficients between the object surface and finger end-effectors.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.9 no.2
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• pp.21-33
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• 2014

Objectives : This study was to report the improvement of the patient with multiple sclerosis treated by Korean Medical treatment. Methods : The patient diagnosed as multiple sclerosis treated by acupuncture, bee venom pharmacupuncture, chuna manual therapy, and herbal medicine. To evaluate the effects of korean medicine, we used manual muscle test(MMT), the standard for assessment of the effect of stroke treatment, functional system(FS), visual analog scale(VAS). Results : 1. The patient's pain and optic dysfunction were reduced by the above therapy. 2. There was no change in manual muscle test(MMT), but there was mild improvement in finger joints function in the standard for assessment of the effect of stroke treatment. 3. In functional system(FS) scale, there was enhancement in optic function within a range. And there was improvement in expanded disability statue scale(EDSS) from 4.0 to 3.0. 4. In visual analog scale(VAS), there was considerable improvement from 9 to 6. Conclusions : The korean medical treatment was reduced pain and optic dysfunction.

• Journal of the Korean Society of Industry Convergence
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• v.19 no.2
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• pp.88-94
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• 2016

In this paper, we describe a new approch to control method of a four joints-robot gripper for the purpose of parts assemblying. The robot gripper is specifically modeled by using a 3D CAD program (ANSYS), considering artificial grippers, and then the proposed control method is illustrated through the dynamic simulation tool (Adams). Each gripper finger is individually controlled to be located at the optimal positions where the maximal joint torque can be calculated. To verified the effectiveness of the proposed control method, we proposed two cases for the reference position of gripper. By comparing the control performance of two method, the performance of the proposed control method was verified.

• Journal of Biomedical Engineering Research
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• v.34 no.1
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• pp.1-7
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• 2013

According to the frequent use of mobile devices, risk of repetitive strain injury for the finger joints was increasing recently. The purpose of this study was to investigate the difference of muscular endurance limit of the thumb between adults and children. A total of thirty subjects (15 adults: $41.0{\pm}7.9$ years and 15 children: $9.5{\pm}2.7$ years) was recruited for this experiment. Maximum voluntary contraction (MVC) of the thumb was measured for 100 trials for each subject by using a push-pull gauge. From the maximum peak value obtained, three main factors (MVC, endurance limit, and fatigue index) were defined to quantify fatigue characteristics of the thumb flexor muscle. The experimental results showed that the mean of MVC, endurance limit, and fatigue index of the children were approximately 50% compared to the adults (p < 0.001). From the results of Pearson correlation test, the endurance limit was highly correlated with weight, age, hand length rather than height. Based on this study, children are more vulnerable to repetitive task using the thumb such as text/SNS messaging, gaming, and scrolling.

• The Journal of Korean Physical Therapy
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• v.20 no.3
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• pp.45-51
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• 2008

Purpose: We evaluated the physical stress and pain to the musculoskeletal system of a dental practitioner when engaging in a dental scaling training exercise to prevent the development of musculoskeletal injuries. Methods: The 18 female (average age: 21$\pm$1 years) subjects were voluntarily picked from a group of juniors who have completed a one-and-a-half year training course that includes training exercises on the dentiform and on live subjects (other trainees). The test is done by measuring pain, activity, grip strength, and finger dexterity for each subject's hand and wrist. Before the test all subjects were confirmed to be right-handed and were informed of the study and its objective. Measuring was done before and after each subject performed dental scaling for one hour using the scaler and the curet. Results: Pain levels increased for both hand and shoulders, but hand pain was often greater than shoulder pain. Grip strength significantly declined in the right hand but not the left. For joint mobility, the flexion and the extension for the shoulder joint did not change; but the range of motion for both wrist joints significantly increased. For the dexterity test, both hands showed increased dexterity after the exercise. Conclusion: Dental scaling can affect the shoulders and wrists/hands. Therefore, a musculoskeletal injury prevention program for dental practitioners, which may include encouraging them to assume correct body posture when at work, must be sought. This study evaluated only the shoulders, wrists, and hands; but future studies should include areas such as the cervical area, the back, and the lower limbs.