• Title/Summary/Keyword: Foot area

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Diagnosis and Treatment of Early Ankle Osteoarthritis (초기 발목관절염의 진단과 치료)

  • Sang, Gyo
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.4
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    • pp.117-121
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    • 2017
  • The incidence of arthritis in the ankle is relatively low compared to other joints. On the other hand, it receives a lot of pressure per unit area, is vulnerable to damage, and arthritis can arise after trauma. Early ankle arthritis can be considered a case of osteophyte subchondral sclerosis without narrowing of the joint space. Conservative treatment, such as weight control, insole use, drug use, and injection therapy for early ankle arthritis, is effective and can be considered before surgical treatment. Nevertheless, if pain is persistent, surgical treatment to remove bony spurs is effective. Ensuring that there is no other cause of pain when deciding whether to perform an operation is very important.

Investigation of postural sway characteristics of patients after total hip replacement (인공 고관절시술자환자의 중심동요 특성에 관한 연구)

  • 강창수;신승헌;민병우
    • Journal of the Ergonomics Society of Korea
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    • v.14 no.2
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    • pp.87-104
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    • 1995
  • This research investigates the possibility of using the postural sway of patients as a reference for measruing the progress of the disease and healing of patients who received total hip replacement; the progress of the disease by X-ray pictures, the pain felt by the patients, and the difficulties encountered in moving the joints. The measurements on the force platform were taken during a 25 second period standing on both feet and during a 5 second period standing on one foot with both eyes open. The result of the research showed that the trace and area of the overall length of postural sway was a good indicator which represented the healing progress of the patients who received total hip replacement, and the weakening of the muscles and the recovery process for 3 or 4 month after receiving the operation, which did not appear on X-ray pictures, were exhibited on the postural sway. Finally, standing on a single foot represented the healing progress much better than standing on both feet.

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A biomechanical model of lower extremity for seated operators (착좌시 하지 동작의 생체역학적 모델)

  • 황규성;이동춘;최재호
    • Journal of the Ergonomics Society of Korea
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    • v.11 no.1
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    • pp.81-92
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    • 1992
  • A two-dimensional static biochemical model of lower extremity in the seated posture was developed to assess muscular activities of lower extremity required for a variety of foot pedal operations. We found that the double linear optimization method that has been used for modelling articulated body segments does no predict the forces generated by biarticular muscles reasonably, so the revised double linear optimization scheme was used to consider the synergistic effects of biarticular muscles in our model, assuming that the muscle forces are distributed proportionally based on their physiological cross sectional area. The model incorporated three rigid body se- gments with six muscles to represnet lower extremity. For the model validation, three male subjects performed the experiments in which EMG activities of six lower extremity muscles were measured. Predicted muscle forces were compare with the corresponding EMG amplitudes and it showed no statistical difference. The model being developed can be used to design and assess pedal and foot-related tool design.

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Development of a Pressure Distribution Measurement System (압력분포 측정시스템의 개발)

  • 정진호;이기원;김영호
    • Journal of Biomedical Engineering Research
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    • v.21 no.2
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    • pp.213-218
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    • 2000
  • Pressure distributions of the soft tissue are valuable for understanding and diagnosing the disease characteristics due to the mechanical loading. Our system measures dynamic pressure distributions in real-time under the general PC environment, and analyzes various foot disorders. Main features of the developed system are as follows: (1) With the resistive pressure sensor matrix of 40${\times}$40 cells, the data is sent to the PC with the maximum sampling rate of 40 frames/sec. (2) For each frame, contact area, pressure and force are analyzed by graphic forms. Thus, various biomechanical parameters are easily determined at specific areas of interests. (3) A certain stance phase can be chosen for the analysis from the continuous walking, and the detailed biomechanical analysis can be done according to an arbitrary line dividing anterior/posterior or medial/lateral plantar areas. (4) The center of pressure (COP) is calculated and traced from the pressure distribution data, and thus the movement of the COP is monitored in detail. A few experiments revealed that our system successfully measured the dynamic plantar distribution during normal walking.

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비선형 최적화기법을 이용한 하지근력 예측 인체역학 모형

  • 황규성;정의승;이동춘
    • Proceedings of the ESK Conference
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    • 1994.04a
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    • pp.124-135
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    • 1994
  • A biomechanical model of lower extremity in seated postures was developed to assess muscular activities of lower extremity involved in a variety of foot pedal operations. It is found that nonlinear optimization method which has been used for modeling the articulated body segments does not predict the forces generated from biarticular muscles reasonably, so the revised nonlinear optimization scheme was employed to consider the synergistic effects of biarticular muscles in the model, assuming that the muscle forces are distributed proportionally based on their physiological cross sectional area and moment arm. The model incorporated four rigid body segments with the nine muscles to represent lower extreimity. For the model valida- tion, three male subjects performed the experiments in which EMG activities of the nine lower extremity muscles were measured. Predicted muscle forces were compared with the corresponding EMG amplitudes and it showed no statistical difference. The developed model can be used to design and to assess the pedals and foot-related equipments design.

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Povidone-Iodine related Chemical Burn under the Tourniquet (A Case Report) (지혈대 내측의 포비돈-요오드 용액에 의한 화학 화상 (1예 보고))

  • Won, Jong-Kyoung;Lee, Kang
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.3
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    • pp.190-192
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    • 2012
  • In the extremity surgery, pneumatic tourniquet and povidone-iodine solution are commonly used to provide an aseptic, bloodless field, and their complication rate has remained low. However, chemical burn under tourniquet has been rarely reported. Patients sustained burn injuries over the dependent, weight-bearing regions such as posterior neck, back, buttocks and posterior thighs. This rare adverse complication occurred in a 22-year-old man who underwent modified Brostrom operation with arthroscopic os trigonum excision. 10% povidone-iodine was used as topical antiseptic, and full thickness burn occurred underneath the area of tourniquet application. Main causes of povidone-iodine related chemical burn are considered maceration, irritation of the skin, long term use of the tourniquet and pressure. To reduce the complications like chemical burn, awareness of the risk and the possible pathogenesis as well as the preventive measures is important in surgical practice.

Minimally Invasive Proximal Transverse Metatarsal Osteotomy Followed by Intramedullary Plate Fixation for Hallux Valgus Deformity: A Case Report (무지외반증 교정을 위한 최소침습적 근위 중족골 횡절골술 및 골수강 내 금속판 고정: 증례 보고)

  • Kim, Jong Hun;Suh, Jin Soo;Choi, Jun Young
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.3
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    • pp.141-144
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    • 2021
  • More than 120 surgical methods for the correction of hallux valgus deformities have been reported. For the correction of moderate to severe hallux valgus deformities with aesthetic demands, minimally invasive surgery at the proximal area can be considered. This paper reports a case of moderate hallux valgus deformity treated by a minimally invasive proximal transverse metatarsal osteotomy followed by intramedullary plate fixation.

Negative-Pressure Wound Therapy for Septic Ankle Arthritis Following Intractable Lateral Malleolar Bursitis: A Case Report (족관절 화농성 관절염이 동반된 난치성 외과 점액낭염의 음압 창상치료: 증례 보고)

  • Kim, Jiyoun;Jang, Jihoon;Chung, So Hak
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.190-194
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    • 2021
  • A bursa is an obstructive sac filled with synovial fluid and usually occurs in any area of the body exposed to friction. The bursa of the ankle is not a normal anatomical structure and is caused by repetitive trauma, constant friction, or inflammatory disease of the ankle. Bursitis can occur in any bursa in the human body; however it rarely progresses to septic arthritis. We report a rare case of septic ankle arthritis following intractable lateral malleolar bursitis successfully treated with negative-pressure wound therapy.

Podiatric Clinical Diagnosis using Decision Tree Data Mining (결정트리 데이터마이닝을 이용한 족부 임상 진단)

  • Kim, Jin-Ho;Park, In-Sik;Kim, Bong-Ok;Yang, Yoon-Seok;Won, Yong-Gwan;Kim, Jung-Ja
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.48 no.2
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    • pp.28-37
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    • 2011
  • With growing concerns about healthy life recently, although the podiatry which deals with the whole area for diagnosis, treatment of foot and leg, and prevention has been widely interested, research in our country is not active. Also, because most of the previous researches in data analysis performed the quantitative approaches, the reasonable level of reliability for clinical application could not be guaranteed. Clinical data mining utilizes various data mining analysis methods for clinical data, which provides decision support for expert's diagnosis and treatment for the patients. Because the decision tree can provide good explanation and description for the analysis procedure and is easy to interpret the results, it is simple to apply for clinical problems. This study investigate rules of item of diagnosis in disease types for adapting decision tree after collecting diagnosed data patients who are 2620 feet of 1310(males:633, females:677) in shoes clinic (department of rehabilitation medicine, Chungnam National University Hospital). and we classified 15 foot diseases followed factor of 22 foot diseases, which investigated diagnosis of 64 rules. Also, we analyzed and compared correlation relationship of characteristic of disease and factor in types through made decision tree from 5 class types(infants, child, adolescent, adult, total). Investigated results can be used qualitative and useful knowledge for clinical expert`s, also can be used tool for taking effective and accurate diagnosis.

Normal Variation and Incidence of Coincided Alignment on Lisfranc Joint on Normal Foot Radiography (정상 성인 족부 방사선 사진에서 족근 중족 관절 선열 형성 빈도 및 정상 변이)

  • Kang, Chung-Nam;Kim, Jong-Oh;Ko, Sang-Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.1
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    • pp.43-50
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    • 1997
  • The tarsometatarsal joint complex is formed by articulation of the five metatarsal bases with the three cuneiform bones and the cuboid bone. Fracture-dislocation of tarsometatarsal area are difficult to recognize on standard radiographs. The exact diagnosis is occasionally delayed. As a result, improper treatment and late sequelae remains. We decided to make a study of patients with normal foot radiographs on 200 cases. Standard radiographic evaluation was used to study the normal variants of the foot and to evaluate the coincided alignment of the lisfranc joint. Accurate accessment on AP & lateral & $30^{\circ}$ oblique projection of radiographs are very adventageous & important, and next final outcome was detected. : 1. Coincided alignment below 1mm and unfolded lisfranc joint on AP projection was well visalized on 1st cuneiform-metatarsal lateral border and 2nd cuneiform-metatarsal medial border. 2. Coincided alignment below 1mm and unfolded lisfranc joint on oblique projection was well visualized on 2nd cuneiform-metatarsal lateral border and 3rd cuneiform-metatarsal medial border and 3rd cuneform-metatarsal lateral border. 3. More proximal location of 2nd lisfranc joint compared to another joint was 196 cases (98%). It is due to inceleration of 2nd metatarsal base between 3rd & 1st cuneiform. 4. 3rd lisfranc joint was volarward position compared to 2nd listranc on lateral projection at 191 cases (95.5%). It's due to anterior covexity of lisfranc joint. 5. Wide dorsal sided 2nd lisfranc is investigated at 189 cases (94.5%). Because of it. 2nd & 3rd lisfrances are mainly volar dislocated usually. 6. Notching on 5th metatarsal base is visible on 171 cases (85.5%). 7. 4th lisfranc joint had offset normally within $2\sim3mm$ at 98 cases (49%). 8. 5th Lisfranc joint had normally offset within $2\sim3mm$ at 99 cases (49.5%). 9. On lateral projection, slight dorsal location of cuneiform to metatarsal base is investigated at 82 cases (41%).

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