• Title/Summary/Keyword: Joint Instability

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The Natural History of Anterior Cruciate Ligament Deficient Knee (전방십자인대 손상 슬관절의 자연적 병의 경과)

  • Kim, Hyoung-Soo
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.41-46
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    • 1997
  • The natural history of the anterior cruciate ligament(ACL)-deficient knee remains controversial. although numerous investigation have tried to ascertain the course that the knee would follow once the ACL has lost functional integrity. An extensive review of the literature performed according to symptoms. physical examinations, associated surrounding tissue injuries. returns to activity level and radiological changes in the knee joint. An active individual with a non-functioning ACL was susceptible to injury to the menisci and deteriorate the articular cartilage, followed radiographic changes. An activity levels in general also changed after injury. The most common symptom was pain. But instability varied in these individuals. Conclusively we believe that all these factors will eventually, if not initially, result in a symptomatic knee. which will result in significant limitations to the individual's desired level. So we recommend an aggressive approach in person who desired to return to a relatively active life style in young person as well as in middle aged individuals who have significant symptomatic ACL deficient knee.

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Realistic Visual Simulation of Water Effects in Response to Human Motion using a Depth Camera

  • Kim, Jong-Hyun;Lee, Jung;Kim, Chang-Hun;Kim, Sun-Jeong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.11 no.2
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    • pp.1019-1031
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    • 2017
  • In this study, we propose a new method for simulating water responding to human motion. Motion data obtained from motion-capture devices are represented as a jointed skeleton, which interacts with the velocity field in the water simulation. To integrate the motion data into the water simulation space, it is necessary to establish a mapping relationship between two fields with different properties. However, there can be severe numerical instability if the mapping breaks down, with the realism of the human-water interaction being adversely affected. To address this problem, our method extends the joint velocity mapped to each grid point to neighboring nodes. We refine these extended velocities to enable increased robustness in the water solver. Our experimental results demonstrate that water animation can be made to respond to human motions such as walking and jumping.

Reconstruction of Coracoclavicular Ligament with Semitendinosus Tendon Graft - Technical Note - (반건양근을 이용한 오구쇄골 인대의 재건술(수술 수기))

  • Choi Nam-Hong;Bae Sang-Wook;You Soo-Geun
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.138-142
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    • 1999
  • Coracoclavicular ligament is main restraint to superior instability of the distal clavicle. Coracoacromial ligament, extensor tendon of toe, palmaris longus tendon, and Dacron tape have been used to reconstruct coracoclavicular ligament. We used semitedinosus tendon to reconstruct coracoclavicular ligament. The semitendinosus tendon was harvested as a usual fashion. After the distal clavicle and coracoid process were exposed, a hole of six millimeter diameter was made on the center of whole thickness of the distal clavicle. A malleolar screw was fixed from distal clavicle to coracoid process to maintain the reduced position of the acromioclavicular joint. The leading suture of tendon graft was passed through the hole of the distal clavicle and looped under the coracoid process. After leading portion of ten­don graft was looped over the clavicle, sutures were made between each end of the tendon graft with nonabsorbable suture materials.

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Humeral Avulsion of the Glenohumeral Joint Capsule - Case Report - (상완골 부착 부위에서 파열된 견관절 낭(증례 보고))

  • Lee Young-Soo;Baek Joon-Sik;Shin Dong-Rae
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.199-203
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    • 1999
  • It is well known that the essential pathology in traumatic anterior dislocation of the shoulder is the avulsion of the glenohumeral ligament complex from the glenoid rim, However, there were some reports that the avulsion can occur from the humeral attachment site. We have experienced a 42-year-old man who had complained of persistent shoul­der pain after traffic accident and showed the instability on physical examination. The MR arthrogram and arthro­scopic surgery revealed the avulsion of glenohumeral ligament from the humeral attachment site. We repaired the lesion using the suture anchor through the anterior axillary approach and had a good result after 1 year.

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Study on the Real-Time Walking Control of a Humanoid Robot U sing Fuzzy Algorithm

  • Kong, Jung-Shik;Lee, Eung-Hyuk;Lee, Bo-Hee;Kim, Jin-Geol
    • International Journal of Control, Automation, and Systems
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    • v.6 no.4
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    • pp.551-558
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    • 2008
  • This paper deals with the real-time stable walking for a humanoid robot, ISHURO-II, on uneven terrain. A humanoid robot necessitates achieving posture stabilization since it has basic problems such as structural instability. In this paper, a stabilization algorithm is proposed using the ground reaction forces, which are measured using FSR (Force Sensing Resistor) sensors during walking, and the ground conditions are estimated from these data. From this information the robot selects the proper motion pattern and overcomes ground irregularities effectively. In order to generate the proper reaction under the various ground situations, a fuzzy algorithm is applied in finding the proper angle of the joint. The performance of the proposed algorithm is verified by simulation and walking experiments on a 24-DOFs humanoid robot, ISHURO-II.

A Design of Parallel Module Neural Network for Robot Manipulators having a fast Learning Speed (빠른 학습 속도를 갖는 로보트 매니퓰레이터의 병렬 모듈 신경제어기 설계)

  • 김정도;이택종
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.32B no.9
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    • pp.1137-1153
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    • 1995
  • It is not yet possible to solve the optimal number of neurons in hidden layer at neural networks. However, it has been proposed and proved by experiments that there is a limit in increasing the number of neuron in hidden layer, because too much incrememt will cause instability,local minima and large error. This paper proposes a module neural controller with pattern recognition ability to solve the above trade-off problems and to obtain fast learning convergence speed. The proposed neural controller is composed of several module having Multi-layer Perrceptron(MLP). Each module have the less neurons in hidden layer, because it learns only input patterns having a similar learning directions. Experiments with six joint robot manipulator have shown the effectiveness and the feasibility of the proposed the parallel module neural controller with pattern recognition perceptron.

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The Diagnostic Usefulness of Stress Radiography in Chronic Lateral Ankle Instability (만성 발목 관절 외측 불안정성의 진단에서 스트레스 방사선검사의 유용성)

  • Kim, Yong-Min;Cho, Byung-Ki;Kim, Dong-Soo;Choi, Eui-Sung;Shon, Hyun-Chul;Park, Kyoung-Jin;Kim, Dong-Hwan
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.1
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    • pp.35-40
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    • 2011
  • Purpose: This study was performed to evaluate the diagnostic usefulness of ankle stress radiograph for evaluation of chronic lateral ankle instability. Materials and Methods: Among patients undergoing the modified-Brostrom procedure, 42 cases with complete rupture of the anterior talofibular ligament were enrolled in this study. Sixty Korean adults (120 cases) were recruited as the control group. Radiologic measurement of talar tilt and anterior talar translation was performed through stress radiographs using Telos device. We obtained the normal range of Korean adults, and used as a standard value for judgment of mechanical instability. We analyzed the sensitivity, specificity, positive and negative prediction value of ankle stress radiograph. Results: On ankle stress radiograph, normal range of talar tilt angle and anterior talar translation was below $8.3^{\circ}$, below 7.6mm. Talar tilt angle on varus stress radiograph showed 57% of sensitivity, 97% of specificity, 89% of positive and 86% of negative prediction value. Anterior talar translation on anterior drawer stress radiograph showed 69% of sensitivity, 97% of specificity, 91% of positive and 90% of negative prediction value. Conclusion: Ankle stress radiograph had a good specificity, positive and negative prediction value for the evaluation of mechanical instability. However it underestimated the mechanical instability of ankle joint. It must be remembered that normal stress radiograph does not exclude ankle instability.

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Surgical treatment of Mallet finger deformity with Hook plate (고리 금속판을 이용한 망치 손가락의 수술적 치료법)

  • Choi, Seok Min;Jung, Sung Gyun;Shin, Ho Seong;Park, Eun Soo;Kim, Yong Bae
    • Archives of Plastic Surgery
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    • v.36 no.3
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    • pp.318-321
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    • 2009
  • Purpose: The bony mallet finger injury is generally managed by conservative treatments, but operative treatments are needed especially when the fractures involve above 30% of articular surface or distal phalanx is accompanied by subluxation in the volar side. This is the reason they often result in chronic instability, articular subluxation and unsatisfactory cosmetic. In this report, We describe new method using the hook plate as an operative treatment of Mallet finger deformity. Methods: Among 13 patients with Mallet finger deformity who came from February 2006 to February 2008, six patient were included in surgical indication. Under local anesthesia, H or Y type incision was made at the DIP joint area. After the DIP joint extension, the hook plate was put on the fracture line, and one self tapping screw was used for fixation. 2 hole plate which was one of the holes in 1.5 mm diameter was cut in almost half and bended through approximately $100^{\circ}$. Results: In all six cases which applied the hook plate, complications such as loss of reduction or nail deformity were not seen. In only one patient, hook pate was removed due to inflammatory reaction after surgery. At 2 weeks after operation, active motion of DIP joint was performed. The result was satisfactory not only cosmetically but also functionally. At 6 weeks after operation, the range of motion of DIP joint was average $64^{\circ}$. Conclusion: The purpose of the operative treatment for mallet finger deformity using the hook plate is to provide anatomical reduction with rigid fixation and to prevent contracture at the DIP joint. While other operations take 6 weeks, the operation using the hook plate begins an active motion at 2 weeks after operation. Complication rate was low and the method is rather simple. Thus, the operation using the hook plate is recommended as a good alternative method of the mallet finger deformity treatment.

Time-dependent Reduction of Sliding Cohesion due to Rock Bridges along Discontinuities (암석 브리지에 의한 불연속면 점착강도의 시간의존성에 관한 연구)

  • 박철환;전석원
    • Tunnel and Underground Space
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    • v.14 no.3
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    • pp.167-174
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    • 2004
  • This paper is to introduce an article published in Rock Mechanics and Rock Engineering, 2003. In this research, a fracture mechanics model is developed to illustrate the importance of time-dependence far brittle fractured rock. In particular a model is developed fer the time-dependent degradation of rock joint cohesion. Degradation of joint cohesion is modeled as the time-dependent breaking of intact patches or rock bridges along the joint surface. A fracture mechanics model is developed utilizing subcritical crack growth, which results in a closed-form solution for joint cohesion as a function of time. As an example, a rock block containing rock bridges subjected to plane sliding is analyzed. The cohesion is found to continually decrease, at first slowly and then more rapidly. At a particular value of time the cohesion reduces to value that results in slope instability. A second example is given where variations in some of the material parameters are assumed. A probabilistic slope analysis is conducted, and the probability of failure as a function of time is predicted. The probability of failure is found to increase with time, from an initial value of 5% to a value at 100 years of over 40%. These examples show the importance of being able to predict the time-dependent behavior of a rock mass containing discontinuities, even for relatively short-term rock structures.

Evaluation of the Canine Stifle Joint after Transection of the Cranial Cruciate Ligament and Medial Collateral Ligament, and Medial Meniscectomy without Postoperative Exercise (앞십자인대 및 내측 곁인대 절제와 내측 반월판 절제술을 한 뒤 수술후 운동을 실시하지 않은 개의 무릎 관절의 평가)

  • Lee, Hae-Beom;Jeong, Chang-Woo;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.325-330
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    • 2007
  • This study was to determine whether canine model which produce acute permanent joint instability in short period without postoperative exercise have a degenerative changes and also evaluated its suitability as an appropriate animal OA models. Ten skeletally mature beagle dogs underwent a unilateral surgical transection of the cranial cruciate ligament and, the medial collateral ligament as well as a medial meniscectomy. The contra-lateral joint was used as control. After 12 weeks, After 12 weeks, the amount of joint damage, inflammation and biochemical change of synovial fluid was evaluated. Histological analysis showed chondrocyte clone formation, hypertrophy of the cartilage and moderate loss of proteoglycans in the experimental joints compared to control joints. In addition, the synovial inflammation in the experimental joints was observed. Biochemical analysis of SF showed significantly increased MMP (matrix metalloproteinase) -2 and -9 in experimental joints compared to control joints. This canine OA model shows the characteristics of degenerative joint disease, and may have a advantages of reducing the time and cost because postoperative exercise is not needed in this OA model.