• Clinics in Shoulder and Elbow
• /
• 제19권2호
• /
• pp.78-83
• /
• 2016

Background: We investigated the risk factors for the recurrence of anterior shoulder instability after arthroscopic surgery with suture anchors and the clinical outcomes after reoperation. Methods: A total of 281 patients (February 2001 to December 2012) were enrolled into our study, and postoperative subluxation and dislocation were considered as recurrence of the condition. We analyzed radiologic results and functional outcome including the American Shoulder and Elbow Surgeons Evaluation Form, the Korean Shoulder Society Score, and the Rowe scores. Results: Of the 281 patients, instability recurred in 51 patients (18.1%). Sixteen out of 51 patients (31.4%) received a reoperation. In terms of the functional outcome, we found that the intact group, comprising patients without recurrence, had a significantly better functional outcome than those in the recurrent group. The size of glenoid defect at the time of initial surgery significantly differed between intact and recurrent group (p<0.05). We found that the number of dislocations, the time from the initial presentation of symptoms to surgery, and the number of anchor points significantly differed between initial operation and revision group (p<0.05). The functional outcome after revision surgery was comparable to intact group after initial operation. Conclusions: Eighteen percent of recurrence occurred after arthroscopic instability surgery, and 5.6% received reoperation surgery. Risk factors for recurrence was the initial size of glenoid defect. In cases of revision surgery, good clinical outcomes could be achieved using additional suture anchor.

• 한국컴퓨터정보학회논문지
• /
• 제27권1호
• /
• pp.97-105
• /
• 2022

이 연구는 플로싱밴드 운동이 기능적 발목 불안정성 태권도 시범단 선수들의 관절가동범위와 수직점프에 어떠한 영향을 미치는지 분석하여 플로싱 밴드의 효과를 알아보는데 목적이 있다. D 대학교에 재학 중인 남성 태권도 시범단 선수 21명을 대상으로 기능적 발목 불안정성 그룹(FAIG, n=7명), 경미한 발목 불안정성 그룹(MAIG, n=7명), 발목 안정성 그룹(ASG, n=7명)으로 구분하였다. 모든 그룹은 일회성 플로싱밴드 운동 프로그램을 실시하였다. 그 결과 FAIG의 발등굽힘(Dorsi flexion, p<.01), 안쪽번짐(Inversion, p<.01), 가쪽번짐(Eversion, p<.05)에서 유의하게 관절가동범위가 증가하였으며, 수직점프(p<.01)에서도 유의한 증가를 보였다. FAI를 가진 태권도 시범단 선수들의 플로싱밴드 운동은 발목의 관절가동범위와 수직점프를 증가시킴으로 경기력 향상과 발목손상의 위험을 줄일 수 있는 하나의 중재방법이 될 수 있는 가능성을 확인하였다.

• 대한정형도수물리치료학회지
• /
• 제27권3호
• /
• pp.17-24
• /
• 2021

Background: The study aimed to examine changes in muscle activity by measuring the Q-angle and lower extremity activity when going down the stairs, after the application of either Mulligan taping or flossing bands to patients with chronic ankle instability. Methods: A total of 19 men with chronic ankle instability in their 20s and 30s participated in the study. Participants were randomly divided into two groups: the Mulligan taping group (n = 9) and the flossing band group (n=10). The Mulligan taping group had three sets of Mulligan joint operations repeated 10 times, after which the Mulligan tape was applied. The flossing band group either performed functional activities or exercised for 2 minutes after flossing band application. After the application of either Mulligan taping or flossing bands, changes in the Q-angle and lower limb muscular activity while going down the stairs were measured and compared. Results: In the Mulligan taping group, the Q-angle significantly decreased from 13.63° to 12.7° during the step down. Similarly, the Q-angle of the flossing band group significantly decreased from 15.95° to 15.48° (p<.05). There was no difference in lower limb muscle activity between the two groups when going down the stairs. The muscle activity of the tibialis anterior significantly increased from 34.12% to 40.2%, and the difference between the two groups were statistically significant (p<.05). Conclusions: The study found that the application of Mulligan taping and flossing bands to patients with chronic ankle instability decreased the Q-angle and lower limb muscle activity when going down the stairs.

• Clinics in Shoulder and Elbow
• /
• 제23권1호
• /
• pp.27-30
• /
• 2020

Osborne-Cotterill lesion is an osteochondral fracture located in the posterolateral margin of the humeral capitellum, which may be associated with a defect of the radial head after an elbow dislocation. This lesion causes instability by affecting the lateral ulnar collateral ligament over its capitellar insertion, which is associated with a residual capsular laxity, thereby leading to poor coverage of the radial head, and hence resulting in frequent dislocations. We present a 54-year-old patient, a physician who underwent trauma of the left elbow after falling from a bike and suffered a posterior dislocation fracture of the elbow. The patient subsequently presented episodes of instability, and additional work-up studies diagnosed the occurrence of Osborne-Cotterill lesion. An open reduction and internal fixation of the bony lesion was performed, with reinsertion of the lateral ligamentous complex. Three months after surgery, the patient was asymptomatic, having a flexion of 130° and extension of 0°, and resumed his daily activities without any limitation. Currently, the patient remains asymptomatic 2 years after the procedure. Elbow instability includes a large spectrum of pathological conditions that affect the biomechanics of the joint. The Osborne-Cotterill lesion is one among these conditions. It is a pathology that is often forgotten and easily overlooked. Undoubtedly, this lesion requires surgical intervention.

• Clinics in Shoulder and Elbow
• /
• 제27권2호
• /
• pp.254-262
• /
• 2024

Several surgical procedures have been proposed to address anterior glenohumeral instability, which is one of the most common complaints in the general population. The remplissage, first described in early 2000s, is a procedure performed simultaneously with the arthroscopic Bankart repair to correct large, engaging Hill-Sachs lesions (HSLs). This procedure stabilizes the joint by tenodesing the infraspinatus tendon into the HSL to fill and disengage the defect. This procedure gained popularity because it has relatively low risk and is able to improve shoulder stability while being less invasive than other bone-blocking procedures. The remplissage has become a valuable add-on technique that can substantially improve outcomes in unstable patients undergoing arthroscopic Bankart repair. Nevertheless, several studies in the literature have raised concerns regarding its efficacy in critically unstable patients and the potential range of motion limitations that can arise postoperatively. Additional comparative studies and trials should be conducted to appropriately establish the role of remplissage in treating anterior instability, especially in patients with critical bone loss.

• 자원환경지질
• /
• 제33권1호
• /
• pp.51-59
• /
• 2000

As a part of natural hazard assessment, regional slope stability analysis was conducted using Geoscientific Information System (GIS) in the northern area of Chungju Lake. Selected factors which affect the slope stability in the study area were lithology, soil, density of lineament, groundwater level, dip of slope, aspect of slope, and geological engineering properties. Geological structural domains were determined by collected data of joint orientation from about 200 sites in order to produce a slope instability map. Potential type of failure and its direction could be expected through the domains. And a slope instability map was produced, comparing the representative orientations of the domains with the orientations of the slopes which were made through TIN module in ARC/INFO. Under the consideration of environmental geological characteristics of the study area, rating and weighting of each factor of slope stability analysis were decided and spatial analysis of regional slope stability was couducted through overlaying technique of GIS. The result of areal distribution of slope stability showed that the most unstable area was the area between Mt. Pudae and Mt. Jubong, and the northern area of the railway station, Samtan.

• 한국공간구조학회논문집
• /
• 제14권3호
• /
• pp.47-56
• /
• 2014

This paper investigates the characteristics of unstable behaviour and critical buckling load by joint rigidity of framed large spatial structures which are sensitive to initial conditions. To distinguish the stable from the unstable, a singular point on equilibrium path and a critical buckling level are computed by the eigenvalues and determinants of the tangential stiffness matrix. For the case study, a two-free node example and a folded plate typed long span example with 325 nodes are adopted, and these adopted examples' nonlinear analysis and unstable characteristics are analyzed. The numerical results in the case of the two-free node example indicate that as the influence of snap-through is bigger; that of bifurcation buckling is lower than that of the joint rigidity as the influence of snap-through is lower. Besides, when the rigidity decreases, the critical buckling load ratio increases. These results are similar to those of the folded-typed long span example. When the buckling load ratio is 0.6 or less, the rigidity greatly increases.

• 대한족부족관절학회지
• /
• 제22권1호
• /
• pp.8-15
• /
• 2018

Ankle osteoarthritis is a debilitating condition that causes severe pain associated with functional impairment and decreased activity. Ankle osteoarthritis, unlike that of the knee or hip joint, is rare in primary arthritis. Most cases are traumatic arthritis that occur after ankle sprain or fractures or chronic ankle instability. Although ankle fusion has been regarded as the standard treatment of ankle osteoarthritis in the past, total ankle arthroplasty (TAA) is increasing due to the development of the implant design and surgical techniques. TAA is biomechanically superior to ankle fusion by preserving the movement of the ankle joint. In particular, it is functionally superior to ankle fusion because it enables normal joint motion during gait. In addition, there is an advantage of preserving the movement of the hindfoot and reducing the abnormal stress applied to the adjacent joints after ankle fusion to prevent the occurrence of long-term adjacent joint arthritis. Although the short-term and mid-term results of TAA have been reported to be excellent, long-term follow-up has a relatively low survival rate and high complication rate compared to total knee or hip arthroplasty. Therefore, continuous and further research is needed.

• 대한인간공학회지
• /
• 제32권3호
• /
• pp.245-252
• /
• 2013

Objective: This paper analyzes the changes on stride parameters, joint angles, and trajectories of the body parts due to high heels during walking and explains the causal relationship between the changes and high heels. Background: This study aims to indicate the comprehensive gait changes by high heels on the whole body for women wearing high heels and researchers interested in high-heeled walking. Method: The experiment was designed in which two different shoe heel heights were used for walking (1cm, 9.8cm), and twelve women participated in the test. In the experiment, 35 points on the body were tracked to extract the stride parameters, joint angles, and trajectories of the body parts. Results: Double support time increased, but stride length decreased in high-heeled walking. The knee inflexed more at stance phase and the spine rotation became more severe. The trajectories of the pelvis, the trunk and the head presented outstanding fluctuations in the vertical direction. Conclusion: The double support time and the spine rotation were changed to compensate instability by high heels. Reduced range of motion of the ankle joint influenced on the stride length, the knee flexion, and fluctuations of the body parts. Application: This study can provide an insight of the gait changes by high heels through the entire body.

• Geomechanics and Engineering
• /
• 제23권6호
• /
• pp.587-600
• /
• 2020

Shear-induced instability of jointed rock mass has greatly threatened the safety of underground openings. To better understand the failure mechanism of surrounding rock mass under shear, the flawed specimens containing a circular opening and two open joints are prepared and used to conduct direct shear tests. Both experimental and numerical results show that joint inclination (β) has a significant effect on the shear strength, dilation, cracking behavior and stress distribution around flaws. The maximum shear strength, occurring at β=30°, usually corresponds to a unifrom stress state around joint and an intense energy release. However, a larger joint inclination, such as β=90°~150°, will cause a more uneven stress distribution and a stronger stress concentration, thus a lower shear strength. The stress distribution around opening changes little with joint inclination, while the magnitude varys much. Both compression and tension around opening will be greatly enhanced by the 30°-joints. In addition, a higher normal stress tends to enhance the compression and suppress the tension around flaws, resulting in an earlier generation and a larger proportion of shear cracks.