• Title/Summary/Keyword: Ulnar

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Diabetes affects Peripheral Nerve and Heart Function

  • Ku, Jeong-Min;Choi, Hwa-Sik;Hyun, Kyung-Yae;Moon, Seong-Min;Kim, Dae-Sik;Choi, Seok-Cheol
    • Biomedical Science Letters
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    • v.17 no.4
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    • pp.313-319
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    • 2011
  • Diabetes mellitus (DM) leads to a variety of complications and thus we have retrospectively studied to investigate problems of nerve conduction velocity (NCV) study and the heart in the patients with type-II DM. Blood glucose and blood pressure levels were higher in DM group than in Non-DM group. We found that several latencies were delayed in motor conduction study of upper (median and ulnar nerve) and lower extremities (peroneal and tibial nerve), whereas amplitudes and NCVs were decreased in DM group compared with Non-DM group. Latencies of sensory conduction study in upper and lower extremities (sural nerve) were delayed, while amplitudes and NCVs were lower in DM group than in Non-DM group. Abnormal percent of the electrocardiogram was higher in DM group than in Non-DM group. This retrospective study suggests that type-II DM can cause a damage effect on the peripheral nerve and the heart function.

Late-onset Brachial Artery Occlusion caused by Subclavian Artery Stenosis after Clavicular Fracture: A Case Report

  • Cho, Chul-Hyun;Song, Kwang-Soon;Min, Byung-Woo;Bae, Ki-Cheor
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.175-175
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    • 2008
  • We report a rare case of late-onset brachial artery occlusion caused by subclavian artery stenosis with excessive scar tissue after open reduction and plate fixation for clavicular fracture. When he referred to us, the right hand were pale and the radial and ulnar pulses at the wrist were absent. CT-angiogram showed compression of subclavian artery by excessive scar tissue beneath the fracture site and angiography revealed stenosis of subclavian artery with thrombus and complete obstruction of blood flow in the brachial artery with emboli. Therefore, we performed embolectomy. 2 years after operation, patient was essentially asymptomatic except mild pain after long standing elevation of arm. We recommend that minimal soft tissue dissection should be needed in the operative treatment of clavicular fracture, especially soft tissue beneath the clavicle should be protected maximally.

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A Kinematic Analysis of the Upper-limb Motion of Wheelchair Basketball Free Throw Shooting (휠체어 농구 자유투 동작시 상지분절의 운동학적 분석)

  • Han, Hee-Chang;Yoon, Hee-Joong;Lee, Hoon-Pyo
    • Korean Journal of Applied Biomechanics
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    • v.13 no.3
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    • pp.181-197
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    • 2003
  • The Purpose of this study was to examine the kinematic analysis of the upper-limb motion of wheelchair basketball free throw shooting. Three-dimensional kinematic data were obtained from 8 male wheelchair basketball players performing a successful free throw. Players were divided into three groups, according to their IWBF classification(Group 1: 1 point players, Group 2: 2-2.5point players and Group 3:3.5-4 point players) Wheelchair basketball free throw motions were taken by video camera. The three-dimensional coordinates was processed by DLT. Players from Group 1 and 2 tended to release the ball from a lower height, with greater velocity and release angle. Players from Group 1 showed greater shoulder horizontal adduction and horizontal abduction angle, wrist ulnar flexion and radial flexion angle, and trunk angle. but players from Group 2 appeared lower shoulder abduction. Upper limb angular velocity showed most greatly in hands from Group 1, upperarm from Group 2, and forearm from Group 3.

Intraneural Ganglion Cyst of the Peripheral Nerve: Two Cases Report (말초 신경에 발생한 신경 내 결절종: 2예 보고)

  • Kim, Tai-Seung;Jo, Young-Hoon;Paik, Seung-Sam;Kim, Sung-Jae
    • The Journal of the Korean bone and joint tumor society
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    • v.19 no.2
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    • pp.83-86
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    • 2013
  • Ganglion cysts that occurred within sheaths of peripheral nerves have been documented in literatures, but it is relatively rare condition. The peroneal nerve is the most common site of involvement. Other reported sites of involvement are the radial, ulnar, median, sciatic, tibial and posterior interosseous nerves. We report a case of the intraneual ganglion cyst within peroneal nerve and another case of the intraneural ganglion cyst within a medial plantar nerve that were successfully excised without neurologic complication.

Ultrasonography of the Elbow Joint (주관절의 초음파 검사)

  • Kim, Chul Hong;Lee, Myung Jin;Kang, Min Soo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.123-129
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    • 2012
  • The purpose of this article is review about the use of ultrasonography in the evaluation of the elbow joint. Ultrasonography has several key advantages in elbow joint, including easy assessment of target structure in elbow joint and ability to perform real time dynamic examination and to compare with opposite site. Ultrasonography is easy available to visualize abnormalities affecting tendons, muscles, ligaments, bursae, and occult fractures around the elbow joint and also allows accurate assessment of ulnar nerve in cubital tunnel. The role of ultrasonography will increase further with regards to evaluation of soft-tissue abnormalities of the elbow joint.

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Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report

  • Vargas, Daniel Gaitan;Woodcock, Santiago;Porto, Guido Fierro;Gonzalez, Juan Carlos
    • Clinics in Shoulder and Elbow
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    • v.23 no.1
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    • pp.27-30
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    • 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.

Psychophysical Stess Depending on Repetition of Wrist Motion and External Load (손목 동작의 반복과 외부 부하에 따른 심물리학적 부하)

  • Kee, Do-Hyung
    • Journal of the Korean Society of Safety
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    • v.19 no.4 s.68
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    • pp.123-128
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    • 2004
  • This study investigated effect of arm posture, repetition of wrist motion and external load on perceived discomfort. The arm postures were controlled by shoulder flexion, elbow flexion, and ist motions such as flexion, extension, radial deviation and ulnar deviation. An experiment was conducted to measure discomfort scores for experimental treatments using the magnitude estimation, in which the L16 orthogonal array was adopted for reducing the size of experiment. The results showed that while the effect of the shoulder flexion, repetition of wrist motion and external load was statistically significant at $\alpha=0.05$or 0.10, that of the elbow and wrist motions was not. Discomfor ratings increased linearly as levels of wrist repetition and external load increased. This implies that the existing posture classification schemes such as OWAS, RULA, which do not properly consider effect of motion repetition and external load, may underestimate postural load. Based on the regression equation for wrist repetition and external load, isocomfort region indicating the region within which discomfort scores were expected to be the same was proposed. It is recommended that when assessing risk of postures or developing new posture classification schemes, motion repetition and external load as well as posture itself be fully taken into consideration for precisely evaluating postural stress.

Study on the Skin of Hand Lesser Yang from the Viewpoint of Human Anatomy

  • Park, Kyoung-Sik
    • The Journal of Korean Medicine
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    • v.36 no.4
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    • pp.69-73
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    • 2015
  • Objectives: This study was carried out to analyse the skin of the Hand lesser yang in human. Methods: The Hand lesser yang meridian was labeled with latex in the body surface of the cadaver, subsequently dissecting a body among superficial fascia and muscular layer in order to observe internal structures. Results: This study has come to the conclusion that a depth of the skin has encompassed a common integument and a immediately below superficial fascia, and this study established the skin boundary with adjacent structures such as relative muscle, tendon as compass. The skin area of the Hand lesser yang in human is as follows: The skin close to the ulnar root angle of 4th finger nail, above between 4th and 5th metacarpal bone, between extensor digit. minimi tendon(t.) and extensor digit. t., extensor digit. m(muscle). at 2, 4, 7 cun above dorsal carpal striation, triceps brachii m. t., deltoid m., trapezius m., just around the ear, upper orbicularis oculi m. Conclusions: The skin area of the Hand lesser yang from anatomical viewpoint seems to be the skin area outside the superficial fascia or the muscle involved in the pathway of the Hand lesser yang meridian, the collateral meridian, the meridian muscle, with the condition that we consider adjacent skins.

The Reliability of Kinematic Analysis for Distal Upper Extremity in Normal Person (정상인의 상지 원위부에 대한 운동학적 분석의 신뢰도)

  • Byun, Jae-Hyun;Hong, Wan-Ki
    • Journal of Applied Reliability
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    • v.16 no.2
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    • pp.147-154
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    • 2016
  • Purpose: To evaluate statistical differences among three measurements of range of motion (ROM) with Rapael Smart Glove (RSG) group 1, 2 and manual goniometer group. To investigate reference value of the kinematic analysis for range of motion (ROM) of distal upper extremity with Rapael Smart Glove (RSG). Methods: Sixteen normal persons without limitation of motion (LOM) enrolled in the study. The study was performed at two separate times and by two investigators on 16 normal adults. We compared ROM with RSG for measuring joint angles. We compared degrees of forearm supination/pronation, wrist flexion/extension and radial deviation/ulnar deviation during ROM of 16 participants using RSG. After one week, degrees of each motion were measured in the same way by other investigator to evaluate the reliability. Results: Statistical differences among three groups were showed. Most results of paired t-test between two RSG groups were over 0.05 and exceptions are supination, extension, and finger %. Conclusion: Our findings demonstrate that ROM of normal persons obtained by kinematic analysis with RSG are not valid as normal reference value for distal upper extremity motion. But, the reliability of between two RSG groups was showed with paired t-test and Pearson's correlation except supination, extension and finger %.

Normal Anatomy of the Wrist Joint (손목 관절의 해부학)

  • Kang, Hong Je
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.1-7
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    • 2012
  • The wrist joint was consisted with various bones, ligaments, and muscles. The wrist joint is difficult to understand, because of its complicated anatomical structure. The wrist joint is not one space but three joints; radiocarpal joint between distal radioulnar and proximal carpal bone, midcarpal joint between proximal and distal carpal bone, and distal radioulnar joint between distal radius and ulnar head. Normally each joint is separated from each other. Exact understanding about normal anatomy of the wrist joint is necessary for treatment of disease and injury in wrist joint. In this reviews, we will see normal anatomy of the wrist joint.

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