• Title/Summary/Keyword: WRIST

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A Survey on the Prevalence of Musculoskeletal Symptom according to Work Task (작업유형별 근골격계 증상 호소율에 관한 조사연구)

  • Oh, Hae-Ju;Lee, Duk-Hee;Park, In-Guen;Jang, She-Han
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.2 s.46
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    • pp.230-241
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    • 1994
  • Though people occupationally exposed to machineries and automation in the industrialized society desire work involving decreased strength, due to the continuous and repetitive activities, a new industrial stress is present. Studies on prevalence of musculoskeletal disease and their related risk factors have evolved. In this study in relation to work tasks, we investigated the differences in musculoskeletal symptoms occurring In each body region. The results of the survey were as follows. 1. When comparing age, level of education, work duration, job satisfaction and leisure time activities according to work task, age in control group was $38.83{\pm}5.5$, in comparison to the other 2 groups was smaller(p<0.05), and level of education in control group was higher (p<0.05). Work duration in the cutting department was $8.04{\pm}4.99$ years longer than the other 2 groups (p<0.05), but there was no difference in the job satisfaction and leisure time activities. 2. The mean of symptom scores of each work task was 1.54 in the cutting department, 1.57 in the press department and 1.59 in the control group, and there was no significant differnce in the 3 groups. The mean of symptom scores for upper extremities in the control group was low but no statistically significant diffrence was shown. 3. When comparing the mean of symptom score according to work task in the each body region, in the shoulder region, the symptom score in the press department which desired strength was higher than the other 2 groups but no significant difference was shown. In the wrist region the cutting department scored 1.01 and in comparison to the other 2 groups was significantly increased (p<0.05). 4. The results of the univariate regression analysis on the major individual risk factors associated with musculoskeletal symptom relating work showed that previous symptom complaints in the same body region was significant risk factor(p<0.001) in the whole body Besides wrist, hip, and knee, psychological problem was shown to be a significant factor(p<0.05). And the body regions which work task was significant risk factor were wrist and neck region (p<0.05). 5. The results of the multiple regression analysis involving significant factors of each body region from the univariate regression analysis showed that previous symptom complaint in whole body region(p<0.001) and psychological problem in the shoulder, elbow and lumbar region (p<0.05) were significant factors, and work task was significant factor in the wrist (p<0.05).

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Reconstruction of Electrical Burned Hand by Posterior Tibial Arterial Free Flap (후경골 동맥 유리 피판에 의한 수부 전기 화상의 재건)

  • Choi, Soo-Joong;Seo, Eun Min;Lee, Chang Ju;Chang, Jun Dong;Kim, Suk Wu;Lee, Sang Hun;Lee, Dong Hun;Seo, Young jin
    • Archives of Reconstructive Microsurgery
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    • v.13 no.1
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    • pp.14-23
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    • 2004
  • Introduction: The hand and wrist are particularly susceptible to electrical burn. Skin defect with damage or exposure of underlying vital structure requires coverage by skin flap especially in case of the need for late reconstruction. We are reporting 4 cases of electrical burned hand treated by posterior tibial arterial free flap. The commonly used skin flaps such as scapular flap or groin flap are too bulky so that they are not satisfactory in function and cosmetic appearance. So we tried to cover them with a more thin skin flap. Materials and Method: From January 2002 to June 2003, four cases of hand and wrist electrical burn were covered using posterior tibial arterial free flap. All the cases were due to high voltage electrical burn. Age ranged from 31 years to 38 years old and all the cases were male patients. Recipient sites were 2 wrist, one thenar area and one knuckle of 2.3rd MP joint. Additional procedures were flexor tenolysis (simultaneous), FPL tenolysis and digital nerve graft (later) and extensor tendon reconstruction (later). Result: All the flap have survived totally without any complication including circulatory concern about the donar foot. Posterior tibail arterial free flap was so thin that debulking procedure was not required. Conclusion: For skin coverage of the hand & wrist region, posterior tibial arterial free flap have many advantages such as reliable anatomy, easy dissection and easy anastmosis with radial or ulnar artery and possibility of sensory flap. The most helpful advantage for hand coverage is its thinness. So we think this flap is one of the very useful armamentarium for reconstructive hand surgery.

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The Tangential Projection Method for Checking Existence and Nonexistence of Radius Groove Penetration of Screw after Distal Radius Fracture Operation Used the T-type Plate (T형 금속판을 이용한 요골 원위부 골절 수술 후 나사못의 요골구 관통 유무를 확인하기 위한 접선방향 촬영법)

  • Seo, Sun-Youl;Hong, Ki-Jang;Han, Man-Seok;Kim, Yong-Kyun
    • Journal of radiological science and technology
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    • v.33 no.4
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    • pp.335-340
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    • 2010
  • This paper is about a projection method to check existence of radius groove penetration of screw after distal radius fracture operation using the T-type plate. Angle of Radius groove was analyzed by fifty one CT images that contains patients' wrist and twenty cases of radius specimens. After making radius phantom by plaster, we set the screw so that it penetrated 2.4 mm depth of radius groove. Then, we projected the phantom by X-ray in change of the elevation and supination angle of distal radius by 5 degree interval on 0~30 degree. The average value of groove angle in the wrist CT images was 14.4 degree and the radius specimens was 16.3 degree. Screws penetrating radius groove of the phantom have different lengths according to elevation angle and supination angle. Consequently, in order to confirm existence and nonexistence of radius groove penetration of the screw in tangential projection after distal radius fracture operation using the T-type plate, we recommend 5 degree of elevation angle and 20 degree of supination angle.

Assessment of Midpalatal Suture Maturation by Skeletal Maturity on Hand Wrist Radiographs (성장기 아동의 수완부 골 성숙도를 이용한 정중구개봉합 성숙도 평가)

  • Yu, Dayeol;Kim, Donghyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.1
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    • pp.31-41
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    • 2021
  • The aim of this retrospective study was to evaluate the correlation between the midpalatal suture maturation and skeletal maturation in growing children aged 7 - 15 years and predict the maturational stages of the midpalatal suture corresponding to skeletal maturity assessed by the skeletal maturation indicators (SMI) and middle phalanx of the third finger (MP3) stages. The group of this retrospective study was consisted of randomly selected 132 male and 135 female in age from 7 - 15 years. The maturation of the midpalatal suture was evaluated by using images from cone-beam computed tomography (CBCT) while the skeletal age was assessed by hand-wrist radiography. CBCT images and hand-wrist radiographs used in this study were obtained from all subjects for orthodontic diagnosis before orthodontic treatment. The maturational stages of the midpalatal suture showed strong correlations with both SMI and MP3 stages. The correlation between the midpalatal suture maturation and SMI (Spearman's correlation coefficient, ϒS = 0.905, p < 0.05) was slightly greater than that of MP3 stages (ϒS = 0.830, p < 0.05). There was a positive significant correlation between the midpalatal suture maturation and chronological age (ϒS = 0.868,p < 0.05). CBCT for evaluation of the midpalatal suture maturational stages may be unnecessary in every pediatric patients because SMI and MP3 stages were both replaceable useful methods for assessing maturation of the midpalatal suture before orthopedic treatment. In this retrospective study, the diagnostic reliability of the SMI method for estimating midpalatal suture maturation showed better reliability than the MP3 method.

Correlation between Serum IGF-1, IGFBP-3 Levels, and Hand-Wrist Radiographs in Determining Skeletal Maturity (골 성숙도 결정 시 혈청 IGF-1, IGFBP-3 농도와 수완부 방사선 사진의 상관관계)

  • Misun Kwak;Yon-joo Mah
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.3
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    • pp.334-346
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    • 2023
  • The aim of this study was to assess the correlation between serum levels of insulin-like growth factor-1 (IGF-1), insulin-like growth factor binding protein-3 (IGFBP-3), and hand-wrist radiographs using a skeletal maturity indicator (SMI) and the middle phalanx of the third finger (MP3). Hand-wrist radiographs and blood samples from 205 patients aged 7 - 17 years were retrospectively analyzed by two dentists using the SMI stages, MP3 stages, and serum IGF-1 and IGFBP-3 levels. Serum IGF-1 levels were highest at the SMI 6 - 8 and MP3 - G stage and lowest at the SMI 1 - 3 and MP3 - F stage (p < 0.0001). Serum IGFBP-3 levels were highest at the SMI 9 - 10 and MP3 - I stage and lowest at the SMI 1 - 3 and MP3 - FG stage (p = 0.010, 0.030). As a result of Pearson correlation analysis, a relatively high correlation was found between skeletal maturity using the SMI and MP3 stages and serum IGF-1 levels (r = 0.698, 0.622, p < 0.0001). According to the results of this study, serum IGF-1 levels can be used as an auxiliary measure to evaluate the skeletal maturity of children and adolescents in dentistry. The range from the mean serum IGF-1 level of 472 ㎍/L in SMI 6 stage to the mean IGF-1 level of 510.63 ㎍/L in MP3 G stage could be considered as the peak height velocity in clinical practice.

Reliability Study of Three-Dimensional Motion Analysis Program for Wrist and Finger Joint Range of Motion Measurement (손목 · 손가락 관절가동범위 측정에 관한 3차원 동작분석 프로그램의 신뢰도 연구)

  • Park, Sun Ha;Park, Ji-Hyuk;Kim, Jong Bae;Jung, Young Jin;Lee, Joo Hyun;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.1
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    • pp.79-92
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    • 2023
  • Objective : This study aimed to assess the reliability of a three-dimensional (3D) motion analysis program for measuring the range of motion (ROM) of wrist and finger joints. Methods : The study recruited 50 people who had no restrictions on wrist and finger movements, understood the purpose of this study, and agreed to participate. Using a goniometer and a 3D motion analysis program, a total of 11 wrist and finger ROM were measured once each. To measure the reliability of the 3D motion analysis program, the degree of agreement and inconsistency of the measured values were compared. Results : Analysis of the degree of agreement of the measured values revealed that 38 out of 44 items showed a very high degree of agreement. Regarding analysis of inconsistency in the measured values, inconsistencies were found in three items. Conclusion : The results of this study confirmed that the ROM of the joint could be measured using the 3D motion analysis program applied in this study. In addition, it might be expected that the 3D motion analysis program would be used in various clinical fields owing to the advantages of measurement convenience and accuracy.