• Title/Summary/Keyword: anatomical

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Reconstruction for Chronic Lateral Instability of the Ankle by Chen Method (Chen 술식을 이용한 족근관절의 만성 외측 불안정에 대한 재건술)

  • Lee, Gi-Haeng;Yoo, Jong-Min;Na, Gee-Tae;Kong, Yoon-Bae;Chu, In-Tak
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.53-57
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    • 2010
  • Purpose: This study was designed to evaluate the clinical and radiographical results of anatomical reconstruction by Chen method for chronic lateral ankle instability. Materials and Methods: Fifteen patients with chronic lateral ankle instability who had undergone anatomical reconstruction of anterior talofibular and calcaneofibular ligaments by Chen method were evaluated retrospectively. Average age of the patients was 31.3 years, and average follow-up period was 15.5 months. Preoperative and postoperative radiographs including varus stress view and magnetic resonance imaging (MRI) were analyzed. The clinical evaluation was performed according to the American Orthopaedic Foot and Ankle Society (AOFAS) scale. Results: Radiographically average talar tilt angle was $15.3^{\circ}$ preoperatively, and the difference with contralateral normal side was $10.1^{\circ}$. At last follow up, talar tile angle and the difference with contralateral side improved to $5.9^{\circ}$ and $1.3^{\circ}$ respectively. AOFAS scale was 66.6 preoperatively and 87.3 postoperatively. In MRI findings, four patients had associated intra-articular lesion such as articular cartilage defect, synovitis and osteoarthritis. The talar tilt angle improvement and AOFAS scale of patients without intra-articular lesion was better than those of four patients with intra-articular lesions. Surgical wound pain occurred in six patients and sural neuropathy in three patients. Conclusion: The anatomical reconstruction by Chen method was an easy and effective procedure for symptomatic chronic lateral ankle instability. Careful operative technique may prevent the surgical wound pain and sural neuropathy.

Surgical Treatment of Carpal Tunnel Syndrome through a Minimal Incision on the Distal Wrist Crease: An Anatomical and Clinical Study

  • Yoo, Hye Mi;Lee, Kyoung Suk;Kim, Jun Sik;Kim, Nam Gyun
    • Archives of Plastic Surgery
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    • v.42 no.3
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    • pp.327-333
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    • 2015
  • Background An anatomical analysis of the transverse carpal ligament (TCL) and the surrounding structures might help in identifying effective measures to minimize complications. Here, we present a surgical technique based on an anatomical study that was successfully applied in clinical settings. Methods Using 13 hands from 8 formalin-fixed cadavers, we measured the TCL length and thickness, correlation between the distal wrist crease and the proximal end of the TCL, and distance between the distal end of the TCL and the palmar arch; the TCL cross sections and the thickest parts were also examined. Clinically, fasciotomy was performed on the relevant parts of 15 hands from 13 patients by making a minimally invasive incision on the distal wrist crease. Postoperatively, a two-point discrimination check was conducted in which the sensations of the first, second, and third fingertips and the palmar cutaneous branch injuries were monitored (average duration, 7 months). Results In the 13 cadaveric hands, the distal wrist crease and the proximal end of the TCL were placed in the same location. The average length of the TCL and the distance from the distal TCL to the superficial palmar arch were $35.30{\pm}2.59mm$ and $9.50{\pm}2.13mm$, respectively. The thickest part of the TCL was a region 25 mm distal to the distal wrist crease (average thickness, $4.00{\pm}0.57mm$). The 13 surgeries performed in the clinical settings yielded satisfactory results. Conclusions This peri-TCL anatomical study confirmed the safety of fasciotomy with a minimally invasive incision of the distal wrist crease. The clinical application of the technique indicated that the minimally invasive incision of the distal wrist crease was efficacious in the treatment of the carpal tunnel syndrome.

Coordination Pattern of Upper Limb of Sweep Shot Movement in Ice Hockey (아이스하키 스위프 샷(Sweep shot) 동작의 상지의 협응 형태)

  • Choi, Ji-Young;Lee, Eui-Lin
    • Korean Journal of Applied Biomechanics
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    • v.17 no.4
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    • pp.169-179
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    • 2007
  • The purpose of this study was to investigate the relations between the segments of the body and to qualitatively analyze coordination pattern of joints and segments during Sweep Shot movement in Ice Hockey, by utilizing coordination variables was angle vs. angle plots. By the utilization the three dimensional anatomical angle cinematography, the angles of individual joint and segment according to sweep shot in ice hockey. The subjects of this study were five professional ice hockey players. The reflective makers were attached on anatomical boundary line of body. For the movement analysis three dimensional cinematographical method(APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVIEW 6.1 graphical programming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and ice hockey stick were defined. The three dimensional anatomical angular displacement and coordination pattern of trunk and Upper limb(shoulder-elbow, elbow-wrist linked system) showed important role of sweep shot in ice hockey. As the result of this paper, for the successful movement of sweep shot in ice hockey, it is most important role of coordination pattern of trunk-shoulder, shoulder-elbow and elbow-wrist. specially turnk movememt as a proximal segment. Coordination pattern of Upper Limb(upperarm-forearm-hand) of Sweep Shot movement in Ice Hockey that utilizes coordination variables seems to be one of useful research direction to understand basic control mechanisms of Ice hockey sweep shooting linked system skill. this study result showed flexion-extension, adduction-abduction and internal-external rotation of trunk are important role of power and shooting direction coordination pattern of upper Limb of Sweep Shot movement in Ice Hockey.

A study on the interrelation between the twelve-Meridian Muscle and Muscles (십이경근(十二經筋)과 근육(筋肉)과의 관계(關係)에 대한 연구)

  • Sim Won-Bo;Kim Yong-Deuk;An Young-Nam;Kim Kyung-Sik;Sohn In-Chul
    • Korean Journal of Acupuncture
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    • v.20 no.2
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    • pp.137-153
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    • 2003
  • The Oriental Medicine is described with so many terms of its own theory causing misunderstand of the concept which is expressed with same term used in modern medicine. Muscular system is also used in the both medicines, the Oriental Medicine and modern medicine. For the purpose of resolving the misunderstand of using the medical terms, we referred to a large number of literature for the muscular system in both medicine. Although there are few references concerning about systematic components in the Oriental Medicine, among the concepts of the Oriental Medicine, there are comparatively many approaches to the Meridian muscular system, a muscular system related with the Meridian, Therefore, there are many similarities and differences in the interrelation between the muscular system which was stated at the time of the concept of the Meridian system was developed and anatomical muscular system in the modern medicine. As a result of survey the references, we found out that anatomical muscular system is limited to visual compartments, whereas the Meridian muscular system is covering not only visual components but also the relation with internal organs. We conclude that there are conceptual differences in the kyung-keun system in the past and anatomical muscular system in the present.

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The Relationship between Anatomical Characteristics and Bending Strength in Major Species of Korean Lepidobalanus (국산참나무 아속(亞屬) 주요 수종의 해부학적 성질과 휨강도와 관계)

  • Oh, Seung-Won
    • Journal of the Korean Wood Science and Technology
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    • v.27 no.1
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    • pp.9-17
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    • 1999
  • This study was carried out to get some basic information on mechanical properties of Korean Lepidobalanus for the rational utilization of their woods, Five species of Quercus variabilis, Q. aliena, Q. serrata, Q. mongolica, Q. acutissima belonging to Lepidobalanus were investigated in this research. Relationship of anatomical characteristics with bending strength was analyzed using stepwise regression technique. All possible combination of 21 independent variables were regressed on bending strength. The summarized results in this study were as follows: 1) In the proportion of wood structural elements, the most important factors on bending strength appeared to be proportion of wood fiber in earlywood in Q. variabilis and Q. serrate, proportion of ray in earlywood in Q. aliena, proportion of vessel in earlywood in Q. mongolica and proportion of wood fiber in latewood in Q. acutissima, respectively. 2) In the other quantitative anatomical characteristics, the most important factors on bending strength appeared to be number of pore per $1mm^2$ in latewood in Q. variabilis, microfibril angle in Q. aliena and Q. mongolica, length of wood fiber in Q. serrata and height of uniseriate ray in Q. acutissima, respectively.

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Studies on Wood Quality and Growth of Quercus rubra in Korea - Anatomical Properties - (루브라참나무의 생장과 재질 - 해부학적 성질 -)

  • Han, Mu-Seok;Lee, Jin-Ri;Kim, Ji-Su;Shin, Soo-Jeong;Kim, Byung-Ro
    • Journal of the Korean Wood Science and Technology
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    • v.43 no.4
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    • pp.421-428
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    • 2015
  • This study was carried out to investigate the relationship between anatomical characteristics and growth rate of Quercus rubra from different origins of seed. Anatomical characteristics showed that all Quercus rubra species were ring-porous woods with 1~3 layers of large pores in earlywood, but the latewood had small pores oriented in radial direction. There were slight differences in libriform fiber length and vessel element diameter in the earlywood among different provenance origins of seeds. In growth rate, the libriform fiber length and vessel element diameter was negative correlation in the earlywood, but not correlative in the latewood, and vessel element length was not correlative in the early and latewood, Volumetric composition of libriform fiber and ray in latewood was higher than those in ear lywood, and a higher composition of vessel element was observed in earlywood. Ray height was the range of from 11 to 15 cells.

Comparisons in Anatomical Morphology Between Soybean Cultivars of Different Flooding Tolerance under Early Vegetative Flooding Conditions (영양생장기 습해 처리에 따른 콩 품종의 해부형태학적 특성 비교)

  • Lee, Choong-Yeul;Cho, Jin-Woong
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.52 no.3
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    • pp.320-324
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    • 2007
  • To characterize flooding-affected anatomical morphology changes in soybean, flooding-tolerant cv Pung-sannamulkong (PSNK) and flooding-sensitive cv. Sobaek-namulkong (SBNK) at 5 trifoliate leaf stage were exposed to flooding by maintaining tap water 2 cm above soil surface for 9 days and resultant microscopic anatomical changes in leaf and hypocotyl cross-sections along with chlorophyll content and photosynthetic rate changes were compared. Flooding-sensitive SBNK exhibited more significant decrement in chlorophyll content, photosynthetic rate, number of palisade parenchyma, and leaf dry matter compared to cv. PSNK. Flooding decreased fineness of palisade parenchyma, while inducing wider xylem vessel, especially in PSNK. The aerenchyma formation in hypocotyls under flooding could be observed only in flooding-resistant PSNK. All these anatomical changes seems to be related with higher physiolocial activity and resultant resistance against flooding in PSNK compared to flood-sensitive PSNK.

The suprafascial course of lower leg perforators: An anatomical study

  • Vaienti, Luca;Cottone, Giuseppe;De Francesco, Francesco;Borelli, Francesco;Zaccaria, Giovanna;Amendola, Francesco
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.165-170
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    • 2020
  • Background Perforator mapping has been well described in the literature. Once the suprafascial plane is reached, the course of perforators is considered constant. However, the surgeon must be aware of whether an anastomosis exists between perforators superficially to the fascia, in order to choose the best vessel upon which to base the reconstruction. Our retrospective in vivo anatomical study of lower leg perforator flaps presents the first description of variations in the suprafascial path of perforators, which may influence preoperative flap design. Methods An anatomical study of lower limb perforators was performed on 46 nonconsecutive patients who were referred to our department from June 2012 to October 2018. Reconstruction with perforator-based propeller flaps was planned for each of the patients. In total, 72 perforators were preoperatively identified and surgically isolated. The suprafascial course of each perforator was reported. Results During suprafascial surgical exploration, branching patterns were observed in four perforators. These perforators had been classified as single vessels in the preoperative ultrasonographic analysis. However, after surgical dissection, distal converging branches were noted in two of them. Conclusions Our study is the first description in the literature of suprafascial converging perforators, which might constitute an obstacle to planned reconstruction procedures. Despite the accuracy of preoperative evaluations, anatomical variations were present. Knowledge of suprafascial perforator variations may help surgeons to choose the correct perforator upon which to base a planned flap.

Comparative studies on the Hanabusaya asiatica and its allied groups 1. External morphology and anatomical characters (금강초롱꽃 (Hanabusaya asiatica)과 근연분류군의 비교연구 1. 외부형태 및 해부학적 형질)

  • 유기억
    • Korean Journal of Plant Resources
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    • v.8 no.3
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    • pp.223-235
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    • 1995
  • Comparative studies on external morphology and anatomical characters were conducted understand the interspecific relationships and possibly to identify the position of Hanabusaya asiatica as an endemic genus among 4 genera and 9 species in H. asiatica and its allied groups. Such morphological characteristics as root shape, leaf size, presence or absence of wings in petiole, corolla and calyx shape, and inflorescence and stigma shape were useful qualitative characters. The morphology of stem, peduncle, calyx lobe, leaf, petiole, and ovary were also good characters to be included in this identification study. In the anatomical observations in these organs, projecting degree of epidermis and number of projecting area rather than cross-sectioned internal structures were found to be valuable index for the classification among species. External morphology and anatomical characters support the position of H. asiatica as an endemic genus very well. Known as the most important external characters to taxonomists(Fedorov, 1957: Nakai, 1952: Hong, 1983), leaf arrangement, inflorescence, and corolla shape were also preven to be very useful characters to identify the genera and species in the H. asiatica and its allied groups.

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The impact of reorienting cone-beam computed tomographic images in varied head positions on the coordinates of anatomical landmarks

  • Kim, Jae Hun;Jeong, Ho-Gul;Hwang, Jae Joon;Lee, Jung-Hee;Han, Sang-Sun
    • Imaging Science in Dentistry
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    • v.46 no.2
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    • pp.133-139
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    • 2016
  • Purpose: The aim of this study was to compare the coordinates of anatomical landmarks on cone-beam computed tomographic (CBCT) images in varied head positions before and after reorientation using image analysis software. Materials and Methods: CBCT images were taken in a normal position and four varied head positions using a dry skull marked with 3 points where gutta percha was fixed. In each of the five radiographic images, reference points were set, 20 anatomical landmarks were identified, and each set of coordinates was calculated. Coordinates in the images from the normally positioned head were compared with those in the images obtained from varied head positions using statistical methods. Post-reorientation coordinates calculated using a three-dimensional image analysis program were also compared to the reference coordinates. Results: In the original images, statistically significant differences were found between coordinates in the normal-position and varied-position images. However, post-reorientation, no statistically significant differences were found between coordinates in the normal-position and varied-position images. Conclusion: The changes in head position impacted the coordinates of the anatomical landmarks in three-dimensional images. However, reorientation using image analysis software allowed accurate superimposition onto the reference positions.