• 제목/요약/키워드: elbow motion

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Open Stabilization in Anterior Shoulder Instability

  • 이용걸
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 1997년도 학술대회
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    • pp.24-27
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    • 1997
  • $\cdot$ aims for open stabilization: anatomic restoration optimal stabilization $\cdot$ open stabilization: predictable results acceptable recurrence rates few complications good range of motion $\cdot$ wide eye for open, narrow eye for scopy

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근위 상완골 골절 (Proximal Humaral Fractures)

  • 김정우
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2007년도 제5차 연수강좌
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    • pp.189-195
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    • 2007
  • $\cdot$ Difficult & Challenging Fracture $\cdot$ Most Treated Nonoperative $\cdot$ ORIF in Young Patients with Unstable Fractures $\cdot$ Fixed Angles Device is Promising $\cdot$ Prosthetic Arthroplasty in Elderly $\cdot$ Loss of Motion Very Common

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3차원 동작분석법을 활용한 골프웨어 평가를 위한 기초연구 - 상체 동작범위를 중심으로 - (Evaluation Method for Fit of Golf wears based on 3D Motion Analysis - Focus on motion range of upper body -)

  • 정혜원;신주영;남윤자
    • 한국의류산업학회지
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    • 제18권3호
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    • pp.338-350
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    • 2016
  • The purpose of this study is to analyze joint angle for a range of swing motion derived through 3D motion analysis in order to design the ergonomic golf wear, use it for evaluation method of apparel fit to improve exercise functionality and provide the basic materials necessary for designing clothes. In order to do this, the subjects for this study were 3 men of age 20s. The data for a range of motion of golf swing were collected by using equipment for 3D motion analysis and then were used for analysis of joint angles and evaluation method of apparel fit. Range of motion was derived through 3D motion analysis of golf swing motion and joint angles for items of joint motion item and of X, Y, and Z-axis were calculated, respectively. In order to set the evaluation questions for evaluation of apparel fit, to find a range of motion at the maximal value and the minimal value of swing motion. As a result, during the swinging motion, neck extension, right shoulder extension, right/left elbow extension, right/left elbow supination did not appear. Items of joint motion showing the maximum at range of each swing motion were applied into 55 questions and consisted. The results of this study were meaningful as a basic study to apply 3D motion analysis to the fashion industry. It's expected to be used to design functional clothing.

유체-입자 연성 운동에 의한 굽힘형 배관의 침식률 수치해석 (Numerical Simulation of Erosion Rate on Pipe Elbow Using Coupled Behavior of Fluid and Particle)

  • 장호상;이하원;황세윤;이장현
    • 한국해양공학회지
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    • 제31권1호
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    • pp.14-21
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    • 2017
  • The erosion of solid particles in a pipe elbow was numerically investigated. A numerical procedure to estimate the sand erosion rate, as well as the particle motion, in the pipe elbow flow was introduced. This procedure was performed based on the combined empirical erosion model and computational fluid dynamics (CFD) analysis to consider the interaction between the particle motion and the eroded surface. The underlying turbulent flow on an Eulerian frame is described by the Reynolds averaged Navier-Stokes (RANS) equations with a $k-{\epsilon}$ turbulent model. The one-way coupled Eulerian-Lagrangian motion of the air flow and sand particles is employed to simulate the particle trajectories and particle-wall interactions on the pipe surfaces. The predicted CFD erosion magnitudes are compared with experimental data from pipe elbows. The erosion rate results do not reveal a good accordance between the simulation and experimental results. It seems that the CFD shows a slightly over-predicted erosion ratio.

주관절 강직의 관절경적 치료 (Arthroscopic Treatment of Stiff Elbow)

  • 문영래;남기영
    • Clinics in Shoulder and Elbow
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    • 제13권2호
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    • pp.299-303
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    • 2010
  • 목적: 주관절 강직의 관절경적 처치는 효과적이지만 술자의 능력이 요구되는 것이 사실이다. 이 종설의 목적은 주관절 강직에 대한 관절경적 처치 방식을 기술하고자 한다. 대상 및 방법: 비수술적 치료에 반응하지 않는 주관절 강직의 경우 운동 제한을 유발하는 연부 조직 및 골성 물질을 제거하게 된다. 이때 주두, 구상 돌기의 골극과 유리체의 제거는 합병증의 빈도는 낮고 좋은 결과를 보장한다. 결과 및 결론: 관절경을 이용한 주관절 강직의 치료에서는 구축된 조직을 절제하고 중요한 해부학적 구조물들을 보호하기 위한 지식과 숙련된 기술이 필수적이다.

Arthroscopic remplissage: history, indications, and clinical outcomes

  • Mohamad Y. Fares;Mohammad Daher;Peter Boufadel;Emil R. Haikal;Jonathan Koa;Jaspal Singh;Joseph A. Abboud
    • Clinics in Shoulder and Elbow
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    • 제27권2호
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    • pp.254-262
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    • 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.

상완골 과상부 골절후 발생한 내반주 변형에 대한 삼차원 교정 절골술 (Three-Dimensional Corrective Osteotomy for Treatment of Cubitus Varus after Supracondylar Fracture of the Humerus)

  • 김풍택;인주철;경희수;오승훈
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.58-65
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    • 1998
  • Cubitus varus deformity after supracondylar fracture of the humerus in children generally includes deformities of varus, hyperextension and internal rotation. Recently almost all corrective osteotomies for treatment of the varus deformity have been limited to correction of only the varus or of the varus and hyperextension deformity. Electromyographic study has revealed unphysiological joint motion and muscle activity around the joint in elbows with cubitus varus, hyperextension and internal rotation deformity. On this basis we have successfully attempted simultaneous correction of all three deformities. The end results in ] 3 elbows have been satisfactory without any complications such as delayed union, limitation of elbow motion or nerve palsy. In conclusion, we recommend simultaneous correction of the three elements of cubitus varus deformity to restore anatomic alignment of the elbow joint.

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역전파 신경망 이론을 이용한 팔꿈치 관절의 관절토크 추정에 관한 연구 (Joint Torque Estimation of Elbow joint using Neural Network Back Propagation Theory)

  • 장혜연;김완수;한정수;한창수
    • 한국정밀공학회지
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    • 제28권6호
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    • pp.670-677
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    • 2011
  • This study is to estimate the joint torques without torque sensor using the EMG (Electromyogram) signal of agonist/antagonist muscle with Neural Network Back Propagation Algorithm during the elbow motion. Command Signal can be guessed by EMG signal. But it cannot calculate the joint torque. There are many kinds of field utilizing Back Propagation Learning Method. It is generally used as a virtual sensor estimated physical information in the system functioning through the sensor. In this study applied the algorithm to obtain the virtual senor values estimated joint torque. During various elbow movement (Biceps isometric contraction, Biceps/Triceps Concentric Contraction (isotonic), Biceps/Triceps Concentric Contraction/Eccentric Contraction (isokinetic)), exact joint torque was measured by KINCOM equipment. It is input to the (BP)algorithm with EMG signal simultaneously and have trained in a variety of situations. As a result, Only using the EMG sensor, this study distinguished a variety of elbow motion and verified a virtual torque value which is approximately(about 90%) the same as joint torque measured by KINCOM equipment.

Outcome of open reduction and Kirschner wire fixation in pediatric radial neck fracture

  • Rouhani, Alireza;Chavoshi, Mohammadreza;Sadeghpour, Alireza;Aslani, Hossein;Mardani-Kivi, Mohsen
    • Clinics in Shoulder and Elbow
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    • 제24권4호
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    • pp.239-244
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    • 2021
  • Background: Radial neck fracture in children is rare. This study attempted to evaluate the outcome of surgically treated patients and any associated complications. Methods: This study evaluated 23 children under 15 years of age with radial neck fracture who were treated with open reduction between 2006 and 2016 to determine their range of motion, postoperative complications, and radiographic outcomes. The results were assessed clinically using the Mayo clinic elbow performance score. Results: The mean follow-up duration for patients was 34.6 months. The average postoperative angulation was 3.6°. Hypoesthesia was reported in only 9% of patients, and none of the patients complained of postoperative pain. The postoperative X-ray results were excellent in 60% and good in 40%. No radiographic complications were identified. The elbow score was excellent in 87% and good in 13% (mean score, 96.74). There was a statistical relationship between range of motion limitations and age, degree of fracture, initial displacement, and surgical pin removal time. Conclusions: Although most patients accept the closed reduction method as a primary treatment, the present study suggests that an open-reduction approach has been associated with optimal therapeutic outcomes for patients in whom closed reduction was not satisfactory or indicated.

주관절 강직의 병태 생리 (Pathophysiology of Stiff Elbow)

  • 송현석;윤형문
    • Clinics in Shoulder and Elbow
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    • 제13권2호
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    • pp.286-292
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    • 2010
  • 목적: 관절의 적절한 기능을 위해서는 관절의 안정성과 운동 범위의 유지가 필요하다. 주관절과 연관된 환자의 주소의 대부분이 주관절의 강직이다. 최근 보고들에서 주관적의 강직에 대한 치료에서 우수한 결과가 보고되고 있다. 그러나 어떠한 술식을 선택하여야 하는 것은 결정하기 어렵다. 대상 및 방법: Morrey 등은 기능적인 운동 범위를 30-130도의 굴곡-신전 범위, 50도 회내전 및 50도 회외전이라고 하였다. 이 범위에서 일상 생활의 약 90%가 이루어 진다. 주관절 강직은 원인이 되는 외상과 주 병변의 위치에 따라서 분류할 수 있다. 관절 내 원인으로는 심각한 관절 내 불일치, 관절 내 유착 또는 관절 내 연골의 소실, 골극 형성에 의한 기계적 제한, 관절 내 유리체, 활액막의 과다 증식이 해당된다. 관절 외 원인으로는 외상 또는 탈구에 의한 심한 관절막의 유착, 측부 인대 또는 근육의 구축이 해당된다. 결과 및 결론: 신전 제한의 주 원인은 전방 관절막의 섬유화에 의한 구축이다. 이러한 병변은 전방 관절막 절제술이 도움이 된다. 굴곡 제한의 주 원인은 내측부 인대의 후방대의 구축이다.