• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2017.10a
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• pp.494-496
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• 2017

본 논문에서는 기존의 회전근개 건 파열 추출 방법을 개선하기 위하여 초음파 영상에서 환자 정보를 제거하여 ROI 영역을 추출한다. 추출된 ROI 영역에서 명암 대비를 강조하기 위해 기존의 사다리꼴 형태의 퍼지 스트레칭 기법에서 소속 함수를 개선한 퍼지 스트레칭 기법을 적용하여 힘줄과 연골 영역을 효과적으로 강조한다. 강조된 ROI 영역에서 Max-Min 이진화와 8방향 윤곽선 추적 기법 및 Monoton Cubic Spline 기법을 적용한 후에 라벨링 기법을 적용하여 힘줄 및 연골 영역을 추출한다. 추출된 힘줄과 연골 영역을 이용하여 회전근개 영역을 추출한다. 추출한 회전근개 영역에 SOM 기반 양자화 기법을 적용하여 회전근개 건 파열 영역을 추출한다. 제안된 회전근개 건 파열 영역 추출 방법을 다양한 초음파 회전근개 건 파열 영상을 대상으로 실험한 결과, 제안된 회전근개 건 파열 영역이 기존의 추출 방법보다 TPR 값이 증가되어 회전근개 건 파열 분석에 효과적인 것을 확인할 수 있었다.

• Journal of Korean Orthopaedic Sports Medicine
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• v.5 no.1
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• pp.85-87
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• 2006

견갑하근 건의 파열의 흔한 원 인은 대개 외상이다. 극상근 건의 파열에 비해 드문 것으로 알려져 왔으나 최근 견관절의 관절내시경 시술이 증가함에 따라 관절면의 부분 파열이 많이 보고되고 있다. 본 증례는 40세 남자 환자로 상완골 소결절에 발생한 골극에 의한 견갑하근 건의 관절면의 부분층 파열에 대해 관절경하 골극의 제거 및 견갑하근 건의 변연절제술 후 양호한 결과를 보였다

• Clinics in Shoulder and Elbow
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• v.13 no.1
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• pp.64-71
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• 2010

Purpose: To evaluate pathologic patterns and outcomes of treatment of a biceps tendon lesion associated with a rotator cuff tear. Materials and Methods: We reviewed 92 patients (i) who underwent surgery for a cuff tear, (ii) for whom the biceps lesion could be observed retrospectively, and (iii) had a minimum follow-up of 2 years. The pathology of biceps tendon was classified into 4 types: tenosynovitis, fraying or hypertrophy, tear, and instability. All but the 4 with massive cuff tears were repaired. The biceps lesions were treated with debridement in 30, tenotomy in 10, tenodesis in 8, and recentering in 4. UCLA scoring was used for clinical results. Results: Seventy patients had a biceps lesion, 19 tenosynovitis, 22 fraying or hypertrophy, 21 a tear, and 8 instability. A biceps lesion was observed in 63% of cases of cuff tears below the medium size, and in 88% of cases with cuff tears above the large size. UCLA scores according to the pathology of the biceps lesion were 29.6 in the absence of a biceps lesion, and 28.3 in its presence. UCLA scores in patients with tenotomy or tenodesis for associated biceps tendon lesions were 28.2. Conclusion: There is a greater incidence and severity of a biceps lesion with a larger cuff tear. Therefore, the cause of a biceps lesion might be related to the cause of the cuff tear. Among the several options of treatment for biceps lesion, tenotomy or tenodesis may be particularly effective in providing pain relief.

• Journal of the Korean Arthroscopy Society
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• v.13 no.1
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• pp.77-81
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• 2009

In patients with full-thickness tears of the rotator cuff, the tendon is usually detached from its bony insertion in the greater or lesser tuberosity. We experienced an unusual pattern of rotator cuff tear in two cases, in which complete rotator cuff tears occurred at the tendinous portion (i.e., intrasubstance tears) with more than a 1cm remnant attached to the greater tuberosity. Arthroscopic tendon-totendon repair was performed without remnant removal in both cases. Follow-up MRI at 6 months showed re-tear of the rotator cuff at the previous tear site in both of our patients. To prove the availability of arthroscopic tendon-to-tendon repair in such cases, a larger case follw-up and biomechanical studies are required.

• Archives of Hand and Microsurgery
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• v.23 no.4
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• pp.262-266
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• 2018

Flexor digitorum profundus (FDP) tears in adolescents appear as avulsion tears in the FDP tendon, whereas longitudinal tears are very rare. Moreover, there has been only one reported case of intratendinous fibroma occurring in the flexor tendon of a finger. A longitudinal tear of the flexor profundus tendon associated with an intratendinous fibroma has not been previously reported. We report one case of a longitudinal partial tear accompanied by an intratendinous fibroma at the FDP tendon of the left middle finger after a hyperextension injury caused by the impact of a baseball. Given the rarity of longitudinal flexor tendon tears in adolescents, in such cases, the possibility of an underlying pathology should be considered.

• Clinics in Shoulder and Elbow
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• v.7 no.2
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• pp.83-89
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• 2004

상완 이두 건 부분 파열은 관절경 검사를 시행하지 않는 한 진단이 매우 어렵다. 이학적 검사는 대체적으로 비특이적이나 이두 구 근처에서 압통의 유무를 확인하는 것이 중요하며 이두 구에 마취제 국소 주사가 진단에 도움이 될 수 있다. 치료로는 보존적 치료를 중요시하여야 하나 지속적인 동통이 존재할 경우에는 동통으로 인한 일상생활의 제한 및 견관절 기능의 소실을 고려하여 적극적인 수술적 치료가 요할 것으로 사료되며. 특히 고령의 경우 이두 구 근처에서의 상완 이두 건 부분 파열은 건 유리술이 도움이 될 것으로 생각된다.

• Journal of the Korean Arthroscopy Society
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• v.13 no.2
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• pp.119-125
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• 2009

The primary purposes of revision repair for a failed rotator cuff repair are a relief of pain and functional improvement. Therefore, revision repair is most proper in patients with the functional deficit accompanied with the shoulder weakness as well as the persistent pain. The important factor that is considered in revision repair is a quality of torn cuff. Especially, Care must be taken to ensure that the revision repair is possible, considering the size of tendon defect, atrophy of the muscle, fatty infiltration and extent of the retraction of tendon. Revision repair of a failed rotator cuff repair is more difficult, and the functional results are less satisfactory than those of primary repair, because excessive bursal scarring and tendon retraction may be exhibited, a large or massive tear is often detected, tear has usually been present for a long time, and a quality of muscle-tendon may be poor. So, we discuss our experiences related to revision repair after a failed cuff repair that has been recently introduced through the articles.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.4 no.1
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• pp.24-27
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• 2011

Late rupture of the extensor pollicis longus (EPL) tendon is an occasional complication following a distal radius fracture. Early rupture of the EPL tendon as a complication of distal radius fracture is rare. We report one case of early rupture of the EPL tendon after distal radius fracture.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.4 no.2
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• pp.88-92
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• 2011

The incidence of acute Achilles tendon rupture is increasing as sporting activities are becoming more popular nowadays. There are many reports on the merits and disadvantages of surgical or conservative treatment for the injury. We performed a conservative treatment of acute Achilles tendon rupture with a serial casting and observed the progression of tendon healing ultrasonographically.

• Clinics in Shoulder and Elbow
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• v.11 no.2
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• pp.71-76
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• 2008

The pathophysiology of rotator cuff tears and the progression of asymptomatic tears to symptomatic tears are yet unclear and much controversy. It is likely to involve a number of factors such as a genetic predisposition, extrinsic impingement from structures surrounding the cuff and intrinsic degeneration from changes within the tendon itself. Degenerative changes in the rotator cuff with aging seem to be related to the anatomic and mechanical environment of the rotator cuff. The histopathologic appearance of rotator cuff tendon rupture specimens demonstrates a consequence of degenerative changes at the site of tendon insertion into bone. It weakens the tensile strength of the tendon. Is the process of degeneration intrinsic or extrinsic in nature? I suggest that degeneration is intrinsic and not caused by extrinsic factors. Even though, rotator cuff tear may be secondary to multiple factors, I believe that primary cause of rotator cuff tears is preexisting degenerative change.