• Title/Summary/Keyword: 관절체

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Synovial Chondromatosis in the Subacromial Space with Hyaline Cartilage Loose Body - A Case Report - (초자연골 유리체를 동반한 견봉하 공간의 활막 연골종증 - 증례 보고 -)

  • Kim, Jun-Bum;Park, Jong-Suk;Kwon, Sai-Won;Soh, Jae-Wan;Kim, Min-Soo;Yang, Seong-Suk
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.175-179
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    • 2012
  • Synovial chondromatosis developes by metaplasia of synovial cell into chondroblast in synovium of joint. It most commonly involves large joints such as knee or hip, and rarely occurs in shoulder joint. It is often difficult to be diagnosed preoperatively and surgical synovectomy is known to be effective treatment. We encountered a case of synovial chondromatosis with hyaline cartilage forming loose body in subacromial and subdeltoid synovium on the shoulder of a 44-year old female suffered by pain and discomfort. The authors report this case with a review of the relevant literature.

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Arthroscopic Treatment of Synovial Chondromatosis of the Shoulder Joint with Mini-open Procedure for the Lesions of Biceps Tendon Sheath (견관절에 발생한 활액막 연골종증의 관절경적 치료에서 소절개를 이용한 상완 이두건 건초 병변의 병행 치료)

  • Jo, Ki-Hyun;Oh, Joo-Han;Choi, Jung-Ah;Jung, Jin-Haeng;Gong, Hyun-Sik
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.69-73
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    • 2008
  • Synovial chondromatosis is an uncommon condition, and the involvement of the shoulder joint is rare. A 15 year old female patient presented to author's institution for right shoulder pain. We checked the plain radiographs and MRI. And they showed that a diagnosis of synovial chondromatosis in the shoulder, and they also demonstrated that the disease involved the bicipital tendon sheath as well as glenohumeral joint. We removed all loose bodies with total synovectomy by arthroscopic procedure, and a miniopen procedure for the lesions of biceps tendon sheath. Arthroscopic treatment affords excellent visualization of the shoulder joint with less morbidity. However, with current arthroscopic techniques, it is difficult to manage the synovial chondromatosis of biceps tendon in bicipital groove. The authors suggest that the complete elimination of synovial chondromatosis involving shoulder requires a mini-open procedure for the lesions of biceps tendon sheath in addition to the arthroscopic resection of the affected synovium and loose body removal in the glenohumeral joint.

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Charcot Spinal Arthropathy with Extensive Vertebral Body Destruction and Cerebrospinal Fluid Collection: A Case Report Mimicking Infective Spondylitis (척추체의 광범위한 파괴와 뇌척수액 축적이 동반된 샤르코 척추 관절병증: 감염성 척추염과 유사한 소견을 보이는 증례보고)

  • Cho, Kyu-Jung;Kim, Yeo-Ju;Kim, Young-Tae;Youn, Yung-Hun
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.4
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    • pp.348-353
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    • 2020
  • A 68-year-old man presented with a bed sore with pus discharge on lower back. Radiographs showed extensive destruction of the L4 vertebral body. Magnetic resonance imaging (MRI) showed fluid collection with an enhanced wall at the defect of the L4 vertebral body extending into both psoas muscles. The primary diagnosis was neuropathic spondylopathy, but infective spondylitis was not ruled out. Initially, he was treated with antibiotics for two weeks. A follow-up MRI showed no improvement of the abscess, so surgical exploration was done. Charcot spinal arthropathy resulted in extensive vertebral body destruction that may be similar to infectious spondylitis, particularly in the case with fluid accumulation due to rupture of dura.

The Effects of Breathing Control on Kinetic Parameters of Lower Limbs during Walking Motion in Korean Dance (한국무용 걸음체 동작 시 호흡의 사용유무가 하지의 운동역학적 변인에 미치는 영향)

  • Park, Yang-Sun;Jang, Ji-Young
    • Korean Journal of Applied Biomechanics
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    • v.19 no.4
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    • pp.627-636
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    • 2009
  • This study aims to provide a scientific basis for the abstract beauty of dance by analyzing the effects of controlling the breath during the walking motion of Korean dance. The objective of the study is to determine the significance of breathing during Korean dance, as it is externally expressed and technologically segmented, let alone the internal beauty of Korean dance. The results of this study show that the position of the body center and ASIS during the walking motion that uses breath was lower than that of the walking motion that does not use the breath. In addition, in each replacement of the knee joint and ankle joint, a narrow angle, in which bending is used a lot, appeared during the walking motion that uses the breath, but not during the walking gesture that does not use the breath. This occurred during the bending motion. In the first peak point, the vertical ground reaction force during the walking motion that uses the breath was higher than that during the walking motion that does not use the breath.

Development of Model of Joint Instability of the patients with Degenerative Disease in Spine (척추 퇴행성 환자의 관절 불안정 모델 개발)

  • Choi, Dae Kyung;Kim, Yoon Hyuk;Kim, Kyungsoo
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.265-266
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    • 2011
  • 본 연구에서는 유한요소 해석 방법을 이용하여 척추 퇴행성 질환을 가진 환자의 관절 불안정 모델을 개발 및 검증하였다. 관절 불안정 모델은 정상요추 유한요소 모델의 인대 및 협부를 결손시켜 개발하였으며, 요추 유한요소 모델의 제 5 요추체를 완전히 고정시키고 추적 경로 방향의 400 N의 압축력을 가한 상태에서 10 Nm의 굴곡과 신전 모멘트를 가하였다. 굽힘 및 신전 시 관절 불안정 모델들의 회전량이 정상의 요추 모델의 회전량에 비하여 크게 나타났다. 또한 굽힘 시 관절 불안정 모델들의 전위거리가 정상에 비하여 크게 나타났다. 본 연구의 결과는 척추 불안정성의 원인 및 기전의 이해뿐만 아니라 다양한 인체정보 콘텐츠 분야에 널리 활용될 수 있을 것으로 생각된다.

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Motion Saliency Map and its Application (모션 특징점 맵과 응용)

  • Kwon Ji-Yong;Yoon Jong-Chul;Lee In-Kwon
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.06a
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    • pp.97-99
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    • 2006
  • 우리는 관절체 캐릭터에 대해 시간에 따른 인식의 정도를 측정하는 모션 특징점 맵을 제안한다. 모션 특징점 맵은 이미지 특징점 맵에서 사용된 가우시안 거리 방법을 응용하여 계산할 수 있다. 관절 계층 구조에서의 모션과 시각적 인지간의 관계를 고려하여, 우리는 관절 동선 모션 특징점 맵과 관절 구동 모션 특징점 맵의 두 가지 모션 특징점 맵을 정의하였다. 정의한 두 가지 모션 특징점 맵을 사용하여 한 프레임에서의 모션 특징점 맵 또한 계산할 수 있다. 계산된 모션 특징점 맵은 모션의 시놉시스 생성, 정운동학 연산량의 축소, 자동적 카메라 동선 생성 등 여러 가지 응용 분야에 적용할 수 있다. 실험을 통하여 우리는 모션에 대한 인식 기반적인 접근을 통해 모션의 질적인 향상은 물론 계산적인 퍼포먼스의 향상에도 많은 기여를 할 수 있음을 알 수 있었다.

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Intuitive character posing by line drawing (라인 드로잉을 이용한 직관적인 캐릭터 포즈 편집)

  • Lee, Won-Kyu;Lee, In-Kwon
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.06b
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    • pp.176-181
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    • 2007
  • 인체와 같은 복잡한 계층 구조를 가진 관절체에서 모션을 생성하는 것은 쉬운 일이 아니다. 기존의 캐릭터 포즈 에디팅 방법은 정운동학과 역운동학을 사용하여 키프레임을 생성하였다. 본 논문에서는 역운동학에 기반 한 직관적인 포즈 편집 기법을 제안한다. 선택된 연속적인 관절들을 입력으로 주어진 커브에 정렬시킴으로써 원하는 포즈를 쉽게 생성할 수 있다. 이렇게 만들어진 포즈는 키 프레임 애니메이션의 키프레임으로 사용될 수 있다. 본 논문에서는 커브에 관절의 연속된 부분을 정렬시키기 위해 점진적 관절 정렬 기법(Gradual Joint Alignment along Curve)을 제시하고 이 방법을 통해 연속된 조인트 체인으로 하여금 역운동학의 제약 조건을 만족시키면서도 가능한 한 입력된 커브에 정렬될 수 있도록 하였다.

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Tuberculous Subdeltoid Bursitis - A Case Report - (결핵성 삼각근하 점액낭염 - 증례 보고 -)

  • Lee, Woo-Seung;Yoon, Jung-Ro;Kang, Kyu-Bok;Yang, Jae-Hyuk;Lim, Hyung-Tae
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.1
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    • pp.45-48
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    • 2010
  • We report a case of an 85-year-old woman with tuberculous subdeltoid bursitis. Tubeculous bursitis without adjacent joint tuberculosis may occur any site but it is rare. It is common in bursae subjected to trauma like trochanteric, prepatellar, olecranon and so on. Because the clinical findings or physical examination of tuberculous subdeltoid bursitis are similar to rotator cuff disorder and the MRI or arthroscopic findings are similar to synovial diseases, careful differential diagnosis is necessary.

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Loose Body in the Interphalangeal Joint of the Big Toe (무지 지절에 발생한 관절내 유리체 - 증례보고 -)

  • Bae, Woo-Han;Moon, Jeong-Seok;Lee, Woo-Chun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.1
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    • pp.24-26
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    • 2009
  • A 20-year-old patient who got injured on his right big toe and complained pain visited to our hospital 9 months ago. Before the patient transferred to our hospital, plain radiographs were obtained at a private hospital and the patient underwent conservative treatment with uncertain diagnosis. However, the symptom was not improved, and he continued to complain intra-articular pain on his interphalangeal joint of big toe during plantarflexion or dorsiflexion. On plain radiographs of our hospital, we observed small bone fragment in his interphalangeal joint of the big toe. On the ultrasonographic images, two loose bodies in the interphalangeal joint were found. Then, we removed the loose bodies as surgical treatment, and the symptom was subsided completely. The purpose of this study is to report the ultrasonographic finding of the loose bodies of interphalangeal joint of the big toe.

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Rehabilitation of the Throwing Athlete (던지기 선수에서의 재활)

  • Youn, Te-Hyun;Moon, Young-Lae
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.2
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    • pp.77-82
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    • 2007
  • The thrower's shoulders require a delicate balance between mobility and functional stability. First step to successful nonoperative management is an accurate diagnostic approach. Rehabilitation program follows a well-organized, multiphase approach with focus on controlling painful inflammation, restoring muscle balance, obtaining joint flexibility, improving proprioception and neuromuscular control, and effectively returning to competitive pitching. In this article, the typical musculoskeletal profile of the overhead thrower and various rehabilitation programs for specific injuries are discussed.

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