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The usefulness of the contrast agent high in gadolinium for the magnetic resonance shoulder arthrography (자기공명 견관절조영검사 시 고함유량 가돌리늄 조영제의 유용성)

  • Na, Sa-Ra;Kim, Yoon-Shin;Choi, Kwan-Woo;Lee, Ho-Beom;Son, Soon-Yong;Min, Jung-Whan;Lee, Joo-Ah;Ma, Sang-Chull;Lee, Jong-Seok;Yoo, Beong-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2199-2206
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    • 2014
  • This research, used an contrast agent, which weighs about 1mmol/mL, of twice as much amount of gadolinum, per unit, for the test of magnetic-resonance shoulder arthrography. the reasearch which was carried out from January, of the year 2012 to August of the year 2013. consisted, of target of 41, patients including 20 ones, of whom an original, contrast agent of amount of 0.5mmol/mL, 21, ones of whom, a new, of amount of 1mmol/mL was used on, were the test target, in order to figure out the differences, according to the amount of gadolinum, according to the test results, the SNR of the contrast agent, of amount of 1mmol/mL, which is of high amount of gadolinum, was noticeably higher than the one of amount of 0.5mmol/mL(the percentage of joint space 38.01%, the supraspinous muscle 8.40%, head of humerus 12.78%). and CNR of the contrast agent, of amount of 1mmol/mL, which is of high amount of gadolinum, was higher than the one of amount of 0.5mmol/mL(the percentage of joint space and supraspinous muscle 48.96%, the one of joint space and head of humerus 42.00%). In conclusion, one of the methods of increasing the reducing effect of T1, is to use contrast agent of amount of 1mmol/mL, in order to increase the reducing effect of T1, acquire the visual of high testing quality.

The Clinical Outcomes of Arthroscopic Repair of Isolated type II SLAP Lesion in Non-athletes (비 운동선수에 있어 단독 제 2형 SLAP 병변의 관절경적 봉합수술의 임상적 결과)

  • Yoo, Jae-Chul;Ahn, Jin-Hwan;Koh, Kyoung-Hwan;Kim, Seung-Yeon
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.3
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    • pp.185-190
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    • 2008
  • Purpose: The purpose of this study is to provide the clinical outcomes of arthroscopic type II SLAP repair in non-athletes, and to compare the clinical outcomes between those who had isolated type II SLAP lesion and those who had combined partial thickness supraspinatus tear that did not required a combined repair. Materials and Methods: From July 2005 to January 2007, 142 consecutive type II SLAP lesions were treated with arthroscopic surgery. The inclusion criteria for the study were; (1) younger than 50 years old; and (2) non-athletes. Exclusion criteria were; (1) prior surgery, fracture or combined recurrent dislocation history on the affected shoulder; (2) combined full thickness rotator cuff tear or PTST (>50% thickness) patient that needed repair; and (3) combined infection, arthritis or inflammatory disease. Remaining 19 patients meet the criteria. Among them, 13 had combined PTRCT that did not require repair (Group I), and 6 had isolated type II SLAP lesion without combined supraspinatus tear (Group II). The mean age was 36.7 years (29~49 years), mean symptom duration was 39.1 months (3~216 months) and mean follow-up was 19.0 months (12~27 months). In all patients, the range of motion of affected shoulder, pain and function visual analogue scale (PVAS, FVAS), the Constant score and UCLA score were evaluated preoperatively and postoperatively. Results: In group I, external rotation at side was decreased significantly (p=0.003),but there were no statistical significant change at the remains(p>0.05). And there were no differences between groups (p>0.05). At the final follow-up, all clinical outcome measurements improved after surgery with statistical significance (p<0.05): UCLA score, $22.8{\pm}5.2$ to $32.8{\pm}2.1$; Constant score, $79.4{\pm}8.6$ to $94.9{\pm}4.3$; PVAS $5.4{\pm}2.7$ to $1.1{\pm}1.4$; FVAS $63.2{\pm}15.3$ to $93.4{\pm}7.3$. But, in group comparison of the mean UCLA score and Constant score, there were no statistical significant differences between two groups. Conclusion: Arthroscopic repair of type II SLAP lesion provided good clinical outcomes in nonathletic population. Combined partial thickness supraspinatus tear does not seem to hamper the final outcome at minimal 1 year follow-up.

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Forest Vegetation of Mt. Baek-Hwa -A Phytosociological Study- (백화산(白華山) 삼림식생(森林植生) -식물사회학적(植物社會學的) 연구(硏究)-)

  • Cho, Hyun Je;Lee, Youn Won;Lee, Dong Sub;Hong, Sung Cheon
    • Journal of Korean Society of Forest Science
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    • v.80 no.1
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    • pp.42-53
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    • 1991
  • 1. The forest vegetation of the Mt. Baek-Hwa situated in the northwestern Kyungsangpookdo of Korea, on $36^{\circ}16^{\prime}00^{{\prime}{\prime}}{\sim}36^{\circ}19^{\prime}20^{{\prime}{\prime}}N$ and 127 53'20"~127 56'30"E was studied by the method of Zurich-Montpellier School. In the present time, the original vegetation have almost been dominated by substitutional communities such as secondary forests of Pinus, Quercus, Zelkova, Acer or Fraxinus and Pinus rzgida plantations. Some secondary forests developing along the ravine and in northwestern part of slope are, however, maintained in natural condition, and contain some species of the original climax vegetation. They are classified as follows : I. Quercus mongolica-Fraxinus siebol diana community(Mountain forests), I-A. Acer pseudo-sieboldianum -Carex okamotoi group, I-B. Pinus densiflora group, I-B-a. Typical subgroup, I-B-b. Rhododendron schlippenbachii subgroup, II. Fraxinus rhynclzophylla-Acer mono community(Valley Forests), II-A. Acer pseudo-sieboldianum group, II-B. Zelkova serrata group, II-B-a. Typical subgroup, II-B-b. Lindera erythrocarpa subgroup, II-C. Querczrs serrata-Platycarya strobilacea group, II-C-a. Typical subgroup, II-C-b. Lindera erythrocarpa subgroup. 2. Judging from the coincidence method, the structure and distribution of the forest communities was more related to topography than altitude. 3. Considering the actual vegetation, relict species, occurrence of natural seedlings and saplings, climate, successional trends of trees and topographic or edaphic climax conditions, it seems that potential natural vegetation of the area mainly composed of Quercus mongolica, Carpinus laxiflora, Zelkova serrata, Fraxinus rhynchophylla. 4. The flora of the vascular plants collected from this area consists of 108 families, 371 genera, 613 species, 2 subspecies, 88 varieties, 6 forms and 709 taxa in total.

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Osteoporotic Vertebral Fractures: SPECT Findings (골다공증에 동반된 척추골절의 골 SPECT 소견)

  • Baik, Jun-Hyun;Park, Young-Ha;Ihn, Yon-Kwon;Kim, Sung-Hoon;Chung, Yong-An;Yoo, Ie-Ryung;Kim, Jee-Yeung;Jung, Hyun-Seok;Sohn, Hyung-Seon;Chung, Soo-Kyo
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.6
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    • pp.522-527
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    • 2004
  • Purpose: The purpose of this study was to evaluate the usefulness of single photon emission computed tomography (SPECT) of bone using Tc-99m MDP in the diagnosis of osteoporotic vertebral fractures. Materials and Methods: Thirty two patients with osteoporotic vertebral fracture were included in this study (mean age: $67{\pm}8$, male: 5, female: 27). Seventy nine vertebral fractures were detected (38 thoracic/thoracolumbar lesions and 41 lumbar lesions), which were classified by type of deformity (wedge, biconcave or compression). The patterns and locations of increased uptakes were examined and analyzed. Results: Forty seven wedge fractures, 20 biconcave fractures and 12 compression fractures were found. Diffuse and asymmetric uptakes were common in fractured bodies. More than one uptake were examined in 69 posterior elements of fractured vertebrae (87.3%) including 40 of 47 wedge fractures (85.1%), 17 of 20 biconcave fractures (85.0%) and 12 of 12 compression fractures (100%). Wedge fractures were predominant fracture in thoracic/thoracolumbar spine whereas incidence of biconcave or compression type war similar to that of wedge fracture in lumbar spine (p=0.04). Spinous process uptake was more frequently seen in lumbar lesions than thoracic/thoracolumbar lesions (p=0.009). Facet joint uptake in biconcave fracture was more common in lumbar spine (92.3%) than thoracic/thoracolumbar spine (57.1%). Spinous process uptake in biconcave fracture was also more frequently detected in lumbar spine (p=0.043). Conclusion: Bone SPECT was useful in the evaluation of osteoporotic vertebral fracture, especially posterior elements of vertebrae.

Clinical Outcomes After Arthroscopic Double-Row Rotator Cuff Repair and Evaluation of Cuff Integrity by CT Arthrography (관절경적 2열 고정 회전근개 복원술 후의 임상 결과 및 CT 관절조영술을 이용한 건의 치유 평가)

  • Jo, Chris H.;Kim, Je-Kyoon;Yoon, Kang-Sup;Lee, Ji-Ho;Kang, Seung-Baek;Lee, Jae-Hyup;Han, Hyuk-Soo;Rhee, Seung-Whan
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.199-206
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    • 2009
  • Purpose: Our goal for this study was to prospectively evaluate the functional & structural outcomes, by means of CT arthroscopy, of arthroscopic double-row fixation for treating rotator cuff tear. We also attempted to determine the variants that affect the functional & structural outcomes. Materials and Methods: Twenty seven consecutive patients underwent arthroscopic rotator cuff repair with double-row fixation. The average age at the time of the operation was fifty six years. The preoperative and postoperative examinations consisted of determining the Constant score, the score for the visual analogue scale for pain, the UCLA score, the American Shoulder and Elbow Surgeons (ASES) score, as well as a full physical examination of the shoulder. Preoperative MR arthrography was used to evaluate the integrity and atrophy of the rotator cuff. We measured the intraoperative tear size in the sagittal and coronal planes. Postoperative CT arthrography was used at one year postoperatively to evaluate the integrity and atrophy of the repaired tendons and muscles. Results: Preoperative MR arthrography revealed an average 29.22 mm tear size in the sagittal plane and an average 22.72 mm tear size in the coronal plane. Twelve cases of supraspinatus muscle atrophy and two cases of infraspinatus atrophy were observed on the preoperative MR arthrography. The average clinical outcome scores all significantly improved at the time of follow-up. At a mean of one year postoperatively, CT arthrography revealed 48.1% of the shoulders had healed, 11.1% showed incomplete healing and 40.7% showed retear of the repaired tendon. Conclusion: Arthroscopic double-row repair can result in improved clinical outcomes and good patient satisfaction. However, the problems about how to enhance healing of the repaired tendon still remain.

Comparative Analysis of the Shoulder Joint on Agonists' EMG Activities with and without Taping during Isometric Flexion and Extension (테이핑 유무에 따른 견관절 등척성 굴곡.신전 시 주동근의 근전도 비교)

  • Ha, Yong-In;Kang, Young-Teak;Lee, Kyung-Soon;Seo, Kuk-Woong;Seo, Kuk-Eun;Lee, Il-Gu
    • Korean Journal of Applied Biomechanics
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    • v.18 no.1
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    • pp.85-95
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    • 2008
  • This study is analyzing about application of taping by movement about shoulder joint's isometric contraction. M. college students take part in experiment. WEMG-8 and HUMAC system are used. Findings were as follows: EMG of muscle's MVIC at each angle before and after taping. 1. In flexion, EMG with taping is effective for supra spinatus at $0^{\circ}{\cdot}45^{\circ}{\cdot}90^{\circ}$, anterior deltoid at $0^{\circ}{\cdot}45^{\circ}$ and biceps brachii at $0^{\circ}{\cdot}90^{\circ}$. 2. In extension, EMG with taping is effective for triceps brachii at $0^{\circ}$, latissimus dorsi at $90^{\circ}$ and posterior deltoid at $45^{\circ}{\cdot}90^{\circ}$. 3. Each angle viewpoint, EMG of latissimus dorsi in extension can be arranged in its high order as $90^{\circ}<45^{\circ}$, $0^{\circ}$ without taping and $90^{\circ}<0^{\circ}$ respectively. EMG of posterior deltoid in extension is in its high order as $90^{\circ}<45^{\circ}<0^{\circ}$ without taping and $90^{\circ}<0^{\circ}$.

Electromyographic Analysis of the Biceps Brachii during Provocative Tests (상완 이두 건 병변에 대한 유발 검사시의 근전도 분석)

  • Lee Young-Soo;Shin Dong-Rae;Cho Sang-Hyun;Nam Ki-Sun;Kim Sung-Jae
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.170-177
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    • 1999
  • The electromyographic activity of four muscles(biceps, supraspinatus, infraspinatus and subscapularis) was mea­sured from non-dominant shoulders of 12 volunteers by six different provocative test for the biceps pathology. The provocative tests were Speed, Yergason, Ludington, Heuter, O'Brien and the abduction-extension test. Each test was performed in a force of 30% of maximal voluntary contraction. The levels of activity of the biceps were higher than those of the other rotator cuff muscles only in Speed's test: 28% in the biceps, 26% in the infraspinatus, 25% in the supraspinatus and 21 % in the subscapularis. The levels of activity of the biceps as a percent of MMT(maximal manual test) were higher in Speed's(42%) and O'Brien's test with the arm supinatecl(42%). Speed's test can isolate the activity of biceps better than the other tests but it is a nonspecific test by which the biceps tendon was also activated within other rotator cuff muscles.

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Vegetation Structure of Deciduous Broad-leaved Forest at the Beomeosa(Temple) Valley in Kumjungsan, Busan (부산 금정산 범어사계곡 낙엽활엽수림의 식생구조)

  • Kim, Jeong-Ho;Choi, Song-Hyun;Choi, In-Tae;Yang, Soon-Ja;Lee, Sang-Cheol
    • Korean Journal of Environment and Ecology
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    • v.25 no.4
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    • pp.581-589
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    • 2011
  • The purpose of this study is to investigate the structure of vegetation dominated by deciduous broad-leaved trees at the Beomeosa(Temple) Valley of Mt. Kumjungsan in Busan. To this end, 28 plots were set up and surveyed. The result analyzed by TWINSPAN, one of the classification technique, showed that the communities were divided into six groups which are Carpinus tschonoskii-Deciduous broad-leaved forest community(I), Quercus serrata-C. tschonoskii community(II), C. tschonoskii-Q.s serrata-Pinus densiflora community(III), C. tschonoskii-Quercus serrata-Q. mongolica communtiy(IV), Q. serrata-Deciduous broadleaved forest community(V) and Chamaecyparis obtusa-C. tschonoskii community (VI). Species diversity ranged from 0.3832 to 0.0450. The lowest diversity was Chamaecyparis obtusa community(VI) but the highest was Carpinus tschonoskii-Deciduous broad-leaved forest community(I) and Q. serrata-Deciduous broadleaved forest community(V). The average number of species was 6.8${\pm}$3.2 in the unit area(100$m^2$). Carpinus tschonoskii community at the Beomeosa Valley of Mt. Geumjeongsan was a climatic climax forest having a value to preserve, so a continuous management will be needed.

Community Structure Analysis of Carpinus laxiflora Communities in Seoul (서울지역 서어나무림의 군집구조 분석)

  • Park, Byung-Chang;Oh, Choong-Hyeon;Cho, Chi-Woung
    • Korean Journal of Environment and Ecology
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    • v.23 no.4
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    • pp.333-345
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    • 2009
  • Carpinus laxiflora communities are known as the climax forest community of the temperate zone of Korea. There are three Carpinus laxiflora communities in Seoul. The purpose of this research is to analyze the characteristics of Carpinus laxiflora communities of Seoul and supply basic data for establishing of a management plan. The research sites are Sahmyook University, Mountain Dobong and Jinkwandong. This study considers investigation and the analysis of communities structure, soil characteristics and the growth increment of trees. As the result of study, we could know that the growth increment of the Carpinus laxiflora trees of Seoul is decreasing recently because of soil acidification and so on. Also the vegetation disturbance is increasing because of naturalized plant. Oak wilt disease has appeared in the oak forest around Sahmyook University that is the largest Carpinus laxiflora communities area in Seoul. For that reason the open gap was appeared in forest, and the spread of naturalized plants has been increasing in the gap. Furthermore, the Carpinus laxiflora trees are affected by the Platypus koryoensis which is a kind of oak wilt disease. And so, Unless there is a specific management plan, the survival of Carpinus laxiflora communities are uncertain in Seoul. Therefore the management plan of Carpinus laxiflora communities is necessary such as precise investigation, annual monitoring, etc. For the conservation of the Carpinus laxiflora communities, it is necessary to establish the management plan of the biodiversity for Seoul area.

Ecological Characteristics of Buxus sinica Habitat Distributed on the Ridge of Gyeokjabong(Mt.), Bogildo (보길도 격자봉 일대 능선부에 분포하는 회양목 생육지의 생태적 특성)

  • Soo-Dong Lee;Min-Hwa Jin;Hyun-Kyung Kang;Chung-Hyeon Oh
    • Korean Journal of Environment and Ecology
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    • v.36 no.6
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    • pp.662-675
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    • 2022
  • This study was intended to investigate and analyze the current status of the plant community structure in order to provide basic data for the systematic conservation and management of the Buxus sinica area appearing on the ridgeline connecting the Gyeokjabong(Mt.) and Keungiljae, on Bogildo Island. In consideration of location characteristics such as density, topography, and direction of B. sinica appearing in the shrub layers, a total of 26 sites were set as the survey area for representative vegetation communities or areas with changes in topography. According to DCA and TWINSPAN, it was classified into 6 communities, namely Carpinus turczaninovii-Deciduous broad-leaved, C. turczaninovii, C. turczaninovii-B. sinica, C. turczaninovii-Evergreen broad-leaved, Q. acuta, and D. trifidus-Q. acuta. The community dominated by C. turczaninovii maintains the status quo for the present moment, however, Q. acuta will dominate the surrounding area in the long term, so Q. acuta has high succesion potential. In the case of the Q. acuta and D. trifidus-Q. acuta communities, Q. acuta, known as the climax species of warm-temperate forests, will maintain dominant status. In a case of B. sinica, the community dominated by C. turczaninovii will remain in good status due to the topographical conditions, but the community dominated by Q. acuta growth difficulties are expected due to the high coverage. In the relationship between environmental factors and vegetation distribution, analysis showed that only soil pH affect vegetation distribution. Furthermore, the soil acidity (pH) was 3.78-5.30, the electrical conductivity was 0.186-0.543 dS/m, and the organic matter content was 2.25-2.89%.