• Title/Summary/Keyword: 내상과

Search Result 118, Processing Time 0.021 seconds

The Results of Ultrasound Examination of the Elbow in Middle School Baseball Players (중학교 야구선수에서 시행한 주관절 초음파 검사의 결과)

  • Hwang, Tae Hyok;Cho, Hyung Lae;Wang, Tae Hyun;Jin, Hong Ki
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.7 no.2
    • /
    • pp.89-97
    • /
    • 2014
  • Purpose: To evaluate the ultrasonographic findings of the elbows on group screening of middle school baseball players. Materials and Methods: Ninety-three players (age: 12-15, mean 13.5 years) of four middle school baseball team were evaluated with bilateral elbow ultrasonographies in the field regardless of elbow pain. Medial and anterolateral ultrasound examination of the both elbow were performed in the field to detect any abnormalities including medial epicondylar separation or fragmentation and capitellar osteochondritis dissecans respectively. We analyzed the relationship among elbow pain, physical findings and sonographic abnormalities and the differences of sonographic abnormalities between pitchers and fielders. Results: Thirty-six of 93 (39%) players had sonographic abnormalities of elbow in dominant arm, 30 with medial epicondylar apophyseal separation or fragmentation, 2 with osteochondritis dissecans, 4 with both lesions. Twenty-nine of 37 (78%) players with elbow pain had sonographic abnormalities. On physical examination, players with medial epicondylar abnormalities had medial epicondylar tenderness (59%) and pain on valgus stress test (52%), and 5 of 6 (83%) players with osteochondritis dissecans showed flexion contracture more than $5^{\circ}$. The incidence of medial epicondylar abnormalities between pitchers and fielders was statistically not significant but osteochondritis dissecans was more prevalent in pitchers (p<0.05). Conclusion: Elbow sonography is a simple and useful screening tool in the field and also effective for early detection of medial epicondylar abnormalities or osteochondritis dissecans that could be the main causes of elbow pain in adolescent baseball players.

  • PDF

Ultrasonographic Findings and Usefulness in Ulnar Neuropathy at the Elbow (주관절부 척골 신경병증에서의 초음파 소견 및 유용성)

  • Kim, Dong-Hu;Cho, Chul-Hyun;Lee, Kyung-Rak
    • Clinics in Shoulder and Elbow
    • /
    • v.15 no.2
    • /
    • pp.109-116
    • /
    • 2012
  • Purpose: The aim of this study was to evaluate preoperative ultrasonographic findings and usefulness in ulnar neuropathy around elbow. Materials and Methods: Twenty-two patients with ulnar neuropathy were performed preoperative ultrasonogram. The route, location, thickness of the ulnar nerve and space occupying lesion through longitudinal scan were evaluated. Cross-sectional areas of the ulnar nerve were measured at the level of medial epicondyle and 3 cm proximal and distal to the medial epicondyle through axial scan. Correlations between swelling ratio of ulnar nerve and eletrophysiologic study and preoperative Dellon's assessment were checked. Results: In 21 cases (95.6%) of total 22 cases, diffuse swelling of the ulnar nerve around elbow were identified. 4 cases had space occupying lesions including 3 ganglionic cysts and 1 heterotopic ossification. Cross sectional areas at the level of medial epicondyle were significantly larger than at the level of 3 cm proximal and distal to the medial epicondyle (p<0.05). There were no statistically significant correlations between swelling ratio of ulnar nerve and eletrophysiologic study and preoperative clinical assessment (p>0.05). Conclusion: This study showed that ultrasonography was helpful to detect etiology of ulnar neuropathy around elbow such as space occupying lesion, morphological change or dislocation of ulnar nerve. It could be useful tool for diagnosis and treatment in patients with ulnar neuropathy at elbow.

Tardy Ulnar Nerve Palsy Secondary to the Anconeus Epitrochlearis Muscle - 2 Case Report - (활차상 주근에 의한 지연성 척골신경 마비 - 2예 보고 -)

  • Kim, Bo-Kun;Shin, Hyun-Dae;Kim, Kyung-Cheon;Park, Jun-Yeong
    • Clinics in Shoulder and Elbow
    • /
    • v.13 no.2
    • /
    • pp.270-274
    • /
    • 2010
  • Purpose: Here we present tardy ulnar nerve palsy cases that were caused by the anconeus epitroch-learis muscle. Materials and Methods: A 37 year old female patient presented with tardy ulnar nerve palsy findings for the elbow. During surgery, an atypical anconeus epitrochlearis muscle was observed, which originated from the triceps aponeurosis and inserted into the medial intermuscular septum. Muscle resection, nerve decompression and ulnar nerve anterior transposition were done. A 35 year old male patient presented with tardy ulnar nerve palsy findings for the elbow. During surgery, a typical anconeus epitrochlearis muscle was found. Muscle resection, nerve decompression and ulnar nerve anterior transposition were done. Results and Conclusion: Tardy ulnar nerve palsy can be associated with and caused by either an atypical or a typical anconeus epitrochlearis muscle.

Radiographic Changes of the Medial Epicondyle in Little League Baseball Player (청소년기 야구선수의 주관절 내상과의 방사선학적 변화)

  • Choi Chang-Hyuk;Eum Dong-Hwan
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.1 no.1
    • /
    • pp.43-48
    • /
    • 2002
  • Purpose : We evaluated radiographic changes and clinical manifestations of the elbow joint to identify the effects of the throwing between dominant and non-dominant arms. Materials and Methods : A hundred and five little leaguer’s baseball player in 5 elementary school and 2 middle school were evaluated for clinical symptoms and radiographic changes about elbow joint. Mean age was 12 years old and average periods of exercise were 32 months. Elbow functions were evaluated using ASES standardized assessment form and radiographic changes of medial epicondyle were examinated for enlargement, separation of the apophyses, fragmentation and irregularity. Results : Thirty seven players (35$\%$) were complained pain with throwing and the average score was 4.8 using visual analog scale. There were no significant differences in range of motion except flexion angle, valgus angle, and strength between dominant arm and non-dominant arm. Valgus laxity was more prominent in dominant arm. Ulnohumeral tenderness, radiocapitellar tenderness and medial flexor origin tenderness were in 18, 6, and 17 cases respectively in dominant arm. Medial epicondyle was enlarged in dominant arm with 13.0 by 6.3 mm compared to non-dominant arm with 11.7 by 6.1 mm. Apophyseal separation was 0.8 mm in dominant arm and 0.5 mm in non-dominant arm. Fragmentation and irregularity were 14 (13$\%$) and 25 (24$\%$) cases respectively in dominant arm. Conclusion : In little league baseball player, it needs usage of ball and bat with appropriate weight, and careful conditioning programs through throwing exercise in order to avoid elbow injuries.

  • PDF

Characteristics of Copper and Cadmium Partitioning in Aquatic Sediment (수계내 저질에 대한 구리 및 카드뮴의 분배 특성)

  • 이군자;박청길
    • Journal of Environmental Science International
    • /
    • v.1 no.2
    • /
    • pp.71-79
    • /
    • 1992
  • Selective extraction procedure has been used to quantify copper and cadmium In association with the various phases of aquatic sediment such as exchangeable/adsorbed, carbonate, manganese oxides, organic matter and iron oxides. Changes of pH influenced on the partitioning of copper in carbonate and exchangeable/ad- sorbed phases and of cadmium in carbonate phase of aquatic sediment. Addition of NTA and EDTA, copper and cadmium associated with carbonate phase were released from sediment to water. Total partitioning coefficient was 8.361 for copper and 0.497 for cadmium. The relative binding strengths of copper and cadmium to each solid phase can be ranked by using the partitioning coefficints. For copper it was observed that carbonate > organic matter > exchangeable/adsorbed > manganese oxides > iron oxides and for cadmiunm it was observed that exchangeable/adsorbed > carbonate > manganese oxides > organic matter > iron oxides.

  • PDF

Experiment on Chloride Adsorption by Calcium Aluminate Phases in Cement (시멘트내 칼슘 알루미네이트 상에 의한 염소이온의 흡착반응 연구)

  • Yoon, In-Seok
    • Journal of the Korea Concrete Institute
    • /
    • v.29 no.4
    • /
    • pp.389-397
    • /
    • 2017
  • Friedel's salt is an important product of chemical adsorption between cement hydrate and chloride ions because it contains chlorine in its structure. When cement reacts with water in the presence of chloride ions, the $C_3A$ phase, and $C_4AF$ phase react with chloride to produce Friedel's salt. If chloride ions penetrate into concrete from external environments, many calcium aluminate hydrates, including AFm, can bind chloride ions. It is very important, therefore, to investigate the chloride binding isotherm of $C_3A$ phase, $C_4AF$ phase, and AFm phase to gain a better understanding of chloride binding in cementitious materials. Meanwhile, the adsorption isotherm can provide us with the fundamental information for the understanding of adsorption process. The experimental results of the isotherm can supply not only the quantitative knowledge of the cement-Friedel's salt system, but also the mechanism of adsorption and the properties of their interactions. The purpose of this study is to explore the time dependant behaviors of chloride ions adsorption with $C_3A$, $C_4AF$ and AFm phases. The chloride adsorption isotherm was depicted with Langmuir isotherm and the adsorption capacity was low in terms of the stoichiometric point of view. However, the chloride adsorption of AFm phase was depicted with Freundlich isotherm and the value was very low. Since the amount of the adsorption was governed by temperature, the affecting parameters of isotherm were expressed as a function of temperature.

Corrosion Properties of AZx1 Magnesium Alloys Containing Ca+Y (Ca+Y 복합 첨가 AZx1 마그네슘합금의 부식특성)

  • Im, Chang-Dong;U, Sang-Gyu;Yu, Bong-Seon
    • Proceedings of the Korean Institute of Surface Engineering Conference
    • /
    • 2012.11a
    • /
    • pp.14-14
    • /
    • 2012
  • 상용 마그네슘합금에 Ca+Y를 복합 첨가하여 부식특성의 변화를 평가하였다. Ca+Y를 복합 첨가한 경우 표면에 형성되는 피막의 안정성이 증가하여 내식성이 현저하게 향상되었다. AZx1-aCa-0.2Y 합금의 부식양상은 제2상과 기지간의 미소갈바닉 부식에 의해 국부부식 양상을 나타내었다.

  • PDF

The Use and Findings of Ultrasound in the Elbow Joint (주관절의 초음파 소견 및 이용)

  • Bae, Jung Yun;Lee, Seung-Jun;Lee, Kun Woo
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.6 no.2
    • /
    • pp.94-100
    • /
    • 2013
  • Musculoskeletal ultrasound has unique advantages that may be free from exposure to radiation, low price compared to MRI, outpatient procedure that can be easily accessible, and better accuracy combined with physical examination. Dynamic ultrasound performed with stress tests are known to be useful for detecting the hidden lesions in the tendons, ligaments, nerves. Ultrasound in the elbow can be used easily in the outpatient for evaluation of the joint surface and synovial space; diagnosis for tendon diseases such as lateral epicondylitis, medial epicondylitis and morbidity of peripheral nerves; guide for anterior-posterior bursal and intra-articular injections.

  • PDF

Throwing injury of elbow

  • 최창혁
    • 대한정형외과스포츠의학회:학술대회논문집
    • /
    • 2003.11a
    • /
    • pp.158-166
    • /
    • 2003
  • 반복적인 투구동작은 성장기의 주관절에 손상을 주기 쉬우며 투구 시 통증을 유발할 경우, 투구를 중지하고 관절의 능동적 휴식을 통해 유연성을 회복하고 점차 근력강화운동을 시행해야 한다. 유소년기 Little league elbow의 주된 병변인 상완골 내상과 골단염을 포함한 대부분의 손상은 보존적 요법으로 치료가 가능하며, 굴곡구축 등의 운동제한을 동반한 통증이나 관절 내 유리골편 등의 감입으로 인한 증상이 있을 경우 수술적 치료를 요하며, 성인의 경우 내측 측부인대의 만성 불안정성 둥에 대해서 인대 재건술 등의 수술적 치료가 고려된다. 투구 시 주관절의 손상은 대부분의 경우 과 사용으로 인한 것이며, 특히 성장기에 손상의 예방이 무엇보다 중요하다. 따라서 부모와 코치 그리고 경기 관계자 둥이 성장기 소년의 근력과 관절의 상태가 성인과 다름을 이해하고, 운동의 강도와 횟수를 적절히 조절하며 손상시 조기치료를 받을 수 있는 환경을 조성하는 것이 필요하다.

  • PDF

Formation of the $2^{nd}$ Phases in Spray Cast Al-25Si-(Fe,V) Alloy (분무주조 A1-25Si-(Fe,V) 합금에서의 2 차상 형성거동)

  • 박우진;이언식;안상호
    • Proceedings of the Korean Powder Metallurgy Institute Conference
    • /
    • 2000.04a
    • /
    • pp.16-16
    • /
    • 2000
  • 분무주조법으로 제조된 Al-25Si-(Fe,V) 합금빌렛의 미세조직을 광학현미경, 주사전자현미경, 투과전자현미경으로 분석하였으며, 빌렛내에서 관찰되는 2차상의 형성거동을 정확히 분석하기 위해 over-sprayed 분말의 미세조직을 분무주조 빌렛과 함께 관찰하였다. 먼저 분무주조 빌렛을 표면으로부터 중심부까지 관찰한 결과, 분무주조 빌렛의 미세조직은 표면부 10mm 가량을 제외하고는 매우 균일한 미세조직을 보여주었다. 이에 본 연구에서는 분무주조 빌렛의 표면부와 중심부, 그리고 over-sprayed 분말조직으로 구분하여 각각에서 관찰되는 2차상을 관찰하였으며, 이를 바탕으로 분무주조 빌렛내에 형성된 2차상의 형성기구를 규명하고자 하였다. Over-sprayed 분말의 미세조직은 기지조직내에 균일하게 분포된 침상의 $\delta$-AlFeSi 상과 각형의 Si 입자로 구성되어 있었다. 반면, 분무주조 빌렛의 경우, 그 중심부에서는 기자조직내에 균일하게 분포된 막대형의 $\beta$-AlFeSi과 부정형의 조대한 Si입자가 관찰되었으며, 표면부에서는 부정형의 Si 입자와 함께 막대형의 $\beta$-AlFeSi/$\delta$-AlFeSi 복합상이 관찰되었다. 특히, 빌렛 표면부의 $\beta$-AlFeSi 상과 $\delta$-AlFeSi 상간에는 일정한 방위관계가 존재하였으며, 이러한 결과는 분무주조 빌렛내에 분포된 $\beta$-AlFeSi상들이 분무액적내에 형성된 준안정 $\delta$-AlFeSi 상으로부터 상분해되어 형성되었음을 제시한다. 이상의 분무주조 조직과 over-sprayed 분말의 미세조직으로부터 분무주조 빌렛의 최종 주조조직은 반응고상태의 분무액적 조직에 의해 지배됨을 알 수 있다.r plate)의 단면 미세조직 사진으로써 모재부와 오버레이충을 함께 보여주고 있다. 모재와 오버레이 충간의 경계면은 모재 일부가 용융된 후 웅고하면서 형성됨으로 인해서 도금이나 용사층과는 달리 매우 견고하게 결합되어 있다. 따라서 계면부의 탈락이라는 문 제점은 거의 없어 심한 응력을 받는 기계구조물 및 부품에도 본 기술은 널리 적용되고 있다. 그리고 사진 1에서 알 수 있는 바와 같이 모재와는 전혀 상이한 재료를 자유로이 선택하여 표면 유효층 일부만 오버레이시키며I 주조 및 단조가 불가능한 재료까지도 표면부에 오버레이 시킴으로 서 부품 및 설비의 제조에 있어 재료비의 절감과 제품의 수명이 획기적으로 개선될 수 있다. 그리고 최근에는 도금 빛 용사 둥과 같은 표면처리를 할 경우임의 소재 표면에 도금 및 용 사에 용이한 재료를 오버레이용접시킨 후 표면처리를 함으로써 보다 고품질의 표면층을 얻기위한 시도가 이루어지고 있다. 따라서 국내, 외의 오버레이 용접기술의 적용현황 및 대표적인 적용사례, 오버레이 용접기술 및 용접재료의 개발현황 둥을 중심으로 살펴봄으로서 아직 국내에서는 널리 알려지지 않은 본 기 술의 활용을 넓이고자 한다. within minimum time from beginning of the shutdown.및 12.36%, $101{\sim}200$일의 경우 12.78% 및 12.44%, 201일 이상의 경우 13.17% 및 11.30%로 201일 이상의 유기의 경우에만 대조구와 삭제 구간에 유의적인(p<0.05) 차이를 나타내었다.는 담수(淡水)에서 10%o의 해수(海水)로 이주된지 14일(日) 이후에 신장(腎臟)에서 수축된 것으로 나타났다. 30%o의 해수(海水)에 적응(適應)된 틸라피아의 평균 신사구체(腎絲球體)의 면적은 담수(淡水)에 적응된 개체의 면적보다 유의성있게 나타났다. 해수(海水)에 적응(適應)된 틸라피아의 신단위(腎單位)의 사

  • PDF