• Title/Summary/Keyword: 슬관절 각도

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Functional knee test in sports injury (스포츠 손상에서 슬관절 기능 검사의 의의)

  • Moon, Hyung-Tae;Seo, Jung-Gook;Ha, Jeong-Ku;Kim, Ji-Yeong;Kim, Min-Gun;Kim, Jin-Goo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.2
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    • pp.109-115
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effectiveness of three functional performance tests and one-legged hop test and to establish the reference data of the three functional performance tests of the active young Korean men. Materials and methods: We performed five tests on 40 normal subjects such as one-legged hop test (single hop, triple hop) and the three functional performance tests (carioca test, co-contraction test, shuttle run test). The mean age was 28.4 years. The mean score of Tegner activity scale was 6.2 and Lysholm score 98.2 Mean value and standard deviation were obtained. The correlation of age, height and weight with the results, the relationship between FPT and one-legged hop test and the mean difference between dominant and non-dominant limbs were statistically calculated. Results: All data obtained were normally distributed and there were no significant relationship between age, height and weight. The paired t-test of one legged hop test showed no statistical significance between dominant and non-dominant limbs. The results of one legged hop test had strong relationship with functional performance test. Conclusion; The three functional performance tests can be a useful functional test in ACL-insufficient athletes. Our results can be used as normal reference data of the normal active Korean men.

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Arthroscopic Pull-out Suture Repair of Posterior Root Tear of the Medial Meniscus - Minimum 5 Years Follow-up Results - (내측 반월상 연골판 후방 부착부 파열의 관절경적 견인 봉합술 - 최소 5년 추시결과 -)

  • SaKong, Hyub;Shin, Hong Kwan;Lee, Young-Kook;Bae, Ki Cheor;Cho, Chul Hyun;Lee, Kyung Jae;Son, Eun-Seok;Kim, Doo Han
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.153-159
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    • 2012
  • Purpose: This study aims at evaluating our results with a 5-year follow up of arthroscopic pull-out suture repair of posterior root tear of the medial meniscus. Materials and Methods: This study enrolled 30 cases who underwent a arthroscopic pull-out suture repair to treat the posterior root tear of the medial meniscus from January 2001 to May 2005 and followed up at least 5 years. The average follow-up period was 76 months (range, 60-90 months). Clinical results by use of the Lysholm knee score and radiographic grade by use of the Kellgren-Lawrence classification were evaluated and second-look arthroscopy was done in all cases. The clinical results were compared with trauma history, obesity, varus deformity and time to operation. Results: At the last follow up, the Lysholm knee score improved from 55 points to 86 points. For the radiological results, 23 cases displayed maintenance or improvement of the medial joint space on the follow up X-ray, but 7 cases displayed decrease of the medial joint space, and 1 case was lately performed total knee replacement due to progressive osteoarthritic change. Conclusion: Arthroscopic pull-out suture repair has a good result at 27 cases (90%) in minimum 5 years follow-up. The clinical improvement was significantly reduced in more severe varus angle.

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Comparison of MR Findings between Patients with Septic Arthritis and Acute Gouty Arthritis of the Knee (급성 통풍성 슬관절염과 패혈성 슬관절염의 자기공명영상 소견 비교)

  • Su Young Yun;Hye Jung Choo;Hae Woong Jeong;Sun Joo Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1071-1080
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    • 2022
  • Purpose To compare the MR findings of septic and acute gouty arthritis of the knee joint. Materials and Methods This retrospective study included patients who underwent knee MRI for septic or gouty arthritis at our hospital between October 2012 and October 2018. The MR findings were analyzed for the presence of bone marrow edema, soft tissue edema, abscess, pattern of synovial thickening (frondlike, lamellated, diffuse linear), maximum thickness of the synovium, and joint effusion volume. The gouty (n = 5) and septic arthritis (n = 10) groups were compared using the Wilcoxon rank-sum test and Fisher's exact test. Results No statistically significant differences were observed for each item. One patient in the gouty arthritis group and seven in the septic arthritis group had bone marrow edema. Soft tissue abscess formation was only observed in the septic group. The incidence of each synovial thickening pattern was as follows: 100% (diffuse linear) in the gouty arthritis group and 20% (frondlike), 50% (lamellated), and 30% (diffuse linear) in the septic arthritis group. Conclusion Differentiation of gouty arthritis and septic arthritis based on imaging findings is difficult. However, lamellated synovial thickening patterns, bone marrow edema, and soft tissue abscess formation are more commonly observed in patients with septic arthritis than in those with gouty arthritis.

Arthroscopic Reduction and Fixation of an Anterior Cruciate Ligament Avulsion Fracture From the Tibial Eminence Using Bioabsorbable Pins - Technical Note - (생흡수성 핀을 이용한 소아 경골 과간부 견열 골절의 관절경적 정복 및 고정 방법 - 수술 술기 -)

  • Lee, Su-Chan;Yang, Il-Soon;Seo, Hee-Soo
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.183-187
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    • 2009
  • Purpose: We describe a new and simple technique for arthroscopic fixation of tibial intercondylar eminence avulsion fracture using bioabsorbable pins in skeletally immature patients. Operative Technique: Diagnostic knee arthroscopy is performed using anterolateral and anteromedial portals. Fracture debris and blood clot are debrided to expose the injured site well. The fragment is reduced with the probe and fixed temporarily with a 1.1-mm diameter K-wire that is inserted percutaneously from the anterosuperior aspect of the knee joint. The drill guide is introduced into the joint and the fragment is secured by bioabsorbable, poly-p-dioxanone 1.3-mm pins inserted from different angles. The pins are 40 mm in length. The knee is placed in a long leg cast in extension for 4 weeks to assure that full extension is obtained. Conclusion: Arthroscopic fixation of an tibial intercondylar eminence avulsion fracture using bioabsorbable pins is not a technically demanding, suitable method that ensures fracture healing and restores the stability of the joint.

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Correlation between Medial Joint Space on Rosenberg View and Ultrasonographic Medial Meniscal Extrusion (Rosenberg view상의 관절 간격과 초음파적 내측 반월상 연골 탈출의 상관 관계)

  • Kim, Jung-Man;Kim, Tae-Hyung;Im, Dong-Sun;Shin, Eun-Su;Moon, Young-Suk
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.2
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    • pp.59-64
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    • 2010
  • Purpose: The purpose of this study was to analyze the correlation between medial joint space on Rosenberg view and the degree of ultrasonographic medial meniscal extrusion. Materials and Methods: Three hundred ninety knees with medial joint tenderness examined by ultrasonography were reviewed between January 2009 and May 2010. Medial joint space was divided into Grade I (${\geq}$ 4 mm), Grade II (3~4 mm), Grade III (2~3 mm), Grade IV (1~2 mm) and Grade V (0~1 mm). Then sonographaphic mid-medial extrusion of the medial meniscus was measured in each patient. After dividing into Group A that didn't have large osteophytes (${\geq}$ 3 mm, medial joint at tibia) and Group B that had them, the correlation between the medial joint space and medial meniscal extrusion were analyzed in each group. One-way ANOVA & Scheffe test on the SAS program were used for the statistical analysis (p<0.05). Results: There was a positive correlation between grade of the joint space and medial meniscal extrusion in Group A, but there was no positive correlation in Group B (p<0.05). Conclusion: To the patients who didn't have advanced osteoarthritis, the narrowing of the medial joint space was one of the predictive factors for mid-medial extrusion of the medial meniscus.

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Analysis of Kinematic on Ring jump in the Rhythmic Sport Gymnastics (리듬체조 Ring jump동작의 운동학적 분석)

  • Woo, Byung-Hoon;In, Hee-Kyo;Lee, Kae-San
    • Korean Journal of Applied Biomechanics
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    • v.12 no.2
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    • pp.65-75
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    • 2002
  • The study has a goal that produces abundant documents that needed for athletes to teach and progress skills by analyzing 3-dimensional action analysis of C-difficulties Ring jump included in body original elements among techniques constructing Rhythmic Sport Gymnastics. 1. It was the longest applied time delay that E-3 indicates 0.409${\pm}$0.017sec in each event applied time delay. 2. It was the tallest height that E-3 indicates 88.5${\pm}$1.3% in displacement of body's center. 3. It was the fastest velocity in E-2 where the velocity of left foot is 732.4${\pm}$46.1cm/sec, the velocity of right foot is 1958.4${\pm}$25.1cm/sec. 4. the lowest angle was founded at 97.8 degree in the E-3 on the trunk extension angle. 5. The lowest angle of both sides were seen at 92.8${\pm}$14.9degree and 69.2${\pm}$5.7degree in the E-3 on the each displacement of knee joint. 6. The highest angle of both sides were seen at 171.3${\pm}$6.9degree and 167.9${\pm}$8.4degree in the E-3 on the each displacement of ankle joint As a result of these studies, by jumping with ankle joint extension to accomplish the Ring jump action, it is considered to have the time of flexiblity and staying in the air which we can see in a back.

The Relationship between Bone Bruise in MRI and Associated Injuries after the Knee Joint Trauma (슬관절 외상 후 자기 공명 영상에서 관찰되는 잠재성 골 병변과 동반 손상과의 관계)

  • Kyung Hee-Soo;Ihn Joo-Chul;Kim Poong-Taek;Oh Chang-Wug;Yeo Jun-Young
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.89-96
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    • 2002
  • Purpose : The purpose is to analyze the relationship between bone bruise in MRI and associated injuries after the knee joint trauma. Materials and Methods : Total 50 cases were reviewed, divided into two groups according to initial trauma energy. High-energy group (group I), such as traffic accident was 13 cases, low-energy group (group II), such as sports trauma was 37 cases. The type of the lesion was used the classification by Costa-Paz. The site of lesion was analyzed according to femoral/tibial, medial/lateral and anterior/middle/posterior site respectively. Associated injuries were confirmed by physical examination, radiograph, MRI and arthroscopy. Results : In group I there was a various distribution of the bone bruise in the knee joint according to mechanism of injury. The bone bruise with ACL injury was 38$\%$ only and the most frequent type was Costa-Paz type I (52.6 $\%$). In group II more frequent locations were the middle portion of the lateral femoral condyle and the posterior portion of the lateral tibial condyle. Bone bruise associated with ACL injury, was upto 56.8 $\%$ and the frequent type were Costa-Paz type II (48 $\%$), in order type I (42 $\%$). As a result, in the high-energy injury the bone bruise had a various location in both condyle and less frequently associated injury, but in the low-energy injury there was particularly frequent location of bone bruise, associated injury and type. Conclusions : We could assess the associated injury by analysis of the location and type of bone bruise, especially in the low-energy injury, e.g. sports injury. But further study will be necessary with more case analysis.

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Effects of Oyster Shell Extract on Papain-induced Osteoarthritis in C57BL/6J Mice (굴 패각 추출물이 Papain으로 유도된 골관절염 C57BL/6J Mice에 미치는 영향)

  • Lee, Se-Young;Kim, Hak-Ju;Han, Ji-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.8
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    • pp.1183-1189
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    • 2013
  • We investigated the effects of oyster shell extract (OSE) on papain-induced osteoarthritis in C57BL/6J mice. Osteoarthritis was induced in mice by a papain injection into the knee joint. The mice were divided into a total of five groups (n=8). The normal group was untreated, whereas the papain group (negative control) was induced with osteoarthritis and treated with water daily. The papain+DS group (positive control) was treated with diclofenac sodium. Papain+OSE groups were treated with OSE concentrations of 100 and 200 mg/kg/bw for 20 days. Proteoglycan content in articular cartilage was analyzed through safranine-O fast green staining and H&E staining. The histopathological changes in cartilage were measured by the Rudolphi score approach. The contents of tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$), interleukin (IL)-$1{\beta}$, and IL-6 in plasma were analyzed by the ELISA method. After experiments, body weights of the treated groups were not significantly different compared with the normal group. Cartilage loss and joint instability significantly improved in a dose-dependent manner in the OSE-treated group compared with the papain group (P<0.05). Proteoglycan content was significantly higher in the OSE-treated group than the papain group (P<0.05). Osteoarthritis scores of the OSE-treated group were significantly decreased compared with the papain group (P<0.05). TNF-${\alpha}$, IL-$1{\beta}$, and IL-6 content in the plasma of the papain+OSE treated groups significantly decreased in a dose-dependent manner compared with the papain group (P<0.05). These results suggest that OSE treatment might have anti-arthritic effects on papain-induced osteoarthritis in C57BL/6J mice.

An Analysis on Muscle Strength of Lower-extremity and Pressure Distribution in Sitting Posture (좌식 작업에 있어서 슬관절 각도 변화에 따른 하지 근력 및 압력분포 분석에 관한 연구)

  • Yeo, Min-Woo;Lee, Dong-Choon
    • Journal of the Ergonomics Society of Korea
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    • v.27 no.1
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    • pp.53-60
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    • 2008
  • The purpose of this study is to provide basic data, such as exerting muscle power of the lower-extremity, EMG test and pressure distribution for designing ergonomic workstation in sitting posture. The exerting muscle power of the lower-extremity was measured by PRIMUS in 4 postures of 90$^{\circ}$, 120$^{\circ}$, 150$^{\circ}$ and 180$^{\circ}$. And performed ANOVA test on Max. and Mean 100%MVC. In EMG test for surveying muscle mobiligation, 5 muscles(Rectus Femoris, Vastus Lateralis, Gastrocnemius, Soleus, Tibialis Anterior) were employed. Additional experiment in pressure distribution in sitting posture by Pliance(16$\time$16 poles), Max. pressure was measured and performed ANOVA test on the results. Concludingly, sitting posture with 120$^{\circ}$ lower-extremity is the best design criterion for ergonomic workstation in sitting posture.

A SEMG analysis of knee joint angle during close kinetic chain exercise and open kinetic chain exercises in quadriceps muscle (단일관절운동과 복합관절운동 시 슬관절 각도에 따른 대퇴사두근의 표면 근전도 비교 분석)

  • Han Sang-Wan
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.192-204
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    • 2004
  • The surface electromyographic(sEMG) analyses were knee joint angle during open kinetic chain exercise (OKC) and close kinetic chain exercise (CKC) in vastus medialis (VM), vastus lateralis (VL), and rectus femoralis (RF). Ten subjects with normal , aged 20 to 30(X=27.4, SD=3.23), were randomized Statistical techniques for data analysis were applied paired t-test. The 0.05 level of significane was used as the critical level for rejection of the null hypotheses for the study. And the results were: 1) Both OKC and CKC improved the strength of quadriceps muscle as the knee joint flexion was increased. 2) In OKC, the strength of VM was improved the most at the 30 degree angle. 3) In CKC, the strength of VM was improved the most at the 30 degree angle. 4) The VM/VL ratio was the largest at the 10 and 20 degree angles in OKC and CKC. 5) The VM/VL ratio at 10, 20, and 30 degree angles was significantly different between OKC and CKC (P < 0.05). Base on the results, the OKCE is recommended for the knee joint patients, especially for the patellofemoral pain syndrome patients, during the early phase of rehabilitation. In order to improve strength of the quadriceps, muscle strength training at 30 degree angle is recommended. In order to improve VM/VL ratio, 10 and 20 degree angles are recommended during OKCE and CKCE, respectively. Future researches are warranted comparing electromyographic analysis between OKCE and CKCE in the quadriceps at a certain work lead, and muscle strength performance in the quadriceps at different positions of foot.

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