• Clinics in Shoulder and Elbow
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• v.11 no.2
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• pp.96-103
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• 2008

Purpose: This study investigated the rate of retear and related factors after arthroscopic repair of rotator cuff tears involving more than one tendon. Materials & Methods: Arthroscopic repair of 22 rotator cuff tears (average size 3.2cm: average age 58 years old) involving the supraspinatus and part or all of the infraspinatus were investigated using MRI on average 10 months after repair. The status of the repaired cuff was investigated using Sugaya's classification, and the change in muscle was evaluated with Goutallier's classification. Results: Retear (Sugaya grade IV, V) was found in 7cases(32%). Tears larger than 3cm had a higher retear rate(67%) than smaller tears(8%). Retear cases had Goutallier grade II or higher muscle changes preoperatively and showed aggravation of muscle atrophy postoperatively. Even without retear, reversal of muscle change was not seen Conclusion: Rotator cuff tears not confined to the supraspinatus had a 32% retear rate after arthroscopic repair. The size of the tear was the most crucial factor influencing retear. Retear was frequent in tear over 3cm. Atrophy of the cuff muscle worsened when the repair failed but did not improve even without retear.

• Clinics in Shoulder and Elbow
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• v.15 no.1
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• pp.16-24
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• 2012

Purpose: This study was designed to investigate the rate of incidence, location and the clinical value of the rotator cuff retear by analyzing MRI scans, which was taken after an arthroscopic rotator cuff repair. Materials and Methods: This study included a total of 109 patients, who underwent a shoulder MRI scan after an average of 10.6 months later from the arthroscopic rotator cuff repair. We only defined the 'retear' when the Sugaya type IV and V was observed in the sagittal section of the MRI. The location of the retear was divided into the medial and lateral areas by the site, which was 1 cm medial to the anchor insertion. We investigated the incidence rate and the location of the retear, in terms of the age, sex, initial tear size and the suture method. Also, we compared the functional score of the retear group and the non-retear group, after an average of 13.9 months follow-up. Results: There were 38 of the 109 patients that showed the rotator cuff retear. Of these patients, 25 were male patients, and 13 were female patients. Of the 38 patients with the rotator cuff retear, 21 patients were included in the <3 cm retear group, and 17 were included in the ${\geqq}3$ cm retear group. At the end of the follow up period, all 109 patients showed a statistical significant improvement in the shoulder functional score. Conclusion: According to the follow up of the MRI scan, which was taken after the rotator cuff repair, the retear rate reached 34.9 %, and there were no significant differences on the age and the suture method. More rotator cuff retear occurred in male patients, and the initial tear size was positively correlated with the incidence rate of the rotator cuff retear. Also, the retear was more frequently observed at the medial side. That is because when the suture was performed, excessive tension was loaded on the medial side of the suture site.

• Clinics in Shoulder and Elbow
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• v.11 no.1
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• pp.29-36
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• 2008

Purpose: We wanted to evaluate the relationship between the clinical outcomes and cuff integrity after open rotator cuff repair and we wanted to analyze the causes of rotator cuff retear. Materials and Methods: 78 patients who underwent open rotator cuff repair were enrolled from 2004 to 2006. All the patients were observed for a minimum follow-up of 12 months and they were evaluated by magnetic resonance imaging (MRI). The clinical outcomes were accessed by dividing the patients into the retear group and the intact group. The groups were also compared to analyze the cause of rotator cuff retear according to the preoperative tear size, the symptom duration, and so on. Results: The clinical outcome of the retear group (n=22) was improved significantly after operation (p<0.001, p<0.001), but the muscle power was not improved significantly (p=0.099, p=0.243). More retears were found in the patients who had a larger preoperative tear (p<0.001) and the symptom duration of the retear group was longer (p=0.027). Conclusion: Although there were retear after rotator cuff repair, the clinical outcomes were improved. Yet the muscle power of the supraspinatus and external rotator were not improved significantly. There were more retears for the cases that had a larger preoperative tear size and a longer duration of symptoms.

• Clinics in Shoulder and Elbow
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• v.13 no.1
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• pp.167-174
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• 2010

Purpose: Anatomical repair of massive rotator cuff tear has been technically challenging because of medial retraction, muscle atrophy and fatty degeneration. Among several treatment options for massive rotator cuff tear, we reviewed rotator cuff repairs and investigated modalities for improvement of clinical outcomes, decreasing the re-tear rate, and increasing healing. Materials and Methods: Patient-related factors and rotator cuff-related factors were the two major groups of factors we considered when choosing a treatment plan. Results: Mobilization of a massive rotator cuff tear was increased by soft tissue release and by the interval slide technique. After meticulous soft tissue release, anatomical repair could be achieved. If the injury was not amenable to anatomical repair, alternative treatment options such as partial repair, the margin convergence technique and augmentation with a tenotomized biceps tendon were considered. Many reports of massive rotator cuff repair demonstrated satisfactory clinical outcomes, decreased pain, recovery of shoulder functions, and increases in muscle strength. However, the re-tear rate had been reported to be relatively high in long-term follow-up. Conclusion: Despite a high re-tear rate after massive rotator cuff repair, a better understanding of the pathogenesis, progression and clinical symptoms of massive rotator cuff tear and improved surgical materials and techniques will lead to satisfactory clinical outcomes.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2007.03a
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• pp.101-102
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• 2007

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2009.03a
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• pp.90-90
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• 2009

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 1997.11a
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• pp.32-32
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• 1997

복합재 연소관의 구조적 건전성 평가 방법을 개발하기 위하여 표준 평가용 시편의 수압 시험 중, 연소관으로부터 방출되는 음향방출(acoustic emission: AE) 신호를 측정 장비를 이용하여 신호 처리함으로써 시편이 파괴되기 전, 대략적인 시편의 파열 위치 및 일정 압력 유지상태에서 hit rate 양상에 의한 건전성 평가 방법을 제시하였다. 데이터의 분석 기법 향상을 위하여 음향방출 데이터를 시간 및 센서별로 분류하는 프로그램을 개발하였다. 수압 시험을 낮은 압력 단계부터 높은 압력 단계까지 일정 압력 유지 상태(load-hold)에서 발생한 hit 수와 1분간 유지한 후 발생되는 hit rate(hit/sec)의 값의 크고 작음이 복합재 압력 용기의 결함수의 증감으로 나타났으며, 이로부터 복합재 압력 용기의 파열 압력과의 상관관계 및 건전성을 예측할 수 있었다. 복합재 압력 용기의 파열 위치는 energy rate(energy/sec) 측정값을 분석하여 예측하였으며, 파열 압력의 30∼50%에서 가능하였다.

• Journal of the Korean Society of Propulsion Engineers
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• v.19 no.5
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• pp.78-83
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• 2015

In the composite case, the first ply failure is considered total failure of the case. When the case is constructed by filament winding over a metal liner, the first ply failure does not necessarily mean total failure of the case. In this study, we compared the results through finite element analysis and burst test to predict the burst pressure of the hybrid case (filament-wound composite case with metal liner). Through it predicts the burst pressure of the hybrid case, we can determine the thickness of the metal liner and composite.

• Journal of the Korean Society for Nondestructive Testing
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• v.21 no.3
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• pp.313-318
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• 2001

To establish nondestructive test method for aerospace composite materials, various composite specimens were tested and analyzed using acoutic emission. The hit rate of acoustic emission closely was rotated with crack initiation and propagation. This report also presents defection capability of crack initiation pressure, initial crack active location, and crack propagation using acoustic emission.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2008.03a
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• pp.125-126
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• 2008