The Journal of the Korean bone and joint tumor society
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v.11
no.2
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pp.204-207
/
2005
Osteosarcoma is mainly developing around the knee joint. But osteosarcoma of the calcaneus is rare. A 20 year old male patient visited our clinic due to persistent pain around the calcaneus. We diagnosed it to osteosarcoma of the calcaneus and treated with below knee amputation and adjuvant chemotherapy. We experienced a case of osteosarcoma of the calcaneus and would like to report it with review of literatures.
Transactions of the Korean Society of Mechanical Engineers A
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v.29
no.9
s.240
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pp.1191-1198
/
2005
This paper is concerned with the numerical investigation of the landing impact characteristics of sport shoes to the landing mode. In most court sport activities, jumping and landing are fundamental motions, and the landing motion is largely composed of forefoot and rearfoot landing modes. Since the landing impact may, but frequently, lead to unexpected injuries of players, the investigation of its characteristics and the sport shoes design for reducing it are of a great importance. To investigate the landing impact characteristics to the landing mode, we construct a shoes-leg coupled model and carry out the numerical simulation by an explicit finite element method.
The primary innovation in the new footwear is a heel lift of $20^{\circ}$ which is proposed to improve posture and balance as well as increase shock absorption. The purpose of this research was to compare the movement, forces and muscle activity between the new shoes and standard athletic footwear during standing and walking. Nine healthy subjects participated in this study. Data were collected at two times: 1) when the subjects first wore the new walking shoes and 2) after the subjects wore the shoes for 6 hours a day for two weeks. 1. During standing. the movement of the center of pressure is increased approximately 60% when wearing the new walking shoes compared to a control shoe. 2. During walking. the ankle is approximately $14^{\circ}$ more dorsiflexed during landing due to the 200heel lift in the new walking shoes. The knee compensates slightly by flexing approximately $2^{\circ}$ more. 3. As a result of the changes in the walking movement, the ground reaction forces are applied more quickly, although the peak magnitudes do rut change. 4. The resultant joint moments at the ankle and knee joints decrease from 21-60% with the largest reductions occurring during landing. In conclusion, the new footwear change the movement, showing a more upright stance. Also, the new footwear reduce joint loading at the joint during the landing and weight acceptance phase of walking. However, the influence of the new footwear is immediate and does rut change after wearing the shoes for two weeks.
We investigated the reproductive cycle with gonad developmental phases of Solen grandis by histological observations. Seasonal changes in biochemical components of the adductor muscle, visceral mass, foot muscle and mantle were studied by biochemical analysis, from January to December, 2005. The reproductive cycle of this species can be classified into five successive stages: early active stage (December to January), late active stage (January to March), ripe stage (March to July), partially spawned stage (June to July) and spent/inactive stage (July to December). Total protein content was the highest in the foot muscle, the content was high in January (early active stage), the lowest in April (ripe stage), and was the highest in August (partially spawned stage). In the visceral mass, total protein content began to increase in February (late active stage) and reached a maximum in March (ripe stage). Thereafter, it gradually decreased between June and July (partially spawned stage). There was a strong negative correlation in total protein contents between visceral mass and mantle (r = -0.594, p = 0.042). Meanwhile there was a positive correlation between the adductor muscle and foot muscle, the correlation was not statistically significant (r = 0.507, p = 0.093). Total lipid content was the highest in the visceral mass; it was more than 2 to 5-fold higher than that in the adductor muscle, foot muscle, and mantle. Monthly changes in total lipid content were also most dynamic in the visceral mass. It was relatively higher between January and February, showed a maximum in March (the ripe stage), decreased rapidly from April to July (ripe and partially spawned stage), and gradually decreased from September to December (spent/inactive stage). There was a strong positive correlation in total lipid content between foot muscle and adductor muscle (r = 0.639, p = 0.025). Tthough a negative correlation was found between visceral mass and mantle (r = -0.392), the correlation was not statistically significant (p = 0.208). Glycogen contents changed within relatively narrow range and were similar among different tissues. There was no statistically significant correlation in glycogen contents among tissues.
Purpose: To study the mechanism of injuries or discomfort during kendo and to analyze the causes of injury, injured parts of body, treatments modalities, and degree of return to the pre-injury activity level. Materials and Methods: We studied ninety-eight kendo players who had played at three gymnasium of Korean Kumdo Association, were older than high-school age, had been playing kendo for more than six months, and had any pain or discomfort after playing kendo. We analyzed the questionnaire and interviewed the patients concerning the injured parts of body, symptoms, treatments. Results; The mean age was 30.2 years old, and the onset of symptoms was between two weeks and six months after starting the kendo. Many of them were injured during attacking(32.2%). The injuries of feet were increased on players who exercised for less than 1 year. Only fifty-nine players(60.2%) were treated within one month. Among them, thirty-eight percent were treated by oriental medicine or other departments and only thirty-six percent were treated by orthopaedic surgeons. The prevalence of injuries of the foot and ankle was highest(38.8%), and there were the wrist(13.1%), shoulder(11.9%), knee(11.9%) in order of prevalence. Fifty percents of them could return to the pre-injury activity level. Conclusion: The prevalence of injuries of the foot and ankle was highest(38.8%), and were increased on players who exercised for less than 1 year. Sixty percents of players were treated with any proper modalities, and only thirty-six percent were treated by orthopaedic surgeons.
Kim, Kyung-Tae;Lee, Song;Ko, Dong-Oh;Yang, Seung-Jin;Chun, Tae-Hwan;Yang, Jong-Hwa
Journal of the Korean Arthroscopy Society
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v.13
no.3
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pp.249-253
/
2009
Purpose: We evaluated the clinical and radiographic results of arthroscopic ankle arthrodesis using 3 cannulated screws for the treatment of arthritis of ankle. Materials and Methods: From May 2006 to February 2009, 17 cases of arthritis of ankle were treated by ankle arthrodesis using 3 cannulated screws under arthroscopy. There were 8 male and 7 female and the average age was 62.2 years. We evaluated them clinically using AOFAS ankle-hindfoot functional scale, VAS pain score and patient’s satisfaction. For the radiographic evaluation, we checked them by simple AP, lateral and mortise view. The average follow-up period was 24.2 months. Results: The ankle-hindfoot functional scale was improved from an average of 47.4 points preoperatively to an average of 82.5 points at the last follow-up. The visual analogue scale pain score was decreased from an average of 8.6 to 2.4. Patient's satisfaction had favorable results with excellent in 7 cases(41.2%), good in 8 cases(47.0%), fair in 1 case(5.9%) and poor in1 case(5.9%). All ankles were successfully fused and the mean period of fusion was 9.1 weeks. Conclusion: Arthroscopic ankle arthrodesis using 3 cannulated screws was good modality of ankle arthrodesis with good clinical results and high union rate in the case of advanced ankle arthritis.
The purpose of this study was to investigate the shift of COP pathway and the plantar foot pressure among level walking and stairs and ramp climbing in young and elderly people. Plantar foot pressure was measured by MatScan system(Tekscan, USA). Statistical analysis was used One-way ANOVA to know the characteristics of peak plantar pressure during walking with different the facilities. In young adults, COP pathway during stairs climbing was slightly shorten and trended to abduct at forefoot. COP pathway during ramp climbing was also shorten but trend to adduct at forefoot. Peak plantar pressure of 2-3 metatarsal head and heel during ramp climbing was more decreased than level walking. In elderly people, COP pathway during stairs climbing was more shorten and abducted than leve walking and COP pathway during ramp climbing was more unstable than level walking. Peak plantar pressure of first metatarsal head increased at stair climbing and decreased at ramp climbing. That of second metatarsal head and heel was more decreased at ramp climbing. Conclusionally, Peak plantar pressures of each foot region generally increased and more changed during ramp climbing.
The Cobey method and the modified Cobey method are most commonly used in clinical practice. Therefore, the purpose of this study was to investigate the radiological differences between Cobey and modified Cobey and provide radiographic information about changes of hindfoot image with X-ray entrance center and tube angle change in modified Cobey. This study was performed on foot and ankle phantom. First, for image comparison of Cobey and modified Cobey, the images obtained by applying the same X-ray entrance center to the ankle joint were compared and analyzed. Second, in the modified Cobey, the X-ray entrance center is set as ankle joint and lateral malleolus. The X-ray tube angle was varied from $10^{\circ}$ to $40^{\circ}$ at $5^{\circ}$ intervals for each X-ray entrance center. The images obtained by varying the X-ray tube angle from $10^{\circ}$ to $40^{\circ}$ at intervals of $5^{\circ}$ for each X-ray entrance center were compared and analyzed. The irradiation conditions were the same with 110 kVp, 200 mA, 10 ms, and 110 cm of source - image receptor distance (SID). Image evaluation was performed by two radiologists. Measurements were made on the lateral point, middle point, and calcaneus width based on a hypothetical line parallel to the calcaneal tuberosity. Data were analyzed by using descriptive statistics as the mean of the distance to each measurement location. The modified Cobey was longer than the Cobey by an average of 3 to 4 mm lateral and medial points, and the calcaneus width was similar (ICC = 0.939). In modified Cobey method, when the X-ray entrance center is ankle joint, the lateral point is about 3 mm and the medial point is about 4.3 mm longer than lateral malleolus. Also, when the X-ray tube angle is more than $20^{\circ}$, the degree of distortion is large. The ICCs for the lateral, medial point, and calcaneus width were 0.998, 0.961, and 0.997, respectively, as the X-ray entrance center and tube angle were changed. There was no significant difference between Modified Cobey and Cobey. Modified Cobey showed no need to compensate the $20^{\circ}$ detector angle of the Cobey. In addition, we suggest that tube angle should be limited within $20^{\circ}$ when modified Cobey is performed.
Lee, Myung Jin;Kim, Sung Soo;Wang, Lih;Lee, Chul Won;You, Sung Gon;Hwang, Jin Soo
Journal of the Korean Arthroscopy Society
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v.16
no.2
/
pp.134-139
/
2012
Purpose: To report the treatment results of arthroscopic osteochondroplasty in osteochondral lesion of the talus. Materials and Methods: This study included 32 patients who had osteochondral lesion of the talus treated with arthroscopic osteochondroplasty and were able to be followed up over 3 years from 1999 to 2007. The mean follow up period was 48 (38-108) months, and 22 male patients and 10 female patients with a mean age of 34 (20-56) years were included. Locations of lesion were evaluated with simple X-ray and magnetic resonance imaging (MRI), and severities of lesions were classified by Berndt and Harty classification. All cases were treated by arthroscopic debridement or microfracture. The treatment results were assessed by American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale and subjective and functional score of Kailkkonen. The group treated by arthroscopic microfracture was compared with the group treated by arthroscopic debridement. Results: The mean AOFAS ankle-hindfoot scale was significantly improved 53 (${\pm}7$) points preoperatively to 84 (${\pm}8$) points postoperatively (P<0.001). The mean subjective and functional score was also improved 55 (${\pm}8$) points preoperatively to 88 (${\pm}8$) points postoperatively with statistical significant (P<0.001). There were no relations between the severity of lesions and the postoperative functional score of ankle (P>0.05). There were no significant differences in the clinical results between the group treated with arthroscopic microfracture and the group treated with arthroscopic debridement (P>0.05). Conclusion: Arthroscopic osteochondroplasty of osteochondral lesion of the talus shows excellent result in terms of patients' satisfaction. There were no significant differences in the clinical results between arthroscopic microfracture group and debridement group.
Journal of the Korean Applied Science and Technology
/
v.35
no.1
/
pp.89-98
/
2018
The purpose of this study was to compare the foot plantar pressure and temperature changes of the developed combat boots with functional impact absorption and ventilation insole. A total of 11 male subjects(age: $21.8{\pm}2.2yrs$, height: $174.3{\pm}3.6cm$, weight: $71.6{\pm}8.6kg$, foot length: $261.0{\pm}1.0mm$) were recruited to compare the foot plantar pressure and temperature changes of the three types of combat boots: Combat boots A (generalized combat boots), Combat boots B (developed combat boots with ventilation function), Combat boots C (Application of ventilation function and impact absorption insole to combat boots B). Pedar-X and a portable thermistor temperature sensor were used to measure the foot plantar pressure parameters and the internal temperature of the combat boots, respectively. One-way ANOVA was used to compare the results of plantar pressure and temperature changes. The results were as follows: First, in the foot plantar pressure parameters, combat boots C showed the significant lower maximum foot plantar pressure in the right/left rear foot compared with combat boots A and average foot plantar pressure in the left foot compared with combat boots B. Second, after 40 minutes from the start of walking, the developed combat boots B and C showed the significant lower temperature than the general combat boots A.
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