• Title/Summary/Keyword: Around the knee

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Do the Rotating Hinge-Flexible Intramedullary Nail Composites Alleviate Junctional Osteolysis in Megaprothesis Reconstruction for Bone Tumor? (탄력성 있는 골수강 내고정물과 회전경첩형 슬관절 전치환물을 조합한 종양인공관절로 자가골의 골 용해를 감소시킬 수 있는가?)

  • Song, Won-Seok;Cho, Wan-Hyeong;Cho, Sang-Hyun;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.2
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    • pp.96-104
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    • 2007
  • Purpose: The authors investigated whether 35 flexible nail-rotating hinge composite reconstructions around knee joint minimize junctional osteolysis of host bone. Material and Method: The reconstructive technique was as follows: 1) en bloc tumor resection, 2) filling of the host bone marrow cavity with multiple Ender nails, 3) assembling the Ender nails and an Endo-Link type total knee component with wire and bone cement. Result: Mean follow-up was 53 months (ranged 30~79). At final follow-up, 29 patients retained a mobile joint. Resection of more than 40% of bone showed a positive relationship with junctional hypertrophy (p=0.028). Eight patients showed nail breakage and eight prostheses were removed due to early or late infection. The cumulative prosthetic survival rate was 33% at 6 year. Average functional score according to the MSTS criteria was 26.8. Conclusion: Mid-term evaluations showed that results were fair. The revision process was straightforward. Junctional hypertrophy observed appears to give some clues as to how to minimize osteolysis at the prosthesis-host junction after modular prosthesis fixation.

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Knee Joint Sparing Tumor Resection in 4years-Old Patient with Osteosarcoma - A Case Report - (4세 소아 대퇴골 골육종의 슬관절 보존형 절제 및 재건술 - 증례 보고 -)

  • Cho, Wan-Hyung;Cho, Sang-Hyun;Won, Ho-Hyun;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.157-162
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    • 2008
  • Nowadays, most of the malignant bone tumor patient underwent limb salvage operation, however, reconstructive options for skeletally immature group are still controversial. There are three necessary conditions of most ideal reconstructive method in treating the skeletally immature children. As the epiphyseal plate sacrification is usually inevitable in malignant bone tumor around knee joint, ideal reconstructive technique would be as follows; 1)minimal or no damage to theadjacent epiphyseal plate, 2) maintaining mobile joint, 3) index procedure does not disturb subsequent operation such as lengthening. Segmental resection and reconstruction using autogenous pasteurized graft was done for 4 years old meta-diaphyseal osteosarcoma of femur. At 6 months from index operation, plain radiograph showed pasteurized bone resorption and loosening of fixation devise. To overcome the complication, we used allograft reconstruction by impacting the proximal host bone to the fluted portion of allobone. Three months later, proximal bone union was observed and patient showed good functional outcome.

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Assessment of Isokinetic Muscle Function in Elite Canadian College Paddlers (대학 엘리트 카나디언 선수들의 어깨·허리·무릎 관절의 등속성 근기능 평가 및 진단)

  • Shin, Kwang-Taek;An, Chang-Gyu;Sohn, Jee-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.229-238
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    • 2013
  • The aim of this study is to evaluate university canadian paddlers' iso-kinetic muscle function and provide training advices. Eight university paddlers with a 8.5 years career participated in this study. Inbody 720, biodex system III, biodex stabilizer system and THP 2 are used to investigate body component, muscle function(peak torque, average power and work fatigue), agility and dynamic balance. Iso-kinetic muscle function around shoulder, thorax and knee are measured. And then bilateral and unilateral muscle imbalance are calculated at each joint. Results of this study are as follows; University canadian paddlers' BMI average is 24.90 $kg/m^2$ and percent body fat is 12.23%. Reaction time average was 324 msec and balance score at each leg are below 2.0. A3, A4, A5, A6, A8 are needed to train shoulder muscle strength and power. A1, A2, A7, A8 are needed to strengthen shoulder muscle endurance. A2, A5, A8 are needed to train thorax muscle strength and power. A1, A8 are needed to strengthen thorax muscle endurance. Most of paddlers' reciprocal muscle balance ratio on thorax and knee are out of normal range. A2, A3, A4, A8 are needed to train abdominal strength and A3, A5, A6, A7, A8 are needed to train hamstring strength.

A Kinetics Analysis of Forward 11/2 Somersault on the Platform Diving (플랫폼 다이빙 앞으로 서서 앞으로 11/2회전 동작의 운동역학적 분석)

  • Jeon, Kyoung-Kyu
    • Korean Journal of Applied Biomechanics
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    • v.23 no.3
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    • pp.209-218
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    • 2013
  • This study was to perform the kinetic analysis of forward $1\frac{1}{2}$ somersault on the platform diving. Six men's diving players of the Korea national reserve athletes participated in this study. The variables were analyzed response time, velocity, center of mass (COM), angle, center of pressure (COP) and ground reaction force (GRF) of motion. For measure and analysis of this study, used to synchronized to 4 camcorder and 1 force plate, used to the Kwon3D XP (Ver. 4.0, Visol, Korea) and Kwon GRF (Ver. 2.0, Visol, Korea) for analyzed of variables. The results were as follows; Time factor were observed in maximum knee flexion depending on the extent of use at phase 1 of take-off to execute the somersault. This enabled the subject to secure the highest possible body position in space at the moment of jumping to execute the somersault and prepare for the entry into the water with more ease. Regarding the displacement of COM, all subjects showed rightward movement in the lateral displacement during technical execution. Changes in forward and downward movements were observed in the horizontal and vertical displacements, respectively. In terms of angular shift, the shoulder joint angle tended to decrease on average, and the elbow joints showed gradually increasing angles. This finding can be explained by the shift of the coordinate points of body segments around the rotational axis in order to execute the half-bending movement that can be implemented by pulling the lower limb segments toward the trunk using the upper limb segments. The hip joint angles gradually decreased; this accelerated the rotational movement by narrowing the distance to the trunk. Movement-specific shifts in the COP occurred in the front of and vertical directions. Regarding the changes in GRF, which is influenced by the strong compressive load exerted by the supporting feet, efficient aerial movements were executed through a vertical jump, with no energy lost to the lateral GRF.

A Study on the Design and Composition of Victorian Women's Mantle

  • Lee, Sang-Rye;Kim, Hye-Jeong
    • Journal of Fashion Business
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    • v.14 no.6
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    • pp.188-203
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    • 2010
  • This study purposed to identify the design and composition characteristics of mantle through a historical review of its change and development focusing on women's dress. This analysis was particularly focused on the Victorian age because the variety of mantle designs introduced and popularized was wider than ever since ancient times to the present. For this study, we collected historical literature on mantle from ancient times to the $19^{th}$ century and made comparative analysis of design and composition, and for the Victorian age we investigated also actual items from the period. During the early Victorian age when the crinoline style was popular, mantle was of A.line silhouette spreading downward from the shoulders and of around knee length. In the mid Victorian age from 1870 to 1889 when the bustle style was popular, the style of mantle was changed to be three-dimensional, exaggerating the rear side of the bustle skirt. In addition, with increase in women's suburban activities, walking costume became popular and mantle reached its climax. With the diversification of design and composition in this period, the name of mantle became more specific and as a result, mantle, mantelet, dolman, paletot, etc. were used. The styles popular were: it looked like half-jacket and half-cape. Ornaments such as tassels, fur, braids, rosettes, tufts and fringe were attached to create luxurious effects. In the late Victorian age when the hourglass style was in fashion, mantle returned again to plain design emphasizing the details of the shoulders. The results of this study are expected to present motives for the development of contemporary designs, to contribute to the new recognition of the value of mantles, and to open a new research area of clothing history.

Comparison of the Immediate Effects of the Assisting Method for Center of Body Weight on Vastus Medialis Oblique and Vastus Lateralis Muscle Activation Variables and Muscle Onset Time During Stair Ascending (체중심의 보조 방법에 따른 계단 오르기 시 안쪽넓은근과 가쪽넓은근의 근활성 변수들과 개시시간에 미치는 즉각적인 영향 비교)

  • Ji-Won Shin;Sam-Won Yoon
    • PNF and Movement
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    • v.21 no.1
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    • pp.107-117
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    • 2023
  • Purpose: The aim of this study is to compare the immediate effects of weight-assisting methods on vastus medialis oblique (VMO) and vastus lateralis (VL) muscle activation, on the VMO/VL muscle activation ratio, and on muscle onset time in healthy subjects when ascending stairs. Methods: Healthy participants were randomly assigned to the belt group (n = 11), hand group (n = 11), and control group (n = 11). In the belt group, a belt was wrapped around the sacrum and pulled forward with both hands, moving the center of weight forward, while ascending stairs. The hand group grasped the hips with both hands and climbed stairs, assisting their weight from the rear and moving the center of weight backward, and the control group climbed the stairs without any intervention. Results: Muscle activation of the VMO decreased significantly after the intervention in the belt and hand groups, and activation of the VL muscle in both groups showed a greater decrease than that of the VMO muscle. Further, the VMO/VL muscle activation ratio increased significantly, with an improvement shown in the order of the belt group, hand group, and control group, while muscle onset time also improved in the order of the belt group, hand group, and control group. Conclusion: The belt group demonstrated the greatest effect across all dependent variables, confirming that in clinical practice, these two weight-assisting methods are more effective interventions during stair ascent for patients with knee joint instability, pain, and imbalance than no assistance.

A Survey on the Prevalence of Musculoskeletal Symptoms and Related Factors among Korea Seamen (상선 승무원들의 근골격계 증상 경험률과 관련요인)

  • Kim, Jae-Ho;Lee, Jong-Young
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.1 s.60
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    • pp.127-138
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    • 1998
  • The purpose of this study is provide a basic data for the prevention and management of musculoskeletal symptoms in Korea seamen. 569 seamen's questionnaire had been acquired at Korea Marine Training and Research Institute from February 24 to March 31 in 1997, The results of this study were as follows; Prevalence in musculoskeletal symptom within recent 12 months was 68.5% . It was 3% in seamen who had graduated from colleges or universities and 56.0% in seamen who had graduated from elementary school(p<0.01). The more working hours(p<0.01), servies on the vessel(p<0.01), and the less job satisfaction(p<0.05), the higher prevalence of musculoskeletal symptoms were. The distribution of musculoskeletal symptoms by the part of the body was turned out as Back ; 43.6%, knee : 23.9%, shoulder : 19.3%. The officers had more frequency of symptom around the neck than the ratings(p<0.01) and the seamen who work at the engine room were more frequent in elbow than those at deck department(p<0.05). In the duration of pain, 55.4% were less than one week, 20.6% less than 30 days, and 24.0% 30 days and more. the cause of symptom was turned out as 34.5% by excessive hard work and 30.1% was unknown. for the treatment of the musculoskeletal symptoms, 40.3% with symptomes did not have any medical treatment, 27.6% was self-treated and 22.7% was treated at hospital. This study shows that musculoskeletal disorders are seamen's important health problem and they can not properly take medical service due to the out of home for a long period as characteristics of occupation.

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Effects of Material Properties and Fabric Structure Characteristics of Graduated Compression Stockings (GCS) on the Skin Pressure Distributions

  • Liu Rong;Kwok Yi-Lin;Li Yi;Lao Terence-T;Zhang Xin
    • Fibers and Polymers
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    • v.6 no.4
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    • pp.322-331
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    • 2005
  • Graduated compression stockings (GCS) have been widely used for the prophylaxis and treatment of venous diseases. Their gradient pressure function largely related to their fabric structure and material properties. By combing fabric physical testing and wear trials, this study investigated the GCSs fabric structure and material properties at different locations along the stocking hoses, and quantitatively analyzed the effects of fabrics on skin pressure longitudinal and transverse distributions. We concluded that, Structural characteristics and material properties of stocking fabrics were not uniform along the hoses, but a gradual variation from ankle to thigh regions, which significantly influenced the corresponding skin pressure gradient distributions; Tensile (WT, EM) and shearing properties (G) generated most significant differences among ankle, knee and thigh regions along the stocking hose, which significantly influenced the skin pressure lognitudinal gradient distribution. More material indices generating significant gradual changes occurred in the fabric wale direction along stocking hose, meaning that materials properties in wale direction would exert more important impact on the skin pressure gradient performances. And, the greater tensibility and smoother surface of fabric in wale direction would contribute to put stocking on and off, and facilitate wearers' leg extension-flexion movements. The indices of WT and EM of stocking fabrics in series A have strong linear correlations with skin pressure lognitudinal distribution, which largely related to their better performances in gradual changes of material properties. Skin pressure applied by fabric with same material properties produced pronounced differences among four different directions around certain cross-sections of human leg, especially at the ankle region; and, the skin pressure magnitudes at ankle region were more easily influenced by the materials properties, which were considered to be largely related to the anatomic structure of human leg.

Ultrastructural Study on the Development of the Synovial Membrane in Human Fetuses (인태아(人胎兒) 활액막세포(滑液膜細胞)의 전자현미경적(電子顯微鏡的) 연구(硏究))

  • Yoon, Jae-Rhyong;Chun, Cheol-Hong;Ahn, Kyu-Youn
    • Applied Microscopy
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    • v.24 no.1
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    • pp.86-101
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    • 1994
  • The development of synovial membrane from knee joint was studied by electron microscope in human fetuses ranging from 20mm to 260mm crown rump length (40days to 30weeks of gestational age). At 40mm fetus, developing synovial tissue was observed in homogenous interzone as a vascular mesenchyme around the periphery. The primitive joint space was appeared after the intermediate layer of the interzone in direct contact with chondrogenic layer at 60mm fetus. Differentiation of the synovial membrane coincided with clarification of the joint cauity. When dilatation of the synovial cavity occurred, the two types of synovial cells were well endowed with rough endoplasmic reticulum. At 100mm fetus, type A cells with a markedly attenuated cytoplasm were found as well as those cells which contained pinocytotic vesicles and vacuoles. By 150-200mm fetuses a majority of the intimal cells were type B. These cells were characterized by abundant rough endoplasmic reticulum and well developed Golgi complex. In contrast, A-type cell had numerous filopodia, pinocytotic vesicles lysosomes, and large vacuoles containing amorphous material. At 260mm fetus, the intimal cells were well developed and plentiful. The most marked difference between the synovial membrane of full-term fetus and adult was the large amount of collagen in the latter. During fetal period, the B-cells were most numerous cell type in the intimal cells. The B-cells were clearly distinguishable from the A-cells by their content of extensive rough endoplasmic reticulum and well developed Golgi complex.

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Radiographic Classification and its Clinical Features for Metaphyseal Cortical Defect of the Distal Femur (대퇴골 원위부 골간단의 피질골 결손에 대한 방사선학적 분류 및 그에 따른 임상적 경과관찰)

  • Park, Il-Hyung;Oh, Chang-Wug;Min, Woo-Kie
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.1
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    • pp.17-22
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    • 1999
  • Over 60 cases were enlisted, but only 31 cases among 24 patients were eligible with a minimum follow-up of 1 year and complete medical documents with imaging data. There were 18 boys and 6 girls, and 7 patients had bilateral lesions. The age of the patients ranged from 2 to 20 years(mean:10.5 years). At their first visit, most lesions had a highly characteristic location and radiographic appearance of radiolucent lesion(s) ranging from 1 to 3cm, except for one case of 5.5 cm in the posteromedial comer of distal femoral metaphysis. The margins were generally well-defined, although some were ill-defined. After reviewing our cases from the viewpoint of clinical course and radiographic patterns, we divided these lesions into two types. Type I is the osteolytic lesion excavated into the posteromedial aspect of the distal femur without cortical defect; and type II is the buldged out lesion of the femur with cortical irregularity into the surrounding soft tissues. Both types have distinctive clinical courses. Type I lesions were easy to make a definite diagnosis with plain radiographs alone, but in type II, it was sometimes very difficult to differentiate it from malignant tumors or chronic localized osteomyelitis. For this lesion, Gd-enhanced MRI was the most effective method for differential diagnosis. In this study, biopsy was not necessary to confirm the diagnosis. Clinical symptoms of type I were very minor or even absent. Many of them were accidentally found after minor trauma around the knee joint. Clinical symptoms disappeared far earlier than radiographical lesions. No treatment such as restriction of activity or drugs was necessary. For type II, the clinical symptoms were more accentuated and lasted longer, and it was necessary to restrict the activity for a certain period in many cases. However, all were self-limited.

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