• Clinics in Shoulder and Elbow
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• v.25 no.3
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• pp.240-243
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• 2022

Isolated deltoid paralysis is a rare pathology that can occur after axillary nerve injury due to shoulder trauma or infection. This condition leads to loss of deltoid function that can cause glenohumeral instability and inferior subluxation, resulting in rotator cuff muscle fatigue and pain. To establish dynamic glenohumeral stability, a novel technique was invented. Humeral suspension is achieved using a double button implant with non-resorbable high strength cords between the acromion and humeral head. This novel technique was used in two patients with isolated deltoid paralysis due to axillary nerve injury. The results indicate that the humeral suspension technique is a method that supports centralizing the humeral head and simultaneously dynamically stabilizes the glenohumeral joint. This approach yielded high patient satisfaction and reduced pain. Glenohumeral alignment was improved and remained intact 5 years postoperative. The humeral suspension technique is a promising surgical method for subluxated glenohumeral joint instability due to isolated deltoid paralysis.

• Nuclear Engineering and Technology
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• v.55 no.3
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• pp.947-957
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• 2023

Curved cylindrical structures such as elbows have a non-uniform thickness distribution due to their fabrication process, and as a result have a number of complex mode shapes, including circumferential and axial nodal patterns. In nuclear power plants, material degradation is induced in pipes by flow accelerated erosion and corrosion, causing the wall thickness of carbon steel elbows to gradually thin. The corresponding frequencies of each mode shape vary according to the wall thinning state. Therefore, the thinning state can be estimated by monitoring the varying modal characteristics of the elbow. This study investigated the varying modal characteristics of artificially thinned carbon steel elbows for each thinning state using numerical simulation and experimental methods (MRIT, Multiple Reference Impact Test). The natural frequencies of specified mode shapes were extracted, and results confirmed they linearly decreased with increasing thinning. In addition, by comparing single FRF (Frequency Response Function) data with the results of MRIT, a concise and cost effective thinning estimation method was suggested.

• Journal of the Korea Society of Computer and Information
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• v.28 no.7
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• pp.189-198
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• 2023

The phenomenon of climate change is deteriorating which increased heatwaves, typhoons and heavy snowfalls in recent years. Followed by the 25^th United nations framework convention on climate change(COP25), the world countries have achieved a consensus on achieving carbon neutrality. City plays a crucial role in achieving carbon mitigation as well as economic development. Considering economic and environmental factors, we selected 63 cities in South Korea to analyze carbon emission situation by Elbow method and K-means clustering algorithm. The results reflected that cities in South Korea can be categorized into 6 clusters, which are technology-intensive cities, light-manufacturing intensive cities, central-innovation intensive cities, heavy-manufacturing intensive cities, service-intensive cities, rural and household-intensive cities. Specific suggestions are provided to improve city-level carbon mitigation development.

• Clinics in Shoulder and Elbow
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• v.8 no.2
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• pp.88-96
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• 2005

Purpose: To compare and analyze the outcome of primary clavicular lateral end resection method and conventional acromioclavicular (AC) joint reduction method in type III AC dislocation patients over 45 years. Materials and Methods: This study was performed on selected 24 cases of type III AC dislocation patients, over 45 years of age, operated at our hospital from 1998 to 2002. Group I consist of 12 patients who underwent primary clavicular lateral end resection methods (average age: 54.3 years$(45{\sim}72)$). Group II consist of 7 patients using Bosworth methods and 5 patients using Phemister methods (average age: 54.4 years$(45{\sim}71)$). Clinical outcome was evaluated by Weaver and Dunn method. Radiological results were compared by measuring coracoclavicular distance between normal and injured side. Results: As clinical outcome, good was 10 cases(83%); fair 2(17%) in Group I, and good 6(50%); fair 3(25%); poor 3(25%) in Group II. In contrast, the difference of coracoclavicular distance was not statistically significant between two groups before or after surgery, and last follow up. At the last follow up, there was no special correlation between the difference of coracoclavicular distance and clinical outcome. Conclusion: We considered that primary clavicular lateral end resection may be effective for prevention of arthrosis in AC joint in type III AC dislocation patients over 45 years.

• Journal of the Ergonomics Society of Korea
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• v.36 no.5
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• pp.589-599
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• 2017

Objective: The objective of this study was to measure the upper-limb motions and postures of grapes-harvesting tasks using electrical goniometers and analyze the upper-limb motions in a kinematic way to assess the risk of musculoskeletal disorders. Background: Grapes farmers are exposed to various risk factors of musculoskeletal disorders (MSDs) such as repetitive upper-limb motions, non-neutral postures, and manual handling of heavy items. The farmers have to use scissors repetitively while harvesting grapes with their being arms elevated over the shoulder height, which presumed to increase the physical workload. It has been reported that the grapes farmers feel the harvesting task as the one of the hardest work in cultivating grapes. We tried measure the wrist and elbow angles while the farmers were carrying out harvesting tasks to understand how much workload the work impose on the farmers, which can be helpful in making interventions of preventing musculosksletal disorders among grapes farmers. Method: We measured joint angles at the right wrist and elbow with a wireless measuring system with two electrical goniometers from five grape farmers. The grapes-harvesting task was classified into 6 different subtasks: 1) searching, 2) picking, 3) cleaning, 4) carrying, 6) storing, and 7) miscellaneous tasks. The subtasks were compared by mean angles, 10%, 50%, and 90% APDF values of wrist flexion/extension, ulnar/radial deviation, and elbow flexion. Results: The Kruskal-Wallis tests showed that the 10th percentiles of APDF of ulnar/radial deviation and flexion/extension of the wrist significantly differs among subtasks (p<0.05). It was found that the farmers assumed more deviated wrist postures in the ulnar direction when they picking and adjusting the grapes. The use of scissors seemed to force the farmers to severely bend their wrist in the directions of ulnar deviation and flexion. The grapes-harvesting task showed similar wrist postures and motion with poultry deboning and milking tasks. Conclusion: The grapes harvesting tasks make the farmers take ulnar deviated and extended postures in the wrist. The use of scissors makes them take more severely deviated postures in the wrist. Safety guidelines including use of ergonomic scissors can be provided to the farmers to improve their work conditions. Application: The results of this study can be used as a basic data for the development of safety guidelines for agricultural work.

• Archives of Reconstructive Microsurgery
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• v.6 no.1
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• pp.73-79
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• 1997

Complete denervation after severe brachial plexus injury make significant muscle atrophy with loss of proper function. It is much helpful to reconstruct the essential function of the elbow flexion movement in patient with total loss of elbow flexion motion after brachial plexus lesion which was not recovered with nerve surgery or long term conservative treatment from onset. In whole arm type brachial plexus injury, if there were no response to neurotization or neglected from injury, the volume of the denervated muscle is significantely reduced month by month. About 18 months most of the muscle fibers change to fibrous tissues and markedly atrophied irreversibly, further waiting is no more meaningful from that period. Authors performed 14 cases of functioning gracilis muscle transfer from 1981 to 1995 with microneurovascular technique, neuromusculocutaneous free flaps were performed for reconstruction of lost elbow flexion function. Average follow-up period was 5 years and 6 months. We used couple of intercostal nerves as a recipient nerve which were anastomosed to muscular nerve from obturator nerve in all cases. Recipient vessels were three deep brachial artery and eleven brachial artery which were anastomosed to medial femoral circumflex artery with end to end or end to side fashion. Average resting length of the transplanted gracilis were 24 cm. We can get average 54 degree flexion range of elbow with fair muscle power from flail elbow. There were one case of muscle necrosis with lately developed thrombosis of microvascular anastomosed site which comes from insufficient recipient arterial condition, 3 cases of partial marginal necrosis of distal skin of the transplanted part which were not significant problem with spontaneously solved with time goes by gracilis muscle has constant neurovascular pattern with relatively easy harvesting donor with minimal donor morbidity. Especially it has similar length and shape with biceps brachii muscle of upper arm and longer nerve pedicle which can neurorrhaphy with intercostal nerve without nerve graft if sufficient mobilization of the nerves from both sides of gracilis and intercostal region. Authors can propose gracilis muscle transplantation with intercostal nerves neurotization is helpful method with minimal donor morbidity for neglected brachial plexus palsy patients.

• Journal of the Korean Arthroscopy Society
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• v.9 no.1
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• pp.60-64
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• 2005

Purpose: To describe the impingement of the osteophyte between the olecranon process and olecranon fossa and to understand the effect of removing the lesion on the elbow extension in heavy workers. Materials and Methods: Arthroscopy was performed to elbow of heavy industrial workers who complained painful limitation of elbow extension.6 patients(Teases) with average age of 43 year were selected. The average ROM showed flexion contracture of $17^{\circ}$ and further flexion of $87^{\circ}$. Results: In all cases, after the operation two months follow up, mean flexion contracture improved from $17^{\circ}\;to\;2^{\circ}$ with further flexion from$87^{\circ}\;to\;122^{\circ}$. After the operation 1 year follow up, the mean flexion contracture was $3^{\circ}$ and further flexion was $113^{\circ}$. Pain relief within acquired range of motion was achieved in all cases and there was no complication in this series. Conclusion: Selective removal of the impingement bony spur for treatment of flexion contracture in the patient with chronic cumulative trauma disorder patients appear to be effective method to control pain, recover joint movement and at] ow early rehabilitation.

• Clinics in Shoulder and Elbow
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• v.9 no.1
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• pp.60-67
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• 2006

Purpose: The purpose of this study was to compare the method of using coraco-clavicular (C-C) sling with modified Phemister operation by postoperative clinical results, radiologic analysis and complications. Materials and Methods: 33 patients of acromioclavicular joint dislocation were included in this study. Thirteen patients were treated with simple C-C sling method and twenty patients were treated with modified Phemister operation. The assesment of clinical and radiological evaluation were performed and the final results were examined by using the Weitzman's classification. Results: In the final result of C-C sling method group, forward elevation $161^{\circ}$, external rotation $70^{\circ}$, internal rotation T8 level, Visual Analogue Scale (VAS) 83.3 points were checked. In modified Phemister operation group, forward elevation $155^{\circ}$, external rotation $67^{\circ}$, internal rotation T6 level, VAS 83.8 points were checked. In coracoclavicular distance of C-C sling method group, pre-operation 12.82 mm and last follow up 8.37 mm were checked. In modified Phemister operation group, pre-operation 12.8 mm and last follow up 7.7 mm were checked. In functional evaluation by the Weitzman criteria, C-C sling group had excellent 8, good 1, fair 1 and modified Phemister group had excellent 13, good 4, fair 3. Conclusion: C-C sling method would be the better than the Modified Phemister operation because of short operation time and smaller skin incision.

• Journal of Biosystems Engineering
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• v.38 no.2
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• pp.138-148
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• 2013

Purpose: Determining an appropriate path is a top priority in order for a robot to maneuver in a dynamically efficient way especially in a pick-and-place task. In a non-standardized work environment, current robot arm executes its motion based on the kinematic displacements of joint variables, though resulting motion is not dynamically optimal. In this research we suggest analyzing and applying motion patterns of the human arm as an alternative to perform near optimum motion trajectory for arbitrary pick-and-place tasks. Methods: Since the motion of a human arm is very complicated and diverse, it was simplified into two links: one from the shoulder to the elbow, and the other from the elbow to the hand. Motion patterns were then divided into horizontal and vertical components and further analyzed using kinematic and dynamic methods. The kinematic analysis was performed based on the D-H parameters and the dynamic analysis was carried out to calculate various parameters such as velocity, acceleration, torque, and energy using the Newton-Euler equation of motion and Lagrange's equation. In an attempt to assess the efficacy of the analyzed human motion pattern it was compared to the virtual motion pattern created by the joint interpolation method. Results: To demonstrate the efficacy of the human arm motion mechanical and dynamical analyses were performed, followed by the comparison with the virtual robot motion path that was created by the joint interpolation method. Consequently, the human arm was observed to be in motion while the elbow was bent. In return this contributed to the increase of the manipulability and decrease of gravity and torque being exerted on the elbow. In addition, the energy required for the motion decreased. Such phenomenon was more apparent under vertical motion than horizontal motion patterns, and in shorter paths than in longer ones. Thus, one can minimize the abrasion of joints by lowering the stress applied to the bones, muscles, and joints. From the perspectives of energy and durability, the robot arm will be able to utilize its motor most effectively by adopting the motion pattern of human arm. Conclusions: By applying the motion pattern of human arm to the robot arm motion, increase in efficiency and durability is expected, which will eventually produce robots capable of moving in an energy-efficient manner.

• Journal of the Korean Society for Nondestructive Testing
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• v.24 no.2
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• pp.125-135
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• 2004

This paper describes the calculation technique for guided wave propagation with a semi-analytical finite element method (SAFEM) and shows some results of numerical calculation and guided wave simulation for plates, pipes and railway rails. The SAFEM calculation gives dispersion curves and wave structures for bar-like structures. Dispersion curve software for a pipe is introduced, and also dispersion corves for a rail are given and experimentally verified. The mode conversions in a plate with a defect and in a pipe with an elbow or a defect are shown as examples of our guided wave simulations.