• Clinics in Shoulder and Elbow
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• v.18 no.4
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• pp.248-253
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• 2015

Background: Scapular notching can happen at diverse location depending on implant design or operative technique, therefore, it is easily misdiagnosed. Thus, this study purposed to suggest a method helpful to assess scapular notching. Methods: The subjects were 73 cases of reverse shoulder arthroplasty (RSA) for cuff tear arthropathy during the period from May 2009 to April 2014 and followed-up for over a year. There was medialized RSA in 22 cases, bone increased offset RSA (BIO-RSA) in 36 cases, and metal increased offset RSA (metal-RSA) in 15 cases. Scapular notching was not determined by bone defect at the inferior of glenosphere as Sirveaux's classification, but scapular notching at the site where the rotational route of the polyethylene of humeral implant met the scapular neck were examined. The results were compared with conventional method. Results: By conventional method, scapular notching was observed in 10 cases (45.5%) in medialized RSA, 12 cases (33.3%) in BIO-RSA, and none in metal-RSA. By new method, it was observed in 9 cases (40.9%) in medialized RSA, 10 cases (27.8%) in BIO-RSA, and none of metal-RSA. The site of scapular notching was apart from glenoshpere in 18 cases, and at inferior of glenosphere in 1 case. Absorption of bone graft was observed in 4 (11.1%) out of 36 cases of BIO-RSA. Conclusions: It is hard to distinguish scapular notching from absorption of bone graft in BIO-RSA, and bone absorption at the lateral lower end of glenoid in medialized RSA. Thus, it is considered useful to assess scapular notching at the site where the rotational route of the polyethylene insert meets scapular neck.

• Fashion & Textile Research Journal
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• v.18 no.3
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• pp.338-350
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• 2016

The purpose of this study is to analyze joint angle for a range of swing motion derived through 3D motion analysis in order to design the ergonomic golf wear, use it for evaluation method of apparel fit to improve exercise functionality and provide the basic materials necessary for designing clothes. In order to do this, the subjects for this study were 3 men of age 20s. The data for a range of motion of golf swing were collected by using equipment for 3D motion analysis and then were used for analysis of joint angles and evaluation method of apparel fit. Range of motion was derived through 3D motion analysis of golf swing motion and joint angles for items of joint motion item and of X, Y, and Z-axis were calculated, respectively. In order to set the evaluation questions for evaluation of apparel fit, to find a range of motion at the maximal value and the minimal value of swing motion. As a result, during the swinging motion, neck extension, right shoulder extension, right/left elbow extension, right/left elbow supination did not appear. Items of joint motion showing the maximum at range of each swing motion were applied into 55 questions and consisted. The results of this study were meaningful as a basic study to apply 3D motion analysis to the fashion industry. It's expected to be used to design functional clothing.

• Clinics in Shoulder and Elbow
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• v.25 no.1
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• pp.49-56
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• 2022

Background: The treatment approach for proximal humeral fractures is determined by various factors, including patient age, sex, dominant arm, fracture pattern, presence of osteoporosis, preexisting arthritis, rotator cuff status, and medical comorbidities. However, there is a lack of consensus in the literature regarding the optimal treatment for displaced proximal humeral fractures. This study aimed to assess and quantify the decision-making process for either conservative or surgical treatment and the choice of surgical method among shoulder surgeons when treating proximal humeral fractures. Methods: Forty sets of true anteroposterior view, scapular Y projection view, and three-dimensional computed tomography of proximal humeral fractures were provided to 12 shoulder surgeons along with clinical information. Surveys regarding Neer classification, decisions between conservative and surgical treatments, and chosen methods were conducted twice with an interval of 2 months. The factors affecting the treatment plans were also assessed. Results: The inter-rater agreement was fair for Neer classification (kappa=0.395), moderate for the decision between conservative and surgical treatments (kappa=0.528), and substantial for the chosen method of surgical treatment (kappa=0.740). The percentage of agreement was 71.1% for Neer classification, 84.6% for the decision between conservative and surgical treatment, and 96.4% for the chosen method of surgical treatment. The fracture pattern was the most crucial factor in deciding between conservative and surgical treatments, followed by age and physical activity. Conclusions: The decision between conservative and surgical treatment for proximal humeral fractures showed good agreement, while the chosen method between osteosynthesis and arthroplasty showed substantial agreement among shoulder surgeons.

• Proceedings of the KSME Conference
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• 2004.11a
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• pp.124-129
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• 2004

Finite element alternating method have been suggested and used for assessing the integrity of cracked structures. In the paper, in order to analyze arbitrarily shaped three dimensional cracks, the finite element alternating method is extended. The cracks are modeled as a distribution of displacement discontinuities by the displacement discontinuity method and the symmetric Galerkin boundary element method. Applied the proposed method to three dimensional crack included in the elbow, the efficiency and applicability of the method were demonstrated.

• Steel and Composite Structures
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• v.32 no.3
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• pp.313-323
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• 2019

Ratcheting boundary is firstly determined by experiment, elastic-plastic finite element analysis combined with C-TDF and linear matching method, which is compared with ASME/KTA and RCC-MR. Moreover, based on elastic modulus adjustment procedure, a novel method is proposed to predict the ratcheting boundary for a pressurized pipe subjected to constant internal pressure and cyclic bending loading. Comparison of ratcheting boundary of elbow pipe determined by the proposed method, elastic-plastic finite element analysis combined with C-TDF and linear matching method, which indicates that the predicted results of the proposed method are in well agreement with those of linear matching method.

• Journal of Korean Society of Water and Wastewater
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• v.32 no.5
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• pp.435-443
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• 2018

Most of aged water supply pipes have been replaced by the open cut method. However, this method has some limitations because water pipes, in many cases, are buried together with other underground facilities or are buried in the middle of high-traffic roads or in narrow alleyways where boring machines cannot be used. This research developed a pipe bursting device for small diameter pipes that enables pipe replacement without excavating the ground, by the busting of existing buried pipes followed by the traction and insertion of new pipes. As a results of examining the field applicability of the developed device, PE pipes and PVC pipes required the tractive force of 413.65~665.69 kgf and 457.43~791.35 kgf respectively, plus an additional 30 % tractive force per elbow. The proper number of bursting head was demonstrated that the connection of more than 2 heads could secure a stable bending radius of 15D. The developed device can be improved through field experiments involving various pipe types and pipe diameters, as well as presence/absence of elbow, so as to be utilized regardless of diverse variables according to the conditions of the soils surrounding existing pipes.

• Journal of the Korean Society of Clothing and Textiles
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• v.37 no.1
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• pp.39-50
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• 2013

This study estimates the measurements required to make garments but omitted from Size Korea 2010. Before the estimation of the measurements, the differences of the measurement methods were reviewed through previous research related to clothing construction and various measurement protocols that include previous Size Korea 2010 projects and ISO. The research target was 308 females aged 20 to 30 who lived in Seoul and the surrounding Gyeonggi province. A total of 43 measurements were obtained by the direct measurement method and analyzed in this study. In addition, 17 measurements which differ from the measurement method were also measured directly. These 17 measurements items were waist height, waist back height, waist height natural indentation, body rise, rise length, waist back length 1 & 2, posterior shoulder length 1 & 2, arm length 1 & 2, upper arm circumference 1 & 2, elbow circumference 1 & 2, and waist circumference 1 & 2. To analyze the differences in measurements, the subjects were divided into 2 age groups (20's and 30's). The results were as follows: First, there were big differences in stature, waist height, shoulder length, total length, and neck shoulder point to breast points by age groups; however, there were no differences in 17 measurement (such as shoulder angles) by age groups. Second, it was determined that 'waist circumference 1 & 2', 'waist back length 1 & 2', 'arm length 1 & 2', 'elbow circumference 1 & 2', 'upper arm circumference 1 & 2' and 'body rise & rise length' had significant differences by measurement methods in the entire group as well as each age group. Third, the values of 8 measurements omitted from Size Korea 2010 were estimated using similar measurements. The results of the correlation analysis were utilized to select reasonable independent measurements. Finally, 10 regression equations were obtained by regression analysis; subsequently, these will be useful for estimation of omitted measurements in Size Korea 2010.

• Clinics in Shoulder and Elbow
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• v.5 no.2
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• pp.73-80
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• 2002

Purpose: Weight lifting is a good training to control body weight, to correct body shape and to relieve stress. How-ever if the training is continued by inadequate training method and technique, the risks of the shoulder injuries are relatively high. Main Subject: The rotator cuff injury is the most common disorder to wright lifters and often results from the train- ing program of upright row, military press and pectoral deck. The chances of subacromial impingement in these postures are high because the shoulder rotates under the acromion at 90 abduction state. Shoulder instability in weight lifters can develop due to various causes. aepeated microtrauma and excessive abduction and external rotation may result in laxity of the anterior capsular structure, ligament and muscles. Behind the neck and bench press are high risk training postures. Other than those injuries, idiopathic osteolysis of distal clavicle, acromioclavicular separation, pectoralis major muscle rupture, and triceps muscle rupture nay develop. Conclusion: The best treatment option of the shoulder injury to weight lifters is to eliminate the possible risk elements for the weight lifters in training program and to provide proper and prompt treatment as soon as possible.

• Clinics in Shoulder and Elbow
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• v.2 no.1
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• pp.8-13
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• 1999

The results of the operative treatment of the Grade III acromioclavicular joint injury is defined by the durability of the reduced joint and free of exertional pain. Several surgical techniques have been applied to reduce and stabilize the joints effectively. Resection of clavicular lateral end and subacromial decompression also could be applied to prevent post-operative arthritic change. Biomechanical studies reveals the role of clavicular elevation and rotation to achieve more than 90 degrees of elevation. It also serves as a attachment site of deltoid and trapezius muscle. The stability and mobility of the both acromioclavicular and coracoclavicular joint are important to get full functional recovery. We modified the methods of coracoacromial ligament transfer described by Weaver-Dunn and by Shoji et a!. to pre­vent pullout of the transferred ligament and to get more improved functional results. Main technical point was harvesting full thickness bone block and fix it through the key-hole to reduce pull out angle.

• Clinics in Shoulder and Elbow
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• v.1 no.1
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• pp.123-127
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• 1998

Scapulothoracic dissociation is a rare entity that consists of the disruption of the scapulothoracic articulation. The mechanism of injury is probably traction caused by a blunt force to the shoulder girdle. This lesion is characterized by massive soft-tissue swelling of the shoulder; lateral displacement of the scapula, an injury to bone, and a severe neurovascular injury. An l8-year-old man sustained a scapulothoracic dissociation as a result of severe shoulder girdle trauma. We report the diagnostic method, clinical and surgical management.