• Title/Summary/Keyword: Foot-Ankle Joint

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The Diagnosis of Rheumatologic and Degenerative Arthritis by X-ray Sacroiliac Joint Projection (X-ray 엉치엉덩관절 촬영법을 통한 류마티스 및 퇴행성관절염 진단)

  • Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.12 no.3
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    • pp.397-402
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    • 2018
  • The study best image for diagnosis of fracture, dislocation and unilateral degenerative arthritis of the Sacroiliac joint, this study was performed to obtain the best image of the joint space of the hip joint by giving angle change to the pelvis phantom and the x-ray tube. I received evaluation. The results of the Receiver Operating Characteristic that in the case of simple photographs for the detection of joint arthritis and degenerative arthritis in the prone position, the photograph taken in the prone position raises the buttocks of the opposite side of the test by $25^{\circ}{\sim}30^{\circ}$ and the x-ray tube is perpendicular to the sagittal plane passing 2.5 cm inward from the thorny vertebra In the lying position, lift the Sacroiliac joint of the test side by $25^{\circ}{\sim}30^{\circ}$, and take a $5^{\circ}$ angle of the x-ray tube angle toward the foot toward the center of the upper bruch spine from it will be helpful to diagnose arthritis. the center of the upper bruch spine to the side of the ankle joints in the transverse direction And posterior direction, it will be helpful to diagnose arthritis.

Reconstruction after Wide Excision of Malignant Soft Tissue Tumor in Ankle and Foot (족관절 및 족부에 발생한 연부 조직 악성 종양의 광범위 절제술 후 재건술)

  • Kwon, Young-Ho;Cho, Yool;Kim, Jae-Do;Chung, So-Hak
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.1
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    • pp.33-43
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    • 2008
  • Purpose: To evaluate the clinical usability of reconstructive methods, and how to select flap after wide excision of malignant soft tissue tumor in ankle and foot. Materials and Methods: The 15 cases shown in the 14 patients (In case of a male patient, reconstruction was performed two times due to local recurrence.) with malignant soft tissue tumor in ankle and foot, who underwent reconstruction after wide excision from March 2000 until March 2007. Oncologic, surgical and functional results were evaluated. Results: The method of reconstruction used were anterolateral thigh perforator flap (5cases), Reversed superficial sural artery flap (4 cases), dorsalis pedis flap (3 cases), local flap (3cases). The defect, mean size was $5.5{\times}5.7\;cm$, was reconstructed with rotation flap or free flap, mean size was $5.9{\times}6.0\;cm$, skin graft for remnant. The mean operation time was 310 minutes (120~540 minutes); it took 256 minutes to reconstruct by rotation flap, and 420 minutes by free flap. As oncologic results, 7 patients were no evidence of disease, 6 patients were alive with disease and 1 patient was expired by pulmonary metastasis at the time of the last follow-up. 4 patients had local recurrence and 4 pateints had distant metastases. As functional results, 14 patients were evaluated with average score of 68.8% using the system of the Musculoskeletal Tumor Society. Conclusion: The dorsalis pedis and reverse superficial sural artery rotation flap which is easy procedure, has less complication and takes short operation time, can be primarily considered to reconstruct a small defect. And the anterolateral thigh perforator flap is suitable for coverage of a large defects after wide excision of malignant soft tissue tumor in ankle and foot.

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Wedge-Shaped Resection for Massive Xanthomatosis of Achilles Tendon (양측 아킬레스건에 발생한 거대 황색종의 쐐기형 절제술을 이용한 수술적 치료)

  • Kim, Sungmin;Ahn, Yeong Seub;Jung, Dong-Min;Jung, Sung Taek
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.2
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    • pp.157-163
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    • 2021
  • Purpose: Xanthomatosis of the Achilles tendons is rare. In some patients, however, the lesions in the Achilles tendon need to be removed, which may be painful and disfiguring. While studies of successful surgical outcomes for the total resection and reconstruction of the Achilles tendon have been reported, reconstruction surgery has a technical challenge, and extended surgical exposures are required. This study analyzed five cases of bilateral xanthoma of the Achilles tendon, which was treated surgically using a wedge-shaped tendon-sparing approach to eliminate the need for tendon reconstruction. Materials and Methods: From July 2010 to May 2018, five patients with xanthomatosis in both Achilles tendons underwent wedge-shaped tendon preserving surgery. The average age was 49 years (range, 40-55 years), and the follow-up period was 21.4 months (range, 12-31 months). The patients consisted of three males and two females. Complications related to surgery were recorded. The outcome measures included the range of motion of the ankle joint, American Orthopaedic Foot and ankle Society (AOFAS) ankle/hindfoot score, and visual analogue scale (VAS) for overall satisfaction at the last follow-up. The availability of a single-limb heel raise and returning time to work were also measured. Results: Wound dehiscence that did not require secondary surgery was noted in one patient. At the last follow-up, the range of motion of the ankle joint was normal in all patients. The mean AOFAS ankle/hindfoot score was 91 (range, 85-96) and the VAS for the overall satisfaction ranged from 8 to 10. The average time between surgery and return to work was 27.6 days (range, 17-58 days) and all patients could perform a single-limb heel raise test. Conclusion: The tendon-sparing technique, which can preserve the anatomical functioning of the Achilles tendon, could be an excellent surgical approach because it has very promising functional and cosmetic surgical outcomes in patients with Achilles tendon xanthomatosis.

Analysis of Kinematic on Ring jump in the Rhythmic Sport Gymnastics (리듬체조 Ring jump동작의 운동학적 분석)

  • Woo, Byung-Hoon;In, Hee-Kyo;Lee, Kae-San
    • Korean Journal of Applied Biomechanics
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    • v.12 no.2
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    • pp.65-75
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    • 2002
  • The study has a goal that produces abundant documents that needed for athletes to teach and progress skills by analyzing 3-dimensional action analysis of C-difficulties Ring jump included in body original elements among techniques constructing Rhythmic Sport Gymnastics. 1. It was the longest applied time delay that E-3 indicates 0.409${\pm}$0.017sec in each event applied time delay. 2. It was the tallest height that E-3 indicates 88.5${\pm}$1.3% in displacement of body's center. 3. It was the fastest velocity in E-2 where the velocity of left foot is 732.4${\pm}$46.1cm/sec, the velocity of right foot is 1958.4${\pm}$25.1cm/sec. 4. the lowest angle was founded at 97.8 degree in the E-3 on the trunk extension angle. 5. The lowest angle of both sides were seen at 92.8${\pm}$14.9degree and 69.2${\pm}$5.7degree in the E-3 on the each displacement of knee joint. 6. The highest angle of both sides were seen at 171.3${\pm}$6.9degree and 167.9${\pm}$8.4degree in the E-3 on the each displacement of ankle joint As a result of these studies, by jumping with ankle joint extension to accomplish the Ring jump action, it is considered to have the time of flexiblity and staying in the air which we can see in a back.

Effect of Calcaneal Taping on Peak Plantar Pressure of Forefoot and Rearfoot during Gait

  • Weon, Jong-Hyuck;Kim, Goen-Su;Jung, Do-Young
    • The Journal of Korean Physical Therapy
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    • v.27 no.6
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    • pp.434-438
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    • 2015
  • Purpose: The purpose of this study was to determine the effects of calcaneal taping on peak plantar pressure of rearfoot and forefoot while walking. Methods: Fifteen healthy subjects with normal feet participated in this study. Inclusion criteria were as follows: (1) no disturbance of gait and foot pain, (2) normal range of motion of ankle joint, (3) no foot deformity. Pedoscan was used for recording of plantar pressure data during walking. The participants walked along a 12-m walkway before and after application of calcaneal taping. The plantar pressure gait was measured 3 times under barefoot and calcaneal taping conditions randomly at a speed practiced with the metronome during gait. The peak plantar pressure data were calculated for medial and lateral areas of the rearfoot and forefoot. The paired t-test was used to determine significant differences in peak plantar pressure of rearfoot and forefoot before and after application of calcaneal taping. A p-value less than 0.05 was accepted as significant. Results: The calcaneal taping resulted in statistically significant decreases in peak plantar pressure of the rearfoot (medial side: p=0.03; lateral side: p=0.01). However, there were no significant changes in peak plantar pressure of the forefoot (medial side: p=0.45; lateral side: p=0.40). Conclusion: The calcaneal taping is recommended to reduce plantar pressure of the rearfoot in weight-bearing activities in subjects with plantar heel pain caused by atrophy of the fat pad.

Effects of induced stereoacuity reduction on obstacle crossing (입체시력 감소가 장애물 보행에 미치는 영향)

  • Woo, Byung-Hoon;Sul, Jeong-Dug
    • 한국체육학회지인문사회과학편
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    • v.54 no.5
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    • pp.829-840
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    • 2015
  • The purpose of this study was to investigated into the kinematics and ground reaction force for gait on induced stereoacuity in normal subjects with normal sight. Eighteen subjects who passed the stereoacuity testing were participated in the experiment(age: 22.1±2.7 years, height: 176.8±4.4 cm, weight: 67.6±5.8 kg). The study method adopted 3D analysis with six cameras and ground reaction force with two force-plates. The results were as follows; In gait velocity, obstacle crossing gait was slower than flat gait. In angular displacement of hip joint, mostly obstacle crossing gait was more flexed than flat gait. In angular displacement of knee joint, obstacle crossing gait was more flexed than flat gait, and stereoacuity reduction gait in TO and FC2 were more flexed than normal vision gait. In angular displacement of ankle joint, obstacle crossing gait in FC2 was more flexed than flat gait. In trunk tilt, obstacle crossing gait in MSt, TO and MSw were more extended than flat gait. In GRF, there was no significant in Fx, obstacle crossing gait in right and left foot were bigger propulsion force than flat gait, obstacle crossing gait in right and left foot were bigger braking force than normal vision gait in Fy, and obstacle crossing gait in right and left foot were bigger than flat gait in peak F1 and peak F2 of Fz, and stereoacuity reduction gait in right foot was lower than normal vision gait in valley force of Fz.

The Comparative Study on Age-associated Gait Analysis in Normal Korean (우리나라 연령별 보행분석 비교연구)

  • Yoon, Na-Mi;Yoon, Hee-Jong;Park, Jang-Sung;Jeong, Hwa-Su;Kim, Geon
    • The Journal of Korean Physical Therapy
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    • v.22 no.2
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    • pp.15-23
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    • 2010
  • Purpose: This study was done to establish reference data for temporo-spatial, kinematic and kinetic parameters for normal Koreans as they age. Methods: Normal adults and children without a previous history of musculoskeletal problems were enrolled in this study. The normal subjects were divided by age into three groups: Group I: children ($11.95{\pm}0.29$ years); Group II: young adults ($23.90{\pm}3.67$ years); Group III: older adults ($71.40{\pm}4.08$ years). The temporo-spatial and kinematic data were measured using 6 MX3 cameras while each subject walked through a 10 m walkway at a self-selected speed. The kinetic data were measured using 2 force plates and were calculated by inverse dynamics. Results: Motion patterns are typically associated with a specific phase of the gait cycle. Our results were as follows: 1. There were significant differences between the different age groups in temporo-spatial parameters such as cadence, double support, time of foot off, stride length, step length, and walking speed. 2. There were significant differences between the groups in kinematic parameters such as range of motion (ROM) of the hip, knee and ankle in the sagittal plane, ROM of the pelvis, hip and knee in the coronal plane and ROM of the pelvis, hip and ankle in the transverse plane. 3. There were significant differences between the groups in kinetic parameters such as joint moments of force, joint mechanical power generation or absorption and ground reaction forces. Conclusion: The results of this study can be utilized (a) as a reference for kinematic and kinetic data of gait analysis in normal Koreans, and (b) as an aide in evaluating and treating patients who have problems relating to gait.

Leg Motion Monitoring using Bio-impedance Signal (생체 임피던스 신호를 이용한 하지동작 모니터링)

  • 송철규;변용훈;윤대영;김거식;임정모;전희천;권승범;이정훈;이명권
    • Proceedings of the IEEK Conference
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    • 2003.07c
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    • pp.2891-2894
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    • 2003
  • This paper describes the possibility of analyzing gait pattern from the variation of the lower leg electrical impedance. This impedance is measured by the four-electrode method. Two current electrodes are applied to the thigh and foot., and two potential electrodes are applied to the lateral aspect. medial aspect, and posterior position of lower leg. We found the optimal electrode position for knee and ankle joint movements based on high correlation coefficient, least Interference, and maximum magnitude of impedance change. From such features of the lower leg impedance, it has been made clear that different movement patterns exhibit different impedance patterns and impedance level.

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Arthroscopic Treatment of the Intratendinous Ganglion of the Long Head of Biceps Brachii - A Case Report

  • Wang, Jin-Man;Yi, Woojin;Son, Jin-Hyoung;Im, Jung-Ju
    • Clinics in Shoulder and Elbow
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    • v.17 no.4
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    • pp.194-196
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    • 2014
  • A ganglion is a benign cystic mass, commonly found around a joint or tendon sheath. It frequently occurs at the wrist, foot, ankle, and knee. Intratendinous ganglion has been rarely reported, and intratendinous ganglion of the long head of biceps brachii is extremely rare. According to our literature review, this is the third case of intratendinous ganglion of the long head of biceps brachii, and the first case of arthroscopic treatment. Therefore we report a case of an arthroscopic treatement for an intratendinous ganglion of the long head of biceps brachii.

ZMP Compensation Algorithm for Stable Posture of a Humanoid Robot

  • Hwang, Byung-Hun;Kong, Jung-Shik;Lee, Bo-Hee;Kim, Jin-Geol;Huh, Uk-Youl
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.2271-2274
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    • 2005
  • The desired ZMP is different from the actual ZMP of a humanoid robot during actual walking and stand upright. A humanoid robot must maintain its stable posture although external force is given to the robot. A humanoid robot can know its stability with ZMP. Actual ZMP may be moved out of the foot-print polygons by external disturbance or uneven ground surfaces. If the position of ZMP moves out of stable region, the stability can not be guaranteed. Therefore, The control of the ZMP is necessary. In this paper, ZMP control algorithm is proposed. Herein, the ZMP control uses difference between desired ZMP and actual ZMP. The proposed algorithm gives reaction moment with ankle joint when external force is supplied. 3D simulator shows motion of a humanoid robot and calculated data.

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