• The Journal of the Korea Contents Association
• /
• v.10 no.6
• /
• pp.323-328
• /
• 2010

If a patient wearing arm sliding due to shoulder dislocation or fracture is impossible with abduction, the velpeau view is performed instead of superior-inferior axial projection view. However, it aggravates the patient's pain because it is difficult for the patient with dislocation or fracture to pull back the shoulders. Therefore, I suggest a new method of the 'modified velpeau view' that allows patients to lower their heads at examination. In order to investigate the easiness of fixing posture at examination and clinical utility, I conducted a study comparing the bone structures at the velpeau view and those at the modified velpeau view depending on wall-bucky and the patients' leaning forward angle ($30^{\circ},\;45^{\circ},\;60^{\circ}\;and\;75^{\circ}$), with the subjects of 20 velpeau view-prescribed patients amongst who had come to my hospital suspected of dislocation of shoulder or fracture and 30 healthy people from October of 2009 to January of 2010. Department of radiologists and orthopedics specialists evaluated the pictures for scales 0 to 5(best grade) under the given criteria. As a result of comparison in bone structures depending on wall-bucky and the leaning-forward angle in the group of healthy people, the velpeau view and the modified velpeau showed a similar diagnostic utility at $45^{\circ}$ and $60^{\circ}$. The picture evaluation result for proving diagnostic value showed that the anterior and posterior of shoulder heads and the anterior and posterior of glenoid fossa could be observed in the velpeau view; on the other hand, besides these areas acromioclavicular joint and coracoid process could be viewed in the modified velpeau view. This result verified that the modified velpeau view could replace the velpeau view for its diagnostic value as an examination method. This result, moreover, suggests that the modified velpeau view needs to be studied and improved from a variety of perspectives not only for an alternative for patients having troubles with the velpeau view position but also for clinical application of new test method for diagnosis of shoulder disorders other than dislocation of shoulder or fracture.

• Journal of the Korean Ceramic Society
• /
• v.34 no.4
• /
• pp.406-412
• /
• 1997

Al2O3/SiC hybrid-composite has been fabricated by the conventional powder process. The addition of $\alpha$-Al2O3 as seed particles in the transformation of ${\gamma}$-Al2O3 to $\alpha$-Al2O3 provided a homogeneity of the microstructure. The grain growth of Al2O3 are significantly surpressed by the addition of nano-size SiC particles. Dislocation were produced due to the difference of thermal expansion coefficient between Al2O3 and SiC and piled up on SiC particles in Al2O3 matrix, resulting in transgranular fracture. The high fracture strength of the composite was contributed to the grain refinement and the transgranular fracture mode. The addition of SiC platelets to Al2O3/SiC nano-composite decreased the fracture strength, but increased the fracture toughness. Coated SiC platelets with nitrides such as BN and Si3N4 enhanced fracture toughness much more than non-coated SiC platelets by enhancing crack deflection.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.2 no.2
• /
• pp.168-175
• /
• 2003

Fracture about proximal humerus may be classified as the articular segment or the anatomical neck, the greater tuberosity, the lesser tuberosity, and the shaft or surgical neck. Now, usually used, Neer's classification is based on the number of segments displaced, over 1cm of displaced or more than 45 degrees of angulation , rather than the number of fracture line . Absolute indication of a operative treatment a open fracture, the fracture with vascular injury or nerve injury , and unreductable fracture-dislocation . Inversely, the case that are severe osteoporosis, and eldly patient who can't be operated by strong internal fixation is better than arthroplasty used by primary prosthetic replacement and early rehabilitation program than open reduction and internal fixation. The operator make a decision for the patient who should be taken the open reduction and internal fixation, because it's different that anatomical morphology, bone density, condition of patient. The operator decide operation procedure. For example, percutaneous pinning, open reduction, plate & screws, wire tension bands combined with some intramedullary device are operation procedure that operator can decide . The poor health condition for other health problem, fracture with unstable vital sign and severe osteoporosis , are the relative contraindication. The stable fracture without dislocation is not the operative indication . The radiologic film of the prokimal humerus before the operation can not predict for fracture evaluation. It's necessary to good radiologic film for evaluation of fracture form. The trauma serise is better than the other radiologic film for evaluation. The accessary radiologic exam is able to help for evaluation of bone fragment and anatomy. The CT can be helpful in evaluating these injury, especially if the extract fracture type cannot be determined from plain roenterogram of the proximal humerus, bone of humerus head. If the dislocation is severe anatomically , we could consider to do three dimentional remodelling. The MRI doing for observing of bony morphology before the operation is not better than CT If we were suspicious of vascular injury, we could consider the angiography.

• Journal of the Korean Society of Safety
• /
• v.12 no.1
• /
• pp.19-28
• /
• 1997

This study was made of the effect of cold working on the stress corrosion cracking(SCC) of austenitlc 304 stainless steel in boiling 42% $MgCl_2$ solution. For this experiment, specimens cold-worked of 0%, 10%, 20%, 30%, 40% were fabricated respectively, and then experiments of mechanical properties and stress corrosion cracking(SCC) of these specimens were carried out. The results of these experiments indicate that the maximum resistance to SCC showed at 20% of cold working degree and that the SCC susceptibility depended on the volume fraction of deformation-induced martensite by cold working and the work hardening of matrix. On the other hand, the fracture mode was changed. This phenomenon was considered that deformation-induced martensite was grown from transgranular fracture mode to intergranular fracture mode and caused by increased of dislocation density along the slip planes.

• Proceedings of the Korean Society of Marine Engineers Conference
• /
• 2005.06a
• /
• pp.331-338
• /
• 2005

The grain structure, dislocation density and second phase particles in various regions including the stir zone(SZ), thermo-mechanically affected zone(TMAZ), and heat affected zone(HAZ) of a friction stir weld 6.35mm thick aluminum 7075-T651 alloy were investigated and compared with the base metal. The microstruectures of nugget zone were compared according to tool rotation speeds and tool transition speeds. The hardness profiles of nugget zone were increased, while decreasing rotation speed and increasing welding speed. The optimal microstructure was gained at the low rotation speed 800rpm and th high welding speed 124mm/min. The nugget microstructures of fracture surface, transgranular dimple and quasicleavage type were showed different fracture type with the HAZ, shear fracture type.

• Journal of Korean Foot and Ankle Society
• /
• v.16 no.4
• /
• pp.270-275
• /
• 2012

There may be complications after comminuted or intraarticular calcaneal fracture regardless of the initial treatment. Transcalcaneal talonavicular dislocation is rarely reported severe form of calcaneal fracture. We experienced a neglected transcalcaneal talonavicular subluxation case, who had been treated for intraarticular calcaneal fracture conservatively. Subtalar distraction bone block fusion was done for calcaneal malunion with talonavicular subluxation. Inspite of successful subtalar fusion, pain was persisted because of talonavicular re-subluxation with arthritis and calcaneocuboid arthritis. So, second operation, the talonavicular and calcaneocuboid fusion, was done. After union achieved, the patient's foot pain was improved. Calcaneal malunion combined with talonavicular subluxation and unstable transverse tarsal joint, such as this case, initial triple arthrodesis could be considered.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.6 no.2
• /
• pp.99-104
• /
• 2007

Purpose: To research match injuries related to Taekwondo in adolescent athletes and find out preventing injuries. Materials and Methods: We analyzed 162 match injuries of middle and high school athletes, who were surveyed in 2005 and 2006 national tournament. Results: Among 162 match injuries, injuries in foot and hand were the most common and there were 35 cases in serious injuries such as fracture, open dislocation, open fracture of epiphyseal plate and so on. The very fast speed and destructive power of Takwondo athlete can cause open dislocation of great toe and can cause fracture of foot and upper extremity when kicking. Conclusion: We consider that injured athletes need proper treatments and sufficient rest not to accumulate training injuries and match injuries and need to improve mats of stadium, braces for feet and hands and put on braces for elbows to prevent match injuries.

• Journal of the Korean Society for Heat Treatment
• /
• v.7 no.3
• /
• pp.160-168
• /
• 1994

This was studied about mechanical characteristic of AC4A/SiCw 10-30% reinforced composites. Tensile strength of pressed base metal(base metal) with SiCw preform was higher than without pressed base metal(AC4A). If SiCw whisker volume fraction was increased, tensile strength at room temperature was increased. And tensile strength of SiCw 30% was about $35kg/mm^2$. Tensile strength of SiCw 30 % $400^{\circ}C$ at same time aging was the most excellence, about $40kg/mm^2$. The fracture energy value of composite material at three point bending test was higher than AC4A. Dislocation at matrix of composite material was evenly distributed. But dislocation around whisker of composite material was more existed than matrix. The reasom was thought of pile-up around whisker.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
• /
• v.25 no.2
• /
• pp.471-482
• /
• 1995

Bony remodeling pattern of condyle fractures in children are different from in adult for growing of condyle, also might affect treatment and prognosis of the condyle fracture. Subjects of this clinical and radiologic study were 26 temporomandibular joints diagnosed as condyle fracture in 23 patients under 15 years old age. They were treated with conservative method at Dental Hospital of Yonsei University from Jan., 1986 to Oct., 1994. Bony remodeling related with fracture pattern was evaluated. The results obtained are as follows: 1. The ratio of male to female in patients with condyle fracture was 1 : 0.9 and the difference of sex ratio was not noted. Comparing with preschool-age group and school-age group, age frequency was higher in preschool-age group(83％). 2. Fallen down(54％) was the most frequent cause of condyle fractures. Traffic accident and slip down were followed. 3. The most common clinical sign of condyle fractures was tenderness to paipation09 cases). Mouth opening limitation07 cases), swelling(7 cases), malocclusion(3 cases) were next in order. 4. According to sites of condyle fractures, unilateral fractures were in 20 patients and bilateral fractures in 3 patients, therefore total 23 patients-26 cases of condyle fracture were observed. According to fracture distribution, condyle fractures were in 10 patients(44％). Condyle fractures with symphysis fracture(9 patients, 39％), condyle fractures with ascending ramus fracture(2 patients, 9％), condyle fracture with mandibular body fracture(1 patient, 4％), and condyle fractures with mandibular angle fracture(1 patient, 4％) were followed. 5. In displacement pattern of fractured fragment of mandibular condyle, dispiacement(17 cases, 66％) was most common. Dislocation(5 cases, 19％) and deviation (4 cases, 15％) were next in order. 6. During the observation period of fractured condyles, remodeling patterns of fracture sites related with articular fossa were observed with usual condylar shape in 23 cases and with prominently different shape in 3 cases.

• Journal of Korean Foot and Ankle Society
• /
• v.11 no.1
• /
• pp.72-78
• /
• 2007

Purpose: This study is to analysis the outcome of patient with surgically treated Maisonneuve fracture and find out the factors that might influence the outcome. Material and methods: 20 patients who had surgical treatment due to Maisonneuve fracture between February, 2001 to March, 2005 were studied. The patients were followed for at least 1 year and average follow up period was 25 months. The average age was 41 years, 16 were male and 4 were female. Mechanism of injury according to Rouge-Hansen classification was supination-external rotation. In all cases, percutaneous screw fixation was applied proximal to tibiofibular syndesmosis. The screws were removed after 8 weeks under local anesthesis. Clinical, functional and radiographic results were evaluated. Results: 17 cases (85%) showed satisfying clinical and radiographic results. The mean functional score according to Ankle Scoring System was 91 (83 to 95). Complication occurred in 1 case with underlying systemic disease and 2 cases with initial ankle joint dislocation. Conclusion: Surgical treatment of Maisonneuve fracture showed relatively satisfying result. However, initial injury state and accompanying disease seem to have great effect on the result.