• Journal of Yeungnam Medical Science
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• 제4권2호
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• pp.131-138
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• 1987

1. 총 8예중 남자 6례, 여자 2례이었다. 2. 손상의 원인은 낙상이 4례로 가장 많았다. 3. Bado 분류에 의한 빈도는 I형이 4례(50%), II형 1예(12.5%), III형 3예(37.5%)이었다. 4. 척골골절의 위치는 상 1/3 이상 부위가 7예이었다. 5. 요골두 탈구 방향은 전방이 3예로가장 많았다. 6. 치료는 소아는 2예 모두 비수술적 방법으로 하였으며 성인 6예중 2예는 도수정복하고 4례는 골골절윤 압박금속판을 사용하여 내고정하였으며 골두 탈구는 모두 도수정복하였다. 7. 결과는 Bruce 등에 의한 판정으로 excellent 3예, good 2례, fair 1예, poor 2례이었다.

• 대한기계학회논문집A
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• 제38권8호
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• pp.917-923
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• 2014

휴대폰과 같은 전자제품의 소형화로 체결 부품도 소형화가 요구된다. 초소형 볼트의 머리부분 두께 감소 요구에 따라 체결시 볼트 머리부 파손으로 충분한 체결력을 확보하는데 어려움이 있다. 본 연구에서는 볼트 깊이에 따른 체결 토크를 해석적으로 예측하여 비트 형상 설계에 활용하고자 한다. 볼트 머리부는 주로 전단 파손이 발생하기 때문에, 볼트용 선재의 전단 실험을 통하여 파손 기준을 설정하였다. 그리고, 설정된 전단파손 기준을 바탕으로 체결시 파손 형상과 최대 체결 토크를 예측하였다. 또한, 머리부에 성형되는 비트의 깊이에 따른 최대 체결토크을 예측하였다. 비트 깊이가 깊을수록 볼트 머리와 나사부의 경계에서 응력 집중으로 파손이 빨리 발생하고, 최대 체결 토크도 작아짐을 알 수 있었다.

• Clinics in Shoulder and Elbow
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• 제20권4호
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• pp.236-239
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• 2017

After dual plating with a locking compression plate for comminuted intraarticular fractures of the distal humerus, the incidence of ulnar nerve injury after surgery has been reported to be up to 38%. This can be reduced by an anterior transposition of the ulnar nerve but some surgeons believe that extensive handling of the nerve with transposition can increase the risk of an ulnar nerve dysfunction. This paper reports ulnar nerve injuries caused by the incomplete insertion of a screw head in dual plating without an anterior ulnar nerve transposition for AO/OTA type C2 distal humerus fractures. When an anatomical locking plate is applied to a distal humeral fracture, locking screws around the ulnar nerve should be inserted fully without protrusion of the screw because an incompletely inserted screw can cause irritation or injury to the ulnar nerve because the screw head in the locking system usually has a slightly sharp edge because screw head has threads. If the change in insertion angle and resulting protruded head of the screw are unavoidable for firm fixation of fracture, the anterior transposition of the ulnar nerve is recommended over a soft tissue shield.

• 대한족부족관절학회지
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• 제4권2호
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• pp.72-78
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• 2000

Purpose: To validate the major bony causes and postoperative results of the first metatarsal head plantar pain. Materials and Methods: We experienced one case of the fracture and non-union of the medial sesamoid treated by autogenous calcaneal bone graft, one case of the fracture and non-union and two cases of the hypoplasia of the medial sesamoid treated by excision of medial sesamoid, one case of the arthrosis between the first metatarsal head and the medial sesamoid treated by plantar 1/2 partial excision of the medial sesamoid, and two cases of the metatarsus primus nexus treated by basal metatarsal closing wedge osteotomy between October 1995 and September 1999. The mean follow-up period was 28 months. We evaluated the results by using of the clinical rating systems for the hallux and the radiographic findings. Results: An excellent results were achieved in all cases except one which was preoperatively diagnosed as metatarsus primus nexus. But, clinically this one case also satisfied with the postoperative result. Radiologically, We did not find the malunion or nonunion of the medial sesamoid treated by bone graft and of the metatarsus primus flex us treated by basal metatarsal closing wedge osteotomy. And also we did not find the postoperative fracture of the medial sesamoid treated by plantar 1/2 partial excision. There were no postoperative complications in all cases. Conclusion: We think that the good results may be achieved from the patients with the plantar pain of the first metatarsal head by the exact diagnosis and aggressive treatments.

• Journal of Korean Biological Nursing Science
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• 제22권1호
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• pp.45-52
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• 2020

Purpose: The purpose of this study was to investigate the risk factors of intracranial hemorrhage in children with skull fractures from head trauma. Methods: The retrospective study included 205 patients diagnosed with a skull fracture in a pediatric emergency room. Data were analyzed using 𝓍²-test, Fisher's exact test, t-test, and logistic regression analysis with the SPSS/WIN24.0 program. Results: Intracranial hemorrhage was diagnosed in 71 patients. There were statistically significant differences between the hemorrhagic group and non-hemorrhagic group in age group, places of accident, type of accident, location of the fracture, and symptoms. Intracranial hemorrhage by age group was higher in school-age and adolescence than in infancy. The places of accidents of hemorrhage were higher in street and school than in the home. The types of an accident of bleeding were higher in the case of knock and traffic accident than in fall. Symptoms of nausea, headache, and loss of consciousness were associated with higher intracranial hemorrhage. Multivariable logistic regression analysis showed that knock (OR= 3.29, 95% CI= 1.50-7.22), traffic accident (OR= 4.78, 95% CI= 1.31-17.43), nausea (OR= 4.18, 95% CI= 1.42-12.31), and loss of consciousness (OR= 3.29, 95% CI= 1.41-9.50) were risk factors for intracranial hemorrhage. Conclusion: In this study, the risk factors of intracranial hemorrhage were identified in pediatric patients with skull fractures caused by head trauma. It is recommended that the results of this study be used to manage and educate patients, caregivers, and medical staff after head trauma hemorrhage.

• Clinics in Shoulder and Elbow
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• 제26권2호
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• pp.156-161
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• 2023

Background: We analyzed association between viewing two-dimensional computed tomography (2D CT) images in addition to radiographs with radial head treatment recommendations after accounting for patient and surgeon factors in a survey-based experiment. Methods: One hundred and fifty-four surgeons reviewed 15 patient scenarios with terrible triad fracture dislocations of the elbow. Surgeons were randomized to view either radiographs only or radiographs and 2D CT images. The scenarios randomized patient age, hand dominance, and occupation. For each scenario, surgeons were asked if they would recommend fixation or arthroplasty of the radial head. Multi-level logistic regression analysis identified variables associated with radial head treatment recommendations. Results: Reviewing 2D CT images in addition to radiographs had no statistical association with treatment recommendations. A higher likelihood of recommending prosthetic arthroplasty was associated with older patient age, patient occupation not requiring manual labor, surgeon practice location in the United States, practicing for five years or less, and the subspecialties "trauma" and "shoulder and elbow." Conclusions: The results of this study suggest that in terrible triad injuries, the imaging appearance of radial head fractures has no measurable influence on treatment recommendations. Personal surgeon factors and patient demographic characteristics may have a larger role in surgical decision making. Level of evidence: Level III, therapeutic case-control study.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 1998년도 제2회 박판성형심포지엄 논문집 박판성형기술의 현재와 미래
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• pp.164-170
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• 1998

Hemi-spheroidal punch stretching test was developed to evaluate the press formability of sheet materials. In the plane strain stretching tests, our specially designed hemi-spheroidal head punch, hemi-cylindrical head punch(RIST type) and hemi-spherical head punch were used, respectively. In this experiment, the circular sheet blanks with parallel edge sides are uniformly stretched up to fracture by raising these punches to assure plane strain stretching deformation along the longitudinal direction of the specimens. The press formability was evaluated by limit punch height(LPH) and minor strain measurement around the fracture area. Compared with the hemi-spherical punch and the hemi-cylindrical one, our hemi-spheroidal punch was more useful in the experimental reproduction and reliance for press formability test.

• 지질공학
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• 제6권1호
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• pp.1-13
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• 1996

단열암반(fractured rock mass)에서 분리단열망(Discrete Fracture Network;DFN)개념을 적용한 지하수유 동해석 과정 및 결과에 가장 크게 영향을 미치는 인자 중의 하나느 단열투수량계수(fracture transmissivity;$T_f$)이다. $T_f$는 단열특성, 방향성(orientation),단열틈(aperture),크기(size),조도(roughness) 및 충전물질(filling materiral)등에 크게 좌우된다. 본 연구에서는 DFN모델링 과정에서 가장 민감성을 나타내는 인자중 하나인 Tf의 도출을 위해서 초음파주사검층(Borehole Acouist Scanning;Televiewer)과 구가별 정압주입시험(Fixed Inter Length test in constant head;FIL)을 이용하였다. 이 값을 이용하여 해석한 결과, 연구지역의 지하수유동모델링 과정의 신뢰성은 물론 단열투수량계수,터널내 지하수유입량등,해석 전반에 걸쳐 상당한 신뢰성을 부여할 수 있었다.따라서 DFN모델에 의한 지하수유동해석시 Cubic law의 기본전제를 만족하는 단열특성의 경우, televiewer와 FIL시험과의 결과분석을 통하여 도출한 단열조별 Tf는 지하수유동 해석결과에 대한 신로성을 한 단계 제고할 수 있는 방법으로서 의의가 있다.

• Clinics in Shoulder and Elbow
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• 제9권2호
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• pp.235-241
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• 2006

Neglected adult Monteggia fracture could induce the pain, instability and malformation of elbow. Especially, compared with the chronic Monteggia fracture of child, that of adult is difficult to treat and could concur with valgus instability and deformity, limitation of range of motion and tardy ulnar nerve palsy. But recently, the chronic Monteggia fracture of adult could be treated by the 3.5 mm compression plate (DCP) or 3.5 mm pelvic reconstruction plate, so that the result improved more and more. The treatment of choice of the chronic Monteggia fracture of adult is the corrective osteotomy and reduction of radial head or resection of radial head. We experienced two patients who had neglected Monteggia fracture over 1 year 6 months and 25 years respectively and we want to report the result of surgical treatment of chronic Monteggia fracture of adult.

• Journal of Korean Neurosurgical Society
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• 제29권2호
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• pp.196-202
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• 2000

Objective : This study was designed to evaluate the relationship between the initial neurosurgical or psychosocial factors and the psychosocial outcome. Patients and Methods : We analyzed 123 head-injured patients who were referred to the department of psychiatry for the evaluation of psychosocial function. We analyzed initial neurosurgical variables such as Glasgow Coma scale(GCS) score, skull fracture, CT finding, and psychosocial outcomes with regards to psychosis, personality change, depression, anxiety and IQ on Intelligence Scale. Results : Patients with mild head injury(GCS score 13-15, N＝94, 76.4%) had better recovery rate on Glasgow Outcome Scale(GOS), less personality change than those with moderate or severe head injury. However, depression, anxiety and intelligence were not significantly different between two groups. The skull fracture(N＝37, 30.1%) did not influence on the psychosocial outcome with reference to personality change, depression, anxiety and intelligence. The patients with abnormal CT findings(N＝64, 52%) had lower recovery rate on GOS, more frequent tendency in psychosis, personality change and severe depression, less frequent in anxiety and mild depression, than patients with normal CT finding. However, levels of intelligence were not different between two groups. The patients with industrial accidents(IA) had lower educational level, milder head injury, more delay for the psychiatric evaluation (longer treatment period) than those with motor vehicular accidents(MVA). The psychosocial outcome with reference to personality change, depression, anxiety, intelligence were not different between two groups. Conclusion : These findings indicate that the more severe initial trauma, the poorer psychosocial outcome. However, it was frequently observed that patients with mild head injury suffered from mild anxiety and depression. Therefore mild head injury appeared to be more complicated by psychosocial stressors. The patients with IA, despite the fact that initial head injury was mild, required longer treatment period than MVA.