• Title/Summary/Keyword: Lateral-superior

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Ultrasound-guided Lateral Femoral Cutaneous Nerve Block in Meralgia Paresthetica

  • Kim, Jeong-Eun;Lee, Sang-Gon;Kim, Eun-Ju;Min, Byung-Woo;Ban, Jong-Suk;Lee, Ji-Hyang
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.115-118
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    • 2011
  • Meralgia paresthetica is a rarely encountered sensory mononeuropathy characterized by paresthesia, pain or sensory impairment along the distribution of the lateral femoral cutaneous nerve (LFCN) caused by entrapment or compression of the nerve as it crossed the anterior superior iliac spine and runs beneath the inguinal ligament. There is great variability regarding the area where the nerve pierces the inguinal ligament, which makes it difficult to perform blind anesthetic blocks. Ultrasound has developed into a powerful tool for the visualization of peripheral nerves including very small nerves such as accessory and sural nerves. The LFCN can be located successfully, and local anesthetic solution distribution around the nerve can be observed with ultrasound guidance. Our successfully performed ultrasound-guided blockade of the LFCN in meralgia paresthetica suggests that this technique is a safe way to increase the success rate.

A COMPARATIVE STUDY OF ANATOMIC STRUCTURES ON THE PANORAMIC RADIOGRAPH AND SOME EXTRAORAL RADIOGRAPHS (파노라마방사선사진상과 구외방사선사진상에서의 해부학적 구조에 관한 비교연구)

  • Lee Dong Kyu;Kim Han Pyoung
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.14 no.1
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    • pp.71-80
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    • 1984
  • The author has studied each landmark for successful interpretation in the radiograph of the head that have the complex anatomic structures, using panoramic radiograph, postero-anterior cephalometric radiograph, lateral cephalometric radiograph, Waters' radiograph of the skull. The anatomic structures of the human dry skull attached by radiopaque materials were taken radiographs and analysed comparatively. The results were as follows: 1. The overall anatomic structures of the mandible showed sharp images in the panoramic radiograph than other radiographs with relatively less distortion, superimposition, blurring of the image. 2. The anatomic structures were situated on sagital plane of the skull showed blurred images in panoramic radiograph than other radiographs. 3. The anatomic structures which were situated on the basal portion of the skull showed blurred and secondary images in the panoramic radiograph than other radiographs. 4. In the panoramic radiograph, the lower 3rd portion of the orbit appeared to be superimposed with the superior portion of the maxillary sinus and the medial and lateral surface of the nasal cavity showed extensively superimposition of the orbit and the maxillary sinus, which images showed blurring. 5. The inferior surface and posterior surface of maxillary sinus showed to be good image in the panoramic radiograph than other radiographs. 6. In the panoramic radiograph, line of maxillary bone between lateral pterygoid plate, line of maxillary bone between zygomatic bone showed distinct image with another structures.

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Estimating the lateral profile of helical piles using modified p-y springs

  • Hyeong-Joo Kim;Hyeong-Soo Kim;Peter Rey Dinoy;James Vincent Reyes;Yeong-Seong Jeong;Jun-Yong Park;Kevin Bagas Arifki Mawuntu
    • Geomechanics and Engineering
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    • v.35 no.1
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    • pp.1-11
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    • 2023
  • A growing trend of utilizing helical piles for soft soil strata to support infrastructure projects is currently observed in Saemangeum, South Korea. Recognized mainly due to its ease of installation and reusability proves to be far more superior compared to other foundation types in terms of sustainability. This study applies modified p-y springs to characterize the behavior of a laterally loaded helical pile with a shaft diameter of 89.1 mm affixed with 3 helices evenly spaced along its embedded length of 2.5 m. Geotechnical soil properties are correlated from CPT data near the test bed vicinity and strain gauges mounted on the shaft surface. A modification factor is applied on the p-y springs to adjust the simulated data and match it to the bending moment, soil resistance and deflection values from the strain gauge measurements. The predicted lateral behavior of the helical pile through the numerical analysis method shows fairly good agreement to the recorded field test results.

Easy and Simple Techniques to Reconstruct Natural Nailfold with the Wrap-around Flap for Finger Reconstruction

  • Takeo Matsusue
    • Archives of Plastic Surgery
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    • v.49 no.6
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    • pp.764-768
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    • 2022
  • The wrap-around flap (WAF) has become a popular approach to thumb reconstruction because the results are functionally and cosmetically excellent. By modifying to a partial toenail transfer, the WAF can also be used for finger reconstruction. However, performing cosmetically superior finger reconstruction is a significant challenge because it is difficult to reconstruct the natural nailfold by partial nail transplantation, although partial nail transplantation is required to reconstruct a narrow fingernail. One side of the reconstructed lateral nailfold tends to be a missing nail margin, and one side of the proximal nailfold angle tends to be retracted. Based on the rationale that loss of the lateral nailfold volume due to the postoperative tension of the volar flap would result in a missing nail margin, the volume of the lateral nailfold was maintained with a single thread that was passed from the nail to the volar flap. Additionally, half of the proximal nailfold from the nail plate was elevated to advance it forward. The results indicated that a cosmetically natural nailfold was achieved with the WAF approach to finger reconstruction. These easy and simple techniques enable reconstruction of a cosmetically natural nailfold using WAF for finger reconstruction.

Operative Treatment of Chronic Recurrent Dislocation of Peroneal Tendon (A Case Report) (외상성 만성 비골건 탈구의 수술적 치료 (1예 보고))

  • Lee, Do-Young;Kang, Jae-Do;Lim, Moon-Sup;Yoon, Hyeong-Jo
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.120-122
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    • 2007
  • Traumatic dislocation of the peroneal tendon is an infrequent injury. This injury is caused by forceful dorsiflexion of the foot accompanied by a powerful contraction of the peroneal muscles. This mechanism of injury tears the superior peroneal retinaculum and allows the tendons to snap anteriorly. We experienced a case of chronic recurrent dislocation of the peroneal tendon, which was treated by bone block surgery using autograft of lateral fibula and reattachment of the superior peroneal retinaculum. The clinical result was satisfactory.

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Primary Mediastinal Liposarcoma - 1 Case Report - (원발성 종격동 지방육종 -1예 보고 -)

  • Lee, Seong-Yun;Hong, Eun-Gyeong;Ji, Haeng-Ok
    • Journal of Chest Surgery
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    • v.22 no.6
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    • pp.1061-1069
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    • 1989
  • A case of liposarcoma was reported in 52 year-old female. She had the operation history due to mediastinal lipoma at other Hospital before 26 months ago. Chest X-ray revealed a huge soft tissue mass- density at the entire right lung field, and left middle and lower lung field at admission. At the lateral film, the mass was located in the anterior and middle mediastinum. Transsternal bilateral thoracotomy was performed, followed by extirpation of liposarcoma, wedge resection of superior vena cava, angioplasty of superior vena cava, and then partial pericardiectomy. The post-operative treatment was 5500 rad irradiation. Post-operative course was uneventful, that was noticed by OPD follow-up for 10 months. Primary liposarcoma of the mediastinum is very rare tumor. This tumor grows to an enormous size, and symptoms are referable to compression of the contiguous intrathoracic structures. The treatment of choice is surgery in all cases. Such an approach serves to establish a tissue diagnosis, to relieve the patients* symptoms, and may results in a cure sometimes. Radiotherapy or/and chemotherapy seems to be ineffective, but should be further studied.

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Experimental Study on the Shear Behavior of Ultra High Performance Precast PSC Bridge Joint with Joint Type and Lateral Force (접합 조건 및 횡구속 조건에 따른 초고성능 프리캐스트 PSC 교량 접합부의 전단 거동에 관한 실험적 연구)

  • Lee, Chang-Hong;Kim, Young-Jin;Chin, Won-Jong;Choi, Eun-Suk
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.5A
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    • pp.379-387
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    • 2011
  • According to the development of ultra-high performance concrete (UHPC), its mechanical performance have been known as superior than normal and/or high performance concrete. However, its construction and structural safety must have studied with revisions and supplements. In this study, tests have been performed on UHPC precast segment joint with different levels of joint types and lateral forces under direct shear. From the results of the experimental tests, it can be concluded that the properties of the referred joints are significant for the resistance of shear behavior, and the increase of lateral force in these joints may suggest as critical lateral stress on that behavior.

Fabrication and Characteristics of Lateral Type Field Emitter Arrays

  • Lee, Jae-Hoon;Kwon, Ki-Rock;Lee, Myoung-Bok;Hahm, Sung-Ho;Park, Kyu-Man;Lee, Jung-Hee
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.2 no.2
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    • pp.93-101
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    • 2002
  • We have proposed and fabricated two lateral type field emission diodes, poly-Si emitter by utilizing the local oxidation of silicon (LOCOS) and GaN emitter using metal organic chemical vapor deposition (MOCVD) process. The fabricated poly-Si diode exhibited excellent electrical characteristics such as a very low turn-on voltage of 2 V and a high emission current of $300{\;}\bu\textrm{A}/tip$ at the anode-to-cathode voltage of 25 V. These superior field emission characteristics was speculated as a result of strong surface modification inducing a quasi-negative electron affinity and the increase of emitting sites due to local sharp protrusions by an appropriate activation treatment. In respect, two kinds of procedures were proposed for the fabrication of the lateral type GaN emitter: a selective etching method with electron cyclotron resonance-reactive ion etching (ECR-RIE) or a simple selective growth by utilizing $Si_3N_4$ film as a masking layer. The fabricated device using the ECR-RIE exhibited electrical characteristics such as a turn-on voltage of 35 V for $7\bu\textrm{m}$ gap and an emission current of~580 nA/l0tips at anode-to-cathode voltage of 100 V. These new field emission characteristics of GaN tips are believed to be due to a low electron affinity as well as the shorter inter-electrode distance. Compared to lateral type GaN field emission diode using ECR-RIE, re-grown GaN emitters shows sharper shape tips and shorter inter-electrode distance.

The Regional Anatomy of Perforating artery and Pedicle for the Anterolateral Thigh Free Flap in the Korean (한국사람의 앞가쪽넙다리유리피판술에서의 관통동맥과 피판줄기에 대한 국소 해부)

  • Song, Hyun Suk;Park, Myong Chul
    • Archives of Plastic Surgery
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    • v.35 no.1
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    • pp.20-27
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    • 2008
  • Purpose: The anterolateral thigh flap has many advantages over other conventional free flaps. But the anterolateral thigh flap has yet to enter widespread use because perforating arteries exhibit a wide range of anatomic variations and are difficult to dissect when small. The aim of this study is to identify the vascular variability of perforating arteries and pedicle in the anterolateral thigh free flap. Methods: We studied 12 cadavers and dissected 23 thighs. An anterolateral thigh flap ($12{\times}12cm$) was designed and centered at the midpoint of the line drawn from anterior superior iliac spine to the superolateral border of the patella. After we identifed the perforating arteries we dissected up to their origin from lateral circumflex femoral artery along descending branch of lateral circumflex femoral artery. We then investigated the number and the position of perforating arteries, length and diameter of vascular pedicle and pattern of lateral circumflex femoral arterial system. Results: On average $2.3{\pm}1.1$ perforating arteries per thigh were identified. The musculocutaneous perforators were 63.1%. In those perforators five perforators were arose from transverse branch of lateral circumflex femoral artery and two were arose from rectus femoral artery. Most of the perforators were near the intermuscular septum between rectus femoris muscle and vastus lateralis muscle. The length and diameter of pedicle were $11.9{\pm}3.5cm$ and $3.1{\pm}0.8mm$ on average. Conclusion: This study will be helpful for the success in anterolateral thigh free flap.

A Study on Behavior Characteristics of Soft Ground by DCM Arrangement Type (DCM 배치 형상에 따른 연약지반 거동 특성에 관한 연구)

  • You, Seung-Kyong;Lee, Jong-Young;Hong, Gigwon
    • Journal of the Korean Geosynthetics Society
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    • v.20 no.4
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    • pp.125-131
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    • 2021
  • This study described the relationship of settlement-lateral displacement and settlement-heaving according to the DCM type using the model test results, in order to evaluate the behavioral characteristics of the soft ground improved with DCM. As a result, it was found that the total settlement of the model ground was relatively small in the soft ground, to which the DCM was applied, and the settlement was less in the order of the grid type, wall type, and pile type under the same load conditions. This trend was also the same for the lateral displacement and heaving. In addition, the relationship between settlement and lateral displacement of soft ground was analyzed to be similar to that of previous study (Leroueil et al., 1990). Therefore, the DCM of grid type was evaluated to be superior to other types for lateral flow and heaving in the improvement effect of soft ground.