• Title/Summary/Keyword: Mechanical rotator

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Patch Augmentation for Massive Rotator Cuff Tears

  • Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
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    • v.20 no.2
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    • pp.105-112
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    • 2017
  • Rotator cuff tears commonly affect the shoulder joints. Despite developments in surgical techniques and instrumentation, the treatment of massive rotator cuff tears remains challenging. The problems associated with rotator cuff repairs, such as inferior mechanical properties and high retear rates are yet to be solved. Recently, patch augmentation has been suggested as an alternative treatment because it can reinforce mechanical properties at the initial stage of healing and reduce gap formation. The purpose of this article was to comprehensively summarize the concepts and the consensus surrounding patch augmentation and evaluate the clinical and anatomical outcomes after patch augmentation for massive rotator cuff tears.

Current Concepts and Recent Trends in Arthroscopic Treatment of Large to Massive Rotator Cuff Tears: A Review

  • Rho, Joseph Y.;Kwon, Yong suk;Choi, Sungwook
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.50-57
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    • 2019
  • Rotator cuff tear is a common cause of shoulder pain and disability in adults. Due to the various nature of progression of rotator cuff tears and the complex biomechanics of the shoulder joint, repair and treatment of large-to-massive tears are challenging for many surgeons. Despite the recent popularity of reverse total shoulder arthroplasty as a treatment option for large-to-massive irreparable rotator cuff tears, biological and mechanical repair augmentation has also shown promise as a viable treatment option. The purpose of this study was to briefly summarize and review current studies on the assessment and arthroscopic treatment of large-to-massive rotator cuff tears, whether repairable or irreparable, to aid in developing a consensus on future treatment directions.

Development of an Anti-Seasickness Bed used in Vessel

  • Kim, Young-Bok;Jeong, Ji-Hyun
    • Journal of Power System Engineering
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    • v.18 no.4
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    • pp.112-116
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    • 2014
  • Roll and pitching motions of a vessel can seriously degrade the performance of mechanical systems and the effectiveness of personnel. Many studies on roll stabilization and trimming control system design have focused on stabilizing the vessel through the use of fins, tanks, rudders and flaps. However the ultimate objective of such approaches must be to improve boarding sensitivity. This paper presents an anti-seasickness bed that consists of a rotator and bearing system that does not make use of electric power. The advantages of this system are its simple construction, usefulness, and safe operation. In this study, the rotation angles of the upper plate of a bed according to change weight of the rotator have been calculated to determine the stability. As a result, it can be concluded that proposed stabilizing bed can be of practical use in the field.

Arthroscopic Rotator Cuff Repair: Single Row Technique (관절경적 회전근 개 봉합술: 일열 봉합 수기)

  • Park, Hyung-Bin
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.155-159
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    • 2007
  • Arthroscopic single-row rotator cuff repair is a well established surgical technique for the treatment of rotator cuff tears. However, the problem of postoperative retear remains a concern. Various avenues are being explored to address this problem. Some studies have suggested that restoring the anatomical footprint may improve the healing and initial strength of the repaired rotator cuff tendon. The double-row technique was introduced as a method of reconstructing the anatomical footprint. According to biomechanical studies on cadavers, this technique improved mechanical strength and reduced gap formation. However, the biological properties of reattached tendon such as tension, and vascularity have not been proved yet. Furthermore, the apparent mechanical superiority of the double-row over the single-row construction has not resulted in better functional outcomes. Therefore, the less complicated and less costly single-row technique is still the recommended treatment for rotator cuff repairs.

A Stability Analysis of Fiber-Optic Current Sensor about a Mechanical Deformation Using by Faraday Rotator Class Fiber Sensor Coil (Faraday Rotator Glass 광섬유 센서코일을 이용한 전류센서의 기계적 변형에 대한 안정도 분석)

  • Kim, Kee-Hyuck;Song, Min-Ho
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2004.05a
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    • pp.53-57
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    • 2004
  • The stabilization of fiber-optic current sensor has been achieved by using a broadband light source and a Faraday Rotator Glass fiber sensor coil. The very low Photo-elastic constant of the fiber suppressed output variations within ${\pm}0.4[%]$ when mechanical disturbance was applied to the sensor coil. Noise characteristics, with different light sources, have also been analyzed, which experimentally proved that the wider bandwidth source showed the better noise performance.

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Controversy in Pathophysiology of Rotator Cuff Tear: Degenerative Tear (회전근 개 파열의 병리 생태학에서의 논쟁점: 퇴행성 파열)

  • Kim, Young-Kyu
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.71-76
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    • 2008
  • The pathophysiology of rotator cuff tears and the progression of asymptomatic tears to symptomatic tears are yet unclear and much controversy. It is likely to involve a number of factors such as a genetic predisposition, extrinsic impingement from structures surrounding the cuff and intrinsic degeneration from changes within the tendon itself. Degenerative changes in the rotator cuff with aging seem to be related to the anatomic and mechanical environment of the rotator cuff. The histopathologic appearance of rotator cuff tendon rupture specimens demonstrates a consequence of degenerative changes at the site of tendon insertion into bone. It weakens the tensile strength of the tendon. Is the process of degeneration intrinsic or extrinsic in nature? I suggest that degeneration is intrinsic and not caused by extrinsic factors. Even though, rotator cuff tear may be secondary to multiple factors, I believe that primary cause of rotator cuff tears is preexisting degenerative change.

Fiber-Optic Current Sensor Using a Faraday Rotator Glass Fiber Sensor Coil (Faraday Rotator Glass 광섬유 전류센서)

  • 김기혁;송민호
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.18 no.4
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    • pp.28-33
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    • 2004
  • We developed a fiber-optic CT for large current monitoring in power systems. We used a FRG fiber sensor coil to suppress CT output degradation caused by linear birefringence, and different optical sources were used to compare their noise characteristics. From the experiments, we obtained output variation less than $\pm$0.4(%) when the sensor coil suffered mechanical perturbations, and the ASE source showed -23(㏈) less noise in the output than singlemode laser diode.

Significant radiologic factors related to clinical outcomes after arthroscopic rotator cuff retear repair

  • Joo, Min-Su;Kim, Jeong-Woo
    • Clinics in Shoulder and Elbow
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    • v.25 no.3
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    • pp.173-181
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    • 2022
  • Background: Healing of the tendon itself is not always related to successful clinical outcomes after rotator cuff repair. It was hypothesized that certain radiologic factors affecting clinical outcomes could exist in case of the retear after arthroscopic rotator cuff repair (ARCR) and the radiologic factors could help predict clinical process. The purpose of this study was to identify the radiologic factors associated with clinical outcomes of the retear after ARCR. Methods: Between January 2012 and December 2019, among patients with sufficient footprint coverage for ARCR, 96 patients with Sugaya classification 4 or higher retear on follow-up magnetic resonance imaging were included. The association between clinical outcomes such as American Shoulder and Elbow Surgeons (ASES) score, Constant score and range of motion and radiologic variables such as initial tear dimension, retear dimension, variance of tear dimension, critical shoulder angle, acromial index, and acromiohumeral distance was analyzed. Results: Preoperatively, the ASES and Constant scores were 59.81±17.02 and 64.30±15.27, respectively. And at the last follow-up, they improved to 81.56±16.29 and 78.62±14.16, respectively (p<0.01 and p<0.01). In multiple linear regression analysis, the variance of the mediolateral dimension of tear had statistically significant association with the ASES and Constant scores (p<0.01 and p=0.01). Conclusions: In patients with the retear after ARCR, the variance in the mediolateral dimension of tear had significantly negative association with the clinical outcomes. This could be considered to be reference as relative criteria and needed more sample and mechanical study.

Arthroscopic Rotator Cuff Repair by Single Row Technique (회전근 개 파열에 대한 관절경적 봉합술 중 일열 봉합술의 유용성)

  • Yum, Jae-Kwang
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.77-81
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    • 2008
  • The goal of rotator cuff repairs is to achieve high initial fixation strength, minimize gap formation, maintain mechanical stability under cyclic loading and optimize the biology of the tendon-bone interface until the cuff heals biologically to the bone. Single row repairs are least successful in restoring the footprint of the rotator cuff and are most susceptible to gap formation. Double row repairs have an improved load to failure and minimal gap formation. Transosseous equivalent repairs (suture bridge technique) have the highest ultimate load and resistance to shear and rotational forces and the lowest gap formation. Even though the superior advantages of double row and transosseous equivalent repairs, those techniques take longer surgical time and are more expensive than single row repairs. Therefore single row repairs can be useful in bursal side partial thickness or small size full thickess rotator cuff tear.

Tunable dispersion compensator based on chirped fiber bragg gratings with a mechanical rotator (회전기와 첩 광섬유 격자를 이용한 가변 분산 보상기)

  • 김준희;배준기;한영근;김상혁;이상배;정제명
    • Korean Journal of Optics and Photonics
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    • v.15 no.2
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    • pp.100-103
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    • 2004
  • A systematic method for tunable dispersion compensation based on chirped fiber Bragg gratings without a center wavelength shift is proposed. The specially designed mechanical rotator can flexibly control the chirping ratio along the fiber grating and the corresponding dispersion value. The group delay can be linearly controllable since the proposed method can induce a linear strain gradient with the rotation angle change. The dispersion value could be controlled from 228.04 ㎰/nm to 1430.7 ㎰/nm with small center wavelength shift, which was less than 0.03 nm.