• Title/Summary/Keyword: Tear evaluation

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Ultrasonographic evaluation of rotator cuff leison

  • Sugimoto Katsumasa;Matsui Nobuo
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 1995.03a
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    • pp.46-46
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    • 1995
  • We investigated the reliablity of the ultrasonography for diagnosis of rotatar cuff taers. We prepared histological sections of forty shoulder joints In match the ultrasound planes, and conducted a comparative study of tke two sets of images. hi cases of rotator cuff tear, hyperechogenic and cartilaginfication of the tear site were detected as hyperechogenic foci. On the countrary, the regions in which tendon fibers were decreased or absent showed sonolucent areas. We caluculated the echo level of rotator cuff objectively. The area of abnormal echo level and the other regions located in the same depth of the rotator cuff were defined by ultrasonic equipment. The mein difference in these two echo levels was calculated. The mean difference in patients with rotator cuff tears was larger than that in normal cases. These results indicate that ultrasonography is a useful procedure in many patients with rotator cuff lesions.

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Studios on the Various Filters for Rubber Compounds. Part 1. Physical Properties of Domestic Calcium Carbonate for NR Compounds (고무용(用) 국산(國産) 각종충전제(各種充塡劑)에 관(關)한 연구(硏究) (제1보(第1報)) 고무용(用) 국산(國産) 탄산(炭酸)칼슘의 성능(性能)에 관(關)하여)

  • Lee, Myung-Whan;An, Young-Pil
    • Elastomers and Composites
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    • v.5 no.1
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    • pp.69-74
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    • 1970
  • The influence of various calcium carbonate on the physical properties of natural rubber have teen carries out extensive experiments on compounding. Final evaluation was made through various kinds of physical test-tensile strength, modulus, tear strength and hardnees-including particle size. The results are as follows: 1. Generally, tile tensile strength, modulus and tear strength showed the similar tendency in various calcium carbonate compounding. 2. The maximum volume of general using have been obtained with 150 phr calcium carbonate in $NR-CaCO_3$ compounding. 3. The particle size of domestic calcium carbonate showed $1.0\mu-2.6\mu$.

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Postoperative Ultrasound Findings of the Rotator Cuff Tendon after Arthroscopic Repair of a Rotator Cuff Tear (회전근개 파열의 수술적 치료 후 회전근개 초음파 소견)

  • Kwon, Dong Rak
    • Clinical Pain
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    • v.19 no.2
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    • pp.64-69
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    • 2020
  • Ultrasound (US) imaging is an efficient, easy to use, rapid, dynamic, noninvasive, with rare side-effects and inexpensive tool allowing for facilitated diagnosis and management of the painful shoulder. It also has advantages over other imaging modalities in the evaluation of the postoperative shoulder for rotator cuff integrity and correct anchor and suture placement, as well as rotator cuff analysis following repair surgery. Early postoperative tendons frequently had a hypo- echoic echo texture and the absence of a fibrillar pattern, which might be misinterpreted as recurrent tears. however, these features often normalized into tendons with an increased echo texture and the reappearance of a fibrillar pattern at 6 months. Based on these sequential findings, the US findings within 3 months after surgery should be interpreted with caution to accurately understand and monitor the repaired tendon status.

Anterior capsular reconstruction with acellular dermal allograft for subscapularis deficiency: a report of two cases

  • Raffy Mirzayan;Shane Korber
    • Clinics in Shoulder and Elbow
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    • v.27 no.1
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    • pp.126-130
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    • 2024
  • Anterior glenohumeral instability with an irreparable subscapularis tear is a challenging problem for the orthopedic shoulder surgeon. Current techniques, including tendon transfers, yield inconsistent results with high rates of recurrent instability. Acellular dermal allografting has been used in young patients with massive superior rotator cuff tears with early success, but acellular dermal allografting is comparatively unstudied in anterior deficiency. We present two cases of anterior capsular reconstruction with an acellular dermal allograft in patients ages 66 and 58 years with irreparable subscapularis tendon tears. Follow-up for both patients exceeded 4 years, with forward flexion >140°, external rotation exceeding 60°, a Single Assessment Numeric Evaluation score >90 points, a visual analog scale score of 0 points, and an American Shoulder and Elbow Score of 98 points. In conclusion, acellular dermal allografting can be used to reconstruct the anterior capsule in patients with massive irreparable subscapularis tears, similar to its use in superior capsular reconstruction in patients with massive posterosuperior rotator cuff tears.

Peripheral Nerve Injuries Associated with Rotator Cuff Tears (견관절 회전근 개 파열과 동반된 말초 신경 손상)

  • Lee, Kwang-Won;Lee, Ho;Na, Kyu-Hyun;Choy, Won-Sik
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.117-122
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    • 2006
  • Purpose: The purpose of this study is to investigate the relationship between rotator cuff tear and nerve injury, and prevalence of nerve injury using electromyographic study. Materials and Methods: From May 2004 to Feb. 2005, 19 cases, who underwent surgery for full-thickness rotator cuff tear, were evaluated for nerve injury using electomyogram instruments preoperatively. Rotator cuff tears caused by acute high energy trauma were excluded in this study. Mean age was 59 (range, 45-87) years and mean duration of symptoms was 45 (range, 1-360) month. Results: There were six nerve injuries (31.6%). All of them were incomplete brachial plexus injuries, and mainly postganglionic lesions. Four cases among them had minor trauma history. There were no significant differences in terms of cuff tear size, range of motion, pain score and functional score between groups with and without nerve injury. Conclusion: This study showed high prevalence (31.6%) of nerve injury in full-thickness rotator cuff tear. So careful physical examination and evaluation for nerve injury are needed in rotator cuff tear.

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A Study on Improvement of Wettability and Comfort in Contact lens with Hyaluronic acid (Hyaluronic acid 함유 콘택트렌즈의 습윤성과 착용감 향상 효과 연구)

  • Kim, Hyun Jung;Kim, Soo-Hyun;Kim, Jai-Min
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.3
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    • pp.255-264
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    • 2011
  • Purpose: To study the effect of hyaluronic acid(HA), which was widely used in artificial tears, multi-purpose solution(MPS), cosmetics, and drug acting on the musculo-skeletal system, in wettability and comfort of contact lens, we compared HA including lens(+HA) with HA excluding lens(-HA) by clinical evaluation. Methods: During four weeks, the selected 28 university student volunteers who did not have any eye disease wore +HA contact lens on their right eyes, and -HA contact lens on their left eyes, and then compared right eyes to left eyes as control. After prescribing by spherical equivalent calculation, over-refraction by auto-refractometer, and contact lens wearing for two weeks and four weeks, tear evaluation, the anterior of eyes examination, fitting convenience evaluation, surface wetting test, surveys were checked up. Results: Compared with the control group (-HA contact lens), +HA contact lens provided better wetting properties. The amount of released tear in -HA contact lens group became less in four weeks than before, but that in +HA contact lens group showed no significant difference from the initial one. In terms of the redness in eye, there was no significant difference between +HA and -HA contact lens groups. Fitting of +HA contact lens on eye was much easier than the control, -HA contact lens. From the results of survey, comfort, wettability, ease of cleaning, and dryness of eye in +HA contact lens group were generally better than those of -HA group, but redness and contact lens handling showed little difference. Conclusions: The addition of HA in soft contact lens(+HA) may enhance the wettability of lens during lens wearing, resulted in the better comfortable wearing of lens eventually.

Clinical outcome in relation to stability of longitudinal meniscal tear associated with anterior cruciate ligament rupture (전방 십자인대 파열에 동반된 반월상 연골판 종파열의 파열부위 안정성에 따른 치료 결과)

  • Seo, Seung-Suk;Kim, Chang-Wan;Kim, Jin-Seok;Kim, Jeon-Gyo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.91-97
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    • 2010
  • Purpose: The purpose of this study was to evaluate the results of treatment for longitudinal meniscal tear in ACL rupture patients by clinical evaluation and $2^{nd}$ look arthroscopy. Materials and Methods: Among the patients who underwent surgery due to ACL rupture and longitudinal meniscal tear between 2002~2009, 32 patients were selected for the study. The patients were devided into three groups; group 1 had repair, group 2 had partial menisectomy due to impossible to repair, group 3 had conservative treatment due to stable meniscus. Comparative retrospective analysis was applied with KT 1000 arthrometer, Lysolm' score, Tegner activity score, IKDC subjective score, and $2^{nd}$ look arthroscopy. Results: Lysolm' score, Tegner activity score, IKDC subjective score showed no statistical difference in all three groups. KT-1000 side to side difference improved from 6.2, 6.15, 6.38 before surgery to 2.56, 2.49, 2.58 after surgery in group 1, 2, and 3, respectively. In group 1, second-look arthroscopy revealed complete healing in 12 patients, incomplete healing without any clinical symptoms in 2, and healing failure in 1. In group 2, second-look arthroscopy showed partial regeneration on margin of meniscectomy. In group 3, second-look arthroscopy revealed complete healing in 2 patients, while 4 showed incomplete healing so that have repaired. Conclusion: In the study, the outcome was better when the stable longitudinal meniscal tear on posterior horn with ACL rupture had active treatment.

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The Radiologic and Clinical Changes after Open Complete Repair of Massive Rotator Cuff Tears (개방적 완전 봉합술로 치료한 광범위 회전근 개 파열 환자에서 치료 전후의 방사선학적 및 임상적 소견의 변화)

  • Moon, Eun-Sun;Choi, Min-Sun;Kim, Myung-Sun;Kong, Il-Kyu;Kim, Byoung-Jin
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.109-114
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    • 2009
  • Purpose: This study evaluated the preoperative and postoperative radiologic findings of patients with complete repairs after massive rotator cuff tears along with the incidence of re-tear and the clinical outcomes. Materials and methods: This study evaluated 33 cases who had open complete repairs for massive rotator cuff tears and these patients were followed up for more than 24 months. The clinical evaluation was performed according to the shoulder joint function test of the American Shoulder and Elbow Surgeons (ASES), and the degree of arthritis related to the massive rotator cuff tears was evaluated using the Hamada classification. Results: The ASES scores improved from 37.6 preoperatively to 85.6 postoperatively. The mean preoperative acromio-humeral interval (AHI) score was 6.5 mm, which increased to 9.3 mm immediately after surgery, and there was a decreased to 6.5 mm noted at the last follow up. The lower radiology stages of arthritis according to the classification showed better preoperative and postoperative results. Conclusion: An open complete repair as the surgical treatment for a massive rotator cuff tear showed satisfactory results for pain relief and an improvement in the shoulder joint function though re-tear after surgery.

Korean Medicine Therapy to Ruptured Anterior Cruciate Ligament with Meniscal Tears: Report of 4 Cases (반월상 연골판 손상을 동반한 전방 십자인대 부분파열 환자의 한의학적 치료 효과: 증례보고)

  • Lee, Gi-Eon;Byun, Da-Young;Han, Si-Hoon;Yoo, Hyung-Jin;Lee, Jin-Hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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    • pp.175-184
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    • 2018
  • The purpose of this study is to report the effectiveness of complex Korean Medicine treatment for anterior cruciate ligament (ACL) injuries with meniscus tear. Four patients were treated with complex Korean Medicine by acupuncture, pharmacopuncture and herbal medication. We evaluated the improvement of knee pain and function by Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index). After treatment, we found that knee pain was reduced and joint function was improved by NRS and WOMAC index in all cases. In the evaluation of health-related quality of life through EQ-5D index, there was no significant difference in patients with degenerative knee osteoarthritis and severe meniscal injury. This results show that complex Korean Medicine may be an effective option for ACL injuries with meniscus tear. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on ACL injuries with meniscus tear.

A Study on the Present Status of the Quality Evaluation Capability of Domestic Paper Industry -A Case Study for Fine Paper Industry (국내 제지산업의 품질평가 실태연구-백상지업체를 중심으로-)

  • 이학래;윤혜정;김태영;조중연
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.32 no.1
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    • pp.94-100
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    • 2000
  • This study was carried out to understand the present status of the quality evaluation capability of domestic fine paper industry. Six light weight coated papers and one wood containing printing and writing paper with similar basis weights were produced by seven paper companies and their properties were evaluated at four different testing laboratories of domestic fine paper mills. Paper properties including basis weight , thickness , tensile, tear , brightness , opacity, etc were examined , and the repeat ability and reproducibility of the test results were analyzed. Results showed that repeatability of the measurements within the laboratory was satisfactory . Reproducibility of the measurements between laboratories, however, was not satisfactory. This showed that strict implementation of the standard testing methods and periodic calibration of testing equipments should be made to improve quality evaluation capability of domestic fine paper industry.

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