• Title/Summary/Keyword: Tears

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Clinical results of conservative management in patients with full-thickness rotator cuff tear: a meta-analysis

  • Karasuyama, Masaki;Gotoh, Masafumi;Tahara, Keiji;Kawakami, Junichi;Madokoro, Kazuya;Nagamatsu, Takashi;Imai, Takaki;Harada, Nobuya;Kudo, Yu;Shiba, Naoto
    • Clinics in Shoulder and Elbow
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    • v.23 no.2
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    • pp.86-93
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    • 2020
  • Background: Several systematic reviews have reported on the conservative treatment of full-thickness rotator cuff tears; however, clinical results of this treatment still remain determined. Methods: PubMed, Cochrane Library, PEDro, and CINAHL databases were systematically searched for randomized clinical trials and observational studies. Two independent researchers reviewed a total of 2,981 articles, 28 of which met the criteria for inclusion in the study. Clinical outcome measures included Constant score, visual analog scale score for pain, range of motion, and short-form 36 questionnaires. The meta-analysis used a linear mixed model weighted with the variance of the estimate. Results: The meta-analysis showed a significant improvement after surgery. Pain score is 26.2 mm (1 month) to 26.4 mm (3 months), and 24.8 mm (12 months) (P<0.05); active abduction: 153.2° (2 months), 159.0° (6 months), 168.1° (12 months) (P<0.05); Constant score: 67.8 points (2 months) to 77.2 points (12 months) (P<0.05); short-form 36 questionnaires "vitality" section: 57.0 points (6 months) to 70.0 points (12 months) (P<0.05). Conclusions: Our data confirmed the effectiveness of conservative treatment in patients with full-thickness rotator cuff tears 12 months post-intervention. The results suggest that conservative treatment for patients with full-thickness rotator cuff tears should be the first line of treatment before considering surgery.

Meniscal Repair with Meniscal Arrows (반월상연골 화살을 이용한 반월상연골 봉합술)

  • Kim Jung-Man;Oh In-Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.124-130
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    • 2002
  • Purpose: The results of meniscal repair of peripheral tear of meniscus with meniscal arrow was analysed. Materials and Methods: Peripheral tears of posterior 1/2 of menisci of 25 cases including 18medial, 6 lateral and 1 both menisci were repaired with meniscal arrows. One to six meniscal arrows were used for each meniscus according to the length of tears. Concurrent tears of ACL were noted in14 cases. The follow-up period was 3.4 years in average. The findings of physical examination and MRI which were taken once or twice in 1$\~$5 years after operation were evaluated. Results: Healing of the tear was achieved in all cases. However, a vertical longitudinal tear of body occurred in two medial menisci along the line of insertion of arrows. An arrow migrated subcuta-neously in two cases, respectively. Conclusions: The meniscal arrow was effective in the treatment of the peripheral tear of menicus. However, there was a chance of occurrence of longitudinal tear of the meniscus in case of insertion of arrows in a row. Migration of the arrow may occur.

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Influence of Sowing Date on Growth and Seed Yield of Coix Iachryma-jobi L. var. mayeun STAPF in Southern-Region of Korea (남부지방(南部地方)에서 율무의 파종기(播種期)가 생육특성(生育特性)및 파종수량(播種收量)에 미치는 영향(影響))

  • Park, Hi-Jin;Kwon, Byung-Sun;Seong, Nak-Sul;Umezaki, Teruhisa
    • Korean Journal of Medicinal Crop Science
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    • v.1 no.2
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    • pp.162-165
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    • 1993
  • To determine optimal sowing date of Job's Tears in southern-Region of Korea,Job's Tears cv. Local cultivars Ewon and Heuksuk were grown under the three different sowing dates. As sowing date was delayed, the heading and maturing date were delayed also and yield components such as plant height, stem diameter, number of stems, weight of 100grains and that of 1 l, etc. were the highest at the sowing date of Apr. 15. Yield of stem and seed were the heaviest in Apr. 15 seeding and they were light in the early or late sowing, Judging from the results reported above, optimum seeding date of Job's Tears seemed to be Apr. 15.

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Control Efficacy of Several Pesticides against Asian Corn Borer, Ostrinia furnacalis, in Job's Tears Fields (율무에서 조명나방에 대한 몇 가지 살충제의 포장 방제효과)

  • Lee, Young Su;Jung, Jin Kyo;Jang, Jung Hee;Kim, So-Hee;Choi, Jong Yoon;Lee, Hyun Ju;Lee, Sang-Woo;Lee, Young Soon
    • Korean journal of applied entomology
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    • v.61 no.1
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    • pp.275-281
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    • 2022
  • We investigated the occurrence pattern of the Asian Corn Borer, Ostrinia furnacalis in job's tears, and we tested the field control effects of 5 insecticides and 3 eco-friendly materials. Adults of O. furnacalis began to occur in May and have passed three generations until the end of October. As results of the field test, five insecticides (novaluron, lufenuron, spinetoram, cyclaniliprole, flufenoxuron) and three eco-friendly materials (gosam extracts 90%, neem extracts 60%, citronella oil 30 + derris extracts 20 + cinnamon extracts 10%) showed high control effects against O. furnacalis in two different areas, and no phytotoxicity even at double dose of pesticides.

Onlay patch augmentation in rotator cuff repair for moderate to large tears in elderly patients: clinical and radiologic outcomes

  • Sung-Yup Hong;Seung-Jin Lee;Hee-Bum Hahm;Ji-Woo Chang;Yoon-Suk Hyun
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.71-81
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    • 2023
  • Background: This study evaluated the clinical and radiologic outcomes of onlay patch augmentation in rotator cuff repair for moderate-to-large tears in elderly patients. Methods: We reviewed 24 patients who underwent onlay augmentation with dermal allograft after arthroscopic rotator cuff repair from January 2017 to March 2020. Inclusion criteria were patients aged >65 years with tears >2.5 cm, who were followed for >12 months after surgery, and patients who could raise their arms above 90° preoperatively. American Shoulder and Elbow Surgeons (ASES) score, Constant-Murley score, pain visual analog scale (VAS), and VAS for satisfaction were used as clinical outcomes. For the evaluation of cuff integrity, magnetic resonance imaging scans were performed every 3 months after surgery. The results were compared before and after surgery in all patients and between the retear and intact groups. Results: The average follow-up period was 16.38 months, and the mean age of patients was 71.05 years. All patients showed significant improvement in ASES score, Constant-Murley score, and pain VAS at the last evaluation. The average value of satisfaction VAS was 7.27/10. The retear rate was 25% (6/24) if Sugaya type 3 was categorized in the retear group, otherwise 16.7% (4/24), if Sugaya type 3 was categorized into the intact group. Irrespective of Sugaya type 3 being included in the retear group, there was no significant difference in outcome variables between the intact and retear groups during follow-up. Conclusions: In moderate-to-large rotator cuff tear in elderly patients, onlay patch augmentation improved clinical outcomes. Retear did not adversely affect clinical outcomes.

An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study

  • Ashley E. MacConnell;William Davis;Rebecca Burr;Andrew Schneider;Lara R Dugas;Cara Joyce;Dane H. Salazar;Nickolas G. Garbis
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.169-174
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    • 2023
  • Background: Sleep quality, quantity, and efficiency have all been demonstrated to be adversely affected by rotator cuff pathology. Previous measures of assessing the impact of rotator cuff pathology on sleep have been largely subjective in nature. This study was undertaken to objectively analyze this relationship through the use of activity monitors. Methods: Patients with full-thickness rotator cuff tears at a single institution were prospectively enrolled between 2018 and 2020. Waist-worn accelerometers were provided for the patients to use each night for 14 days. Sleep efficiency was calculated using the ratio of the time spent sleeping to the total amount of time that was spent in bed. Retraction of the rotator cuff tear was classified using the Patte staging system. Results: This study included 36 patients: 18 with Patte stage 1 disease, 14 with Patte stage 2 disease, and 4 patients with Patte stage 3 disease. During the study, 25 participants wore the monitor on multiple nights, and ultimately their data was used for the analysis. No difference in the median sleep efficiency was appreciated amongst these groups (P>0.1), with each cohort of patients demonstrating a generally high sleep efficiency. Conclusions: The severity of retraction of the rotator cuff tear did not appear to correlate with changes in sleep efficiency for patients (P>0.1). These findings can better inform providers on how to counsel their patients who present with complaints of poor sleep in the setting of full-thickness rotator cuff tears.

Dry Matter Weight and Physicochemical Property of Job’s Tears Grain of Different Sowing Dates and Days after Flowering (율무 파종기 및 개화후 일수에 따른 종실중과 종실의 이화학적 특성 변이)

  • 최창균;윤기호;김광호
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.40 no.2
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    • pp.236-244
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    • 1995
  • This study was carried out to clarify the changes in dry matter weight and physicochemical property of job's tears grain during ripening period. Four varieties of job's tears were seeded at April 20, May 10, and May 30, andgrains were harvested at every 7 days from heading to maturity, The whole seed weight of thick hull varieties, Kimje and Aewon, was higher than that of improved thin hull varieties, Suwon 3 and Suwon 6, from heading to maturity, However, the dehulled grain weight of thin hull variety were higher than that of thick hullvariety from 35 days after heading. The first heading spikelet showed lower 100-grain weight com-pared with the spikelets headed at full blooming stage among the same plant. The increased rate of de hulled grain weight during maturing period was higher in thin hull variety than thick hull one, later seeding date than early seeding, and intermediate headed spikelet than early head-ed one, respectively. As maturing proceeds the protein content of de hulled grain was decreased, alkali digestibility value(ADV) showed a rising trend, and little change was found in gel consistency of milled grain flour. And same trends were found in protein content, ADV and gel consistency as the seeding date was delayed. Among amylogram properties of job's tears flour the maximum, minimum, and final viscosity as well as breakdown were decreased, and set back was increased in later seeding plots

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Efficacy of Ultrasonogram for the Diagnosis of Biceps Tendon Pathology (상완 이두건의 병소에 대한 초음파 검사의 유용성)

  • Seo, Joong-Bae;Lee, Jee-Young;Bahng, Seung-Chul
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.90-95
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    • 2008
  • Purpose: We wanted to assess the accuracy of ultrasound for detecting abnormality of the long head of the biceps tendon in patients with rotator cuff disorders. Materials and Methods: Between January 2006 and March 2007, we reviewed the arthroscopic findings of biceps tendons in 67 patients with rotator cuff disorder and who underwent ultrasonography pre-operatively. The patients' average age was 58 years and there were 41 males and 26 females. The statuses of the biceps tendons were described as 'normal', 'dislocation', 'subluxation', 'partial or complete tears', and 'tendinopathy'. We investigated the correspondence between the arthroscopic and ultrasonographic findings. Results: On ultrasonography, the biceps tendons were 'normal' in 37 patients and 'abnormal' in 30 patients. On arthroscopy, 5 biceps tendons turned out to have partial tears, which were 'normal' on ultrasonography. On the other hand, 8 biceps tendons were 'normal' which were 'abnormal' on ultrasonography. Three dislocations and 4 complete tears of biceps tendons were identified on arthroscopy, and all of them were detected by ultrasonography. Of the 20 cases of 'tendinopathy' seen on ultrasonography, 15 patients had partial tears and the remaining 5 patients were normal on arthroscopy. Conclusion: Ultrasonography is accurate for detecting some biceps pathologies, such as dislocation or complete tear, but it is not accurate for the detection of partial tear.

A Study of Facial Palsy Sequelae and Evaluating Scale (안면마비 후유증 및 평가 방법에 대한 고찰)

  • Lee, Jung-Woo;Kwon, Sin-Ae;Kim, Min-Jung;Song, Ji-Yeon;Kim, Pil-Kun;Seo, Byung-Kwan;Woo, Hyun-Su;Park, Dong-Suk;Baek, Yong-Hyeon
    • Journal of Acupuncture Research
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    • v.28 no.2
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    • pp.75-87
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    • 2011
  • Objectives : The purpose of this study is research on facial palsy sequelae and evaluating scale that have studied insufficiently until now. Methods : We researched on the symptoms, epidemiology and evaluating scale of facial palsy sequelae. For this, we searched the research papers on facial palsy sequelae and the clinical papers that find out the effect of treatment by evaluating facial palsy sequelae. Results : The symptoms of facial palsy sequelae are synkinesis, contracture, spasm, crocodile tears syndrome, tearing decrease, gustation impairment, hearing impairment, tinnitus, hyperacusis, etc. Among these, synkinesis, contracture, spasm and crocodile tears syndrome are the most frequently observed broadly. The poor prognosis factor of facial palsy can be the risk factor of facial palsy sequelae. For example, severe degeneration of facial nerve can be the risk factor of facial palsy sequelae. Most of clinical papers on facial palsy sequelae have used NRS(numeric rating scale) as evaluating scale. But NRS is very subjective scale. The scales of Stennert, Peitersen, Murata et al. can evaluate facial palsy sequelae grossly. Sunnybrook scale, Sydney scale, SAQ(synkinesis assessment questionnaire), the scale of Kim, the scale of Scott, HFS-7(hemi facial spasm), HFS-36 and Schirmer's test can evaluate the respective symptoms of facial palsy sequelae. Conclusions : The symptoms of facial palsy sequelae are synkinesis, contracture, spasm, crocodile tears syndrome, etc. Most of clinical papers on facial palsy sequelae have used NRS as evaluating scale. There were some scales that can evaluate facial palsy sequelae grossly and respectively. In future, we will need more progressed study of facial palsy sequelae and evaluating scale.

Isolation and Identification of Bipolaris coicis, Causing Leaf Blight of Job's Tears (율무 잎마름병을 일으키는 Bipolaris coicis의 분리 및 동정)

  • Kim, Sung-Kee;Kim, Ki-Woo;Hong, Soon-Sung;Park, Eun-Woo;Yang, Jang-Souck;Kim, Yun-Jeong
    • The Korean Journal of Mycology
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    • v.25 no.4 s.83
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    • pp.291-296
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    • 1997
  • Diseased leaves of Job's tears were collected at six locations in Korea to isolate and identify the pathogen causing leaf blight. Conidia were brown, fusoid, and slightly curved. They were $25{\sim}46{\times}10{\sim}15\;{\mu}m$ in size, and had mostly 4 septa which were characteristic of pseudosepta. A few conidia had slightly protruding hila, whereas most had no hilum. Conidial germ tubes were produced mostly from both polar end cells (bipolar), and progressed in semiaxial direction. When seedlings of Job's tears were inoculated with conidia, long, spindle-shaped, and brown lesions were produced on leaves, and entire leaves became blighted 15 days later. Based on the aggressiveness in pathogenicity, the isolates could be divided into two groups. Considering the mycological characteristics and pathogenicity of the fungus, the pathogen causing leaf blight of Job's tears was determined to be Bipolaris coicis (Nisikado) Shoemaker.

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