• Archives of Reconstructive Microsurgery
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• v.14 no.1
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• pp.63-69
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• 2005

Purpose: The purpose of this study was to analyze the clinical results after Steindler flexoplasty. Materials and Methods: We analyzed 6 cases who had nearly normal finger and wrist joint flexion function, but could not flex elbow joint actively because of upper arm type brachial plexus injury. We performed operation during the period from February 1997 to July 2003. There were 5 males and 1 female with mean age of 28 years (range: $19{\sim}51$ years) when Steindler flexoplasty was done. The average follow-up period was 3 years 11 months (range: 12 months${\sim}$7 years 4 months). We assessed active range of motion of elbow joint, muscle power and elbow function by Mayer & Green grade scale at last follow-up. We assessed how much they were favorable for Steindler flexoplasty and had improvement of upper extremity function and correction of deformity. Results: Postoperative, flexion range of elbow joint improved to average $111.7^{\circ}$ (range: $90{\sim}130^{\circ}$). $25.8^{\circ}$ (range: $15{\sim}45^{\circ}$) in flexion contracture and $16.6^{\circ}$ (range: $10{\sim}35^{\circ}$) in pronation contracture were remained. Range of motion of elbow joint improved to average $85.3^{\circ}$ (range: $45{\sim}105^{\circ}$). Flexion power of elbow joint improved to Grade 5 in all cases. Postoperatively on Mayer & Green grade scale, there were excellent in 3 cases(50%), good in 2 cases(33.3%), fair in 1 case(16.7%). On patient's own assessment of functional improvement, there were excellent in 4 cases(66.6%), good in 1 case(16.7%) and fair in 1 case(l6.7%). Conclusion: Steindler flexoplasty can reserve good clinical results with being improved to active flexion of elbow joint in cases who have functional hand and wrist, but paralysis upper arm muscle in brachial plexus injury.

• Journal of the Korean Society of Physical Medicine
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• v.13 no.2
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• pp.109-114
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• 2018

PURPOSE: The purpose of this study conducted the experiment to check change of ability to grip depending on normal male adult's elbow flexion angle and the effect of kinesiology tape application. METHODS: Normal male adults who studies in H university where located in Kyoungbook state and did not have any factors like fracture, osteoarthritis, deformities and non-neurologic issue which might influence the result of this study were selected as subjects. Elbow of subjects were applied by 5cm wideness kinesiology tape and elbow's angle was selected by $0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$ using Goniometer. The change of ability to grip depending on flexion was measured by an electronic dynamometer before and after taping. RESULTS: Before and after taping elbow joint, both ability to grip decrease in more flexion angle and $135^{\circ}$ of elbow flexion was lowest value, 299.84N. Using kinesiology tape, neutral position $0^{\circ}$ was the highest value, 352.26N. The lowest was 331.68N on $135^{\circ}$. According to verifying the change of ability to grip depending on elbow flexion and the change of ability to grip after taping with paired t-test, the result was p<.05, there was significant difference. CONCLUSION: Using electronic dynamometer and estimating the ability to grip after and before kinesiology tape, the ability to grip decrease in more elbow flexion. The ability to grip after using kinesiology tape was relatively higher than before taping.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.17 no.7
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• pp.635-641
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• 2005

This study experimented to understand the effects of transporting ice slurry through elbow and inclined tube. And at this experiment it used propylene glycol-water solution and a diameter of about 2mm ice particle. The experiments were carried out under various conditions, with velocity of water solution at the entry ranging from 1.0 to 3.5 w/s and elbows and inclined tubes of 4 kinds angle with $30^{\circ},\;45^{\circ},\;90^{\circ}\;and\;180^{\circ}$. The pressure drop between the tube entry and exit were measured. According to angle of bending, the highest pressure drop was measured at $30^{\circ}$ elbow and the lowest pressure drop was measured at $90^{\circ}$ elbow, and there are only a little differences of pressure drop between $45^{\circ}$ elbow and $180^{\circ}$ elbow. According to angle of inclined tube, the highest pressure drop was measured at $90^{\circ}$ inclined tube and the pressure drop at $45^{\circ},\;30^{\circ},\;180^{\circ}$ inclined tubes were lower successively. The lowest pressure drop in elbows and inclined tubes was measured at velocity of $2.0\~2.5$ m/s and concentration of $10\;wt\%$.

• Korean Journal of Applied Biomechanics
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• v.13 no.3
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• pp.311-325
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• 2003

A relation between the movement range of arms and arising moment has been studied to find out efficient movement range to minimize impact concerning arm landing in sports aerobics. Four male athletes who won top three in national-level sports aerobics competition were chosen for the experiment. They were allowed to jump in between two force platform so that the right hand and the right leg could land onto the front and rear force platform, respectively. The sampling frequency was 200 Hz. The main conclusions based on the analysis of the angle and joint moment parameters of wrist, elbow, and shoulder are as follows: 1. The wrist moment was small when its angle was small, indicating that the dorsi-flexion of the wrist joint offered a positive influence to reduce wrist moment. 2. The elbow angle increased as wrist angle decreased and vice versa. This means that the movement range of the wrist joint affects that of the elbow joint. The darsi-flexion of the wrist is the position to absorb the impact of the elbow effectively rather than to absorb the impact of the wrist itself. The impact is absorbed by the flexion of wrist joint rather than the wrist. 3. The degree of moment transfer of the shoulder joint, having absorbed the impact from the elbow and elbow joint, became dependent on the efficiency of the fore-joints impact absorption.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.5 no.2
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• pp.123-129
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• 2012

The purpose of this article is review about the use of ultrasonography in the evaluation of the elbow joint. Ultrasonography has several key advantages in elbow joint, including easy assessment of target structure in elbow joint and ability to perform real time dynamic examination and to compare with opposite site. Ultrasonography is easy available to visualize abnormalities affecting tendons, muscles, ligaments, bursae, and occult fractures around the elbow joint and also allows accurate assessment of ulnar nerve in cubital tunnel. The role of ultrasonography will increase further with regards to evaluation of soft-tissue abnormalities of the elbow joint.

• Clinics in Shoulder and Elbow
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• v.6 no.2
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• pp.167-172
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• 2003

Olecranon bursitis rarely Progresses to septic arthritis. In our case, the 24 year old woman was visited due to progressing right elbow pain, despite antibiotic treatment of chronic olecranon bursitis caused by elbow laceration 2 months ago. Pus draining sinus, localized heating and swelling could be seen on physical examination. Septic arthritis and pathologic fracture was diagnosed under arthroscopic examination. Arthroscopic irrigation and synovectomy for elbow joint, olecranon bursectomy and curettage of olecranon bone was done. In the operation field, the elbow and draining sinus over olecranon was communicated each other on saline irrigation test. The patient was treated for 3 weeks with intravenous antibiotics. At postoperative 4 weeks, bone graft was done. The possibility of chronic osteomyelitis and septic arthritis must be considered in a patient with chronic olecranon bursitis.

• Journal of the Korean Society of Safety
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• v.21 no.6 s.78
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• pp.14-19
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• 2006

This study performed burst tests using real-scale pipe elbow containing simulated local wall-thinning to evaluate the effects of circumferential thinning angle and bending load on the failure pressure of wall-thinned elbow. The tests were carried out under the loading conditions of internal pressure and combined internal pressure and bending loads. Three circumferential thinning angles, ${\theta}/{\Pi}=0.125,\;0.25,\;0.5$, and different thinning locations, intrados and extrados, were considered. The test results showed that the failure pressure of wall-thinned elbow decreased with increasing circumferential thinning angle for both thinning locations. This tendency is different from that observed in the wall-thinned straight pipe. Also, the failure pressure of intrados wall-thinned elbow was higher than that of extrados wall-thinned elbow with the same thinning depth and equivalent thinning length. In addition, the effect of bending moment on the failure pressure was not obvious.

• Journal of the Korean Society of Safety
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• v.20 no.1 s.69
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• pp.55-61
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• 2005

The purpose of this study is to investigate the effect of circumferential location of local wall thinning defect on the collapse behavior of an elbow. Thus, the present study conducts three-dimensional finite element analysis on the 90-degree elbow containing a local wall thinning at intrados, crown and extrados of bend region and evaluates the collapse moment of wall thinned elbow under various thinning shapes and loading conditions. Combined internal pressure and bending moment are considered as an applied load. The internal pressure of $0\~20MPa$ and both closing and opening mode bending are employed. The results of analysis show that the reduction in collapse moment of the elbow by local wall thinning is more significant for a defect locating at crown than for a defect locating at intrados or at extrados. Also, the effect of internal pressure on the collapse moment of wall thinned elbow depends on the circumferential location of thinning defect and applied bending mode.

• Journal of Biomedical Engineering Research
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• v.18 no.4
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• pp.413-420
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• 1997

In this paper, we analyzed the contraction patterns of active elbow muscles during isometric, concentric and eccentric contraction. The analysis parameters consist of frequency domain parameters (mean frequency, median frequency, peak frequency, peak power, skewness, kurtosis) and time domain paraseters (zero crossing, positive maxima, integrated EMG). The results of this study were as follows; The BR/BB of isometric contraction appeared to be Venter as the elbow joint was more extended. The BR /BB during concentric and eccentric contraction tended to increase with more extension of the elbow joint angle, but there was no significant difference between concentric and eccentric contraction. Further, the EMG power spectrum due to the type of contraction were different betwen eccentric and concentric contraction. According to the results, it was found that the activation pattern in elbow flexor muscles was different during three different muscle contraction pattern. Therefore, elbow flexor muscles should not be considered a single functioning unit. Especially, at the time domain analysis, IEMG is a dominant parameter for analysis of activation patterns, and the skewness kurtosis can be useful parameters in functional recognition for prosthesis control purpose.

• Physical Therapy Korea
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• v.14 no.3
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• pp.16-22
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• 2007

The purpose of this study was to determine the influence of muscle fatigue in elbow flexors on the sense of force reproduction. Fifteen healthy subjects were recruited for this study. Maximum voluntary force (MVF) of elbow flexor muscles was measured by a digital tensiometer. Force errors were measured to test accuracy of the sense of force reproduction in elbow flexors. The subject was required to flex the elbow joint, to maintain and concentrate on about 20% of the MVF target force under visual feedback for 3 seconds. After a 5 second period rest, the subject was asked to duplicate the target force actively. Muscle fatigue was evoked with isometric contraction of the elbow flexors. Isometric contraction was continued until a 50% drop in MVF. The difference, in kilogram between the target force and the reproduced force was calculated for measuring force error. Force errors were compared between the non-fatigued condition and the fatigued condition by the paired t-test. Force errors were significantly increased in the fatigued condition compare to non-fatigued condition. This result suggests that the sense of force reproduction can be disturbed by localized muscle fatigue.