• Clinics in Shoulder and Elbow
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• v.8 no.2
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• pp.88-96
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• 2005

Purpose: To compare and analyze the outcome of primary clavicular lateral end resection method and conventional acromioclavicular (AC) joint reduction method in type III AC dislocation patients over 45 years. Materials and Methods: This study was performed on selected 24 cases of type III AC dislocation patients, over 45 years of age, operated at our hospital from 1998 to 2002. Group I consist of 12 patients who underwent primary clavicular lateral end resection methods (average age: 54.3 years$(45{\sim}72)$). Group II consist of 7 patients using Bosworth methods and 5 patients using Phemister methods (average age: 54.4 years$(45{\sim}71)$). Clinical outcome was evaluated by Weaver and Dunn method. Radiological results were compared by measuring coracoclavicular distance between normal and injured side. Results: As clinical outcome, good was 10 cases(83%); fair 2(17%) in Group I, and good 6(50%); fair 3(25%); poor 3(25%) in Group II. In contrast, the difference of coracoclavicular distance was not statistically significant between two groups before or after surgery, and last follow up. At the last follow up, there was no special correlation between the difference of coracoclavicular distance and clinical outcome. Conclusion: We considered that primary clavicular lateral end resection may be effective for prevention of arthrosis in AC joint in type III AC dislocation patients over 45 years.

• Archives of Reconstructive Microsurgery
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• v.16 no.2
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• pp.100-107
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• 2007

Treatment of giant cell tumor of distal radius can be treated in several ways according to the aggressiveness of the tumor. But the management of giant cell tumor involving juxta-articular portion has always been a difficult problem. In some giant cell tumors with bony destruction, a wide segmental resection may be needed for preventing to recur. But a main problem is preserving of bony continuity in bony defect as well as preservation of joint function. We have attempted to overcome these problems by using a microvascular technique to transfer the fibula with peroneal vascular pedicle or anterior tibial vessel as living bone graft. From April 1984 to July 2005, we performed the reconstruction of wide bone defect after segmental resection of giant cell tumor in 14 cases, using Vascularized Fibular Graft, which occur at the distal radius. VFG with peroneal vascular pedicle was in 8 cases and anterior tibial vessel was 6 cases. Recipient artery was radial artery in all cases. Method of connection was end to end anastomosis in 11 cases, and end to side in 3 cases. An average follow-up was 6 years 6 months, average bone defect after wide segmental resection of lesion was 6.8 cm. All cases revealed good bony union in average 6.5 months, and we got the wide range of motion of wrist joint without recurrence and serious complications. Grafted bone was all alive. In functional analysis, there was good in 7 cases, fair in 4 cases and bad in 1 case. Pain was decreased in all cases but there was nearly normal joint in only 4 cases. Vascularized fibular graft around wrist joint provided good functional restoration without local recurrence.

• Anatomy and Cell Biology
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• v.56 no.2
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• pp.252-258
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• 2023

The human fetal sacroiliac joint (SIJ) is characterized by unequal development of the paired bones and delayed cavitation. Thus, during the long in utero period, the bony ilium becomes adjacent to the cartilaginous sacrum. This morphology may be analogous to that of the temporomandibular joint (TMJ). We examined horizontal histological sections of 24 fetuses at 10-30 weeks and compared the timing and sequences of joint cartilage development, cavitation, and ossification of the ilium. We also examined histological sections of the TMJ and humeroradial joint, because these also contain a disk or disk-like structure. In the ilium, endochondral ossification started in the anterior side of the SIJ, extended posteriorly and reached the joint at 12 weeks GA, and then extended over the joint at 15 weeks GA. Likewise, the joint cartilage appeared at the anterior end of the future SIJ at 12 weeks GA, and extended along the bony ilium posteriorly to cover the entire SIJ at 26 weeks GA. The cavitation started at 15 weeks GA. Therefore, joint cartilage development seemed to follow the ossification of the ilium by extending along the SIJ, and cavitation then occurred. This sequence "ossification, followed by joint cartilage formation, and then cavitation" did not occur in the TMJ or humeroradial joint. The TMJ had a periosteum-like membrane that covered the joint surface, but the humeroradial joint did not. After muscle contraction starts, it is likely that the mechanical stress from the bony ilium induces development of joint cartilage.

• Korean Journal of Applied Biomechanics
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• v.18 no.4
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• pp.179-189
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• 2008

The purpose of this study was to investigate interjoint and intersegmental coordination of lower segments in skill process. For the investigation, we examined the difference of resultant linear velocity of segments and angle vs angle graph. Novice subjects were 9 male middle school students who have never been experienced a taekwondo. We analyzed kinematic variables of Side Kick motion through videographical analysis. The conclusions were as follows. 1. Examining the graph of novice subjects' maximal resultant linear velocity of the thigh, shank, and foot segment, as it gets closer to the end of the training, the maximal resultant linear velocity in each segment increases which can be assumed to be a result of the effective momentum transfer between adjacent segments. 2 This research showed a sequential transfer from trunk, to thigh, and then to shank as it gets closer to the end of learning at intersegment angular velocity, and it also showed pattern of throwlike motion and pushlike motion. 3. In three dimension of flexion-extension, adduction-abduction and internal-external rotation of the thigh and shank segment, the angle-angle diagram of knee joint and of hip joint showed that dynamic change was indicated at the beginning of learning but stable coordination pattern was indicated like skilled subject as novice subjects became skilled.

• Steel and Composite Structures
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• v.6 no.2
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• pp.103-122
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• 2006

The capacity of tubular truss chords subjected to concentrated reaction forces in the vicinity of the open end (i.e., the bearing region) is not directly treated by existing design specifications; although capacity equations are promulgated for related tubular joint configurations. The lack of direct treatment of bearing capacity in existing design specifications seems to represent an unsatisfactory situation given the fact that connections very often control the design of long-span tubular structures comprised of members with slender cross-sections. The case of the simple-span overhead highway sign truss is studied, in which the bearing reaction is applied near the chord end. The present research is aimed at assessing the validity of adapting existing specifications' capacity equations from related cases so as to be applicable in determining design capacity in tubular truss bearing regions. These modified capacity equations are subsequently used in comparisons with full-scale experimental results obtained from testing carried out at the University of Pittsburgh.

• Journal of the Korea institute for structural maintenance and inspection
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• v.15 no.6
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• pp.166-174
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• 2011

The object of this study is to evaluate the structural shear capacity of the PC girder-PC beam joint. The dapped end of PC beam and the ledger of PC girder are usually designed to design load. If the end of PC beam can be designed with continuous end, the dapped end of PC beam and the ledger of PC girder do not need to resist to all loads except dead load and construction load. The experimental program was carried out with 7 specimens containing the variable factors as the anchored method of the hanger bar, design load, be or not exist of ledger bars. As a result, the continuity of the dapped end and the ledger were ensured their safety although the design load was only the dead load and the construction load. The shear critical section was expanded toward the effective depth d, the distance from the supported position of the beam. If the ledger is designed according to PCI Design Handbook, the structural system of the ledger is as to the cantilever slab system. But the ledger of this study is as to the 3 side fixed slab system. Therefore the design of the ledger by PCI Design Handbook will lead to highly conservative results.

• Anatomy and Cell Biology
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• v.56 no.1
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• pp.46-53
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• 2023

It is unclear whether forearm and crural muscle fibers extend distally across the wrist and ankle joints, respectively. We hypothesized, in late-term fetuses, an over-production of muscle bellies extending over the joint. Muscle fibers in histological sections from unilateral wrists and ankles of 16 late-term fetuses (30-40 weeks) were examined and compared with 15 adult cadavers. Muscle fibers of the flexor digitorum profundus (FDP) and flexor digitorum superficialis (FDS) in fetuses, especially muscle bellies to the third and fourth fingers, were found to extend far distally beyond the radiocarpal joint. The extensor digitorum and extensor pollicis longus on the extensor side of the wrist were found to carry distally-extending muscle fibers, but these fibers did not extend beyond the distal end of the radius. In the ankle, most muscle bundles in the flexor hallucis longus (FHL), fibularis brevis (FB) and extensor digitorum longus extended distally beyond the talocrural joint, with most FB muscle fibers reaching the level of the talocalcaneal joint. In adult cadavers, muscle fibers of the FDP and FHL did not reach the levels of the radiocarpal and talocrural joints, respectively, whereas the FB muscle belly always reached the talocalcaneal joint. Similarly, some of the FDS reached the level of the radiocarpal joint. Generally, infants' movements at the wrist and ankle could result in friction injury to over-extended muscle. However, the calcaneal and FDP tendons might protect the FB and FDS tendons, respectively, from friction stress.

• Korean Journal of Applied Biomechanics
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• v.30 no.1
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• pp.17-25
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• 2020

Objective: The purpose of this study is to provide a better understanding of long turn mechanism by describing long turns after kinematic analysis and provide skiers and winter sports instructors with data through which they are able to analyze right postures for turns in skiing in a systematic, rational and scientific manner. Method: For this, a mean difference of kinematic variables (the center of gravity (CG) displacement of distance, trajectory, velocity, angle) was verified against a total of 12 skiers (skilled and unskilled, 6 persons each), regarding motions from the up-start to down-end points for long turns. Results: First, concerning the horizontal displacement of CG during a turn in skiing, skilled skiers were positioned on the right side at the upstart and edge-change points at a long turn. There was no difference in anteroposterior and vertical displacements. Second, in terms of CG-trajectory differences, skilled skiers revealed a significant difference during a long turn. Third, regarding skiing velocity, skilled skiers were fast at the edge-change and maximum inclination points in long turns. Fourth, there was no difference in a hip joint in terms of a lower limb joint angle. In a knee joint, a large angle was found at the up-start point among skilled skiers when they made a long turn. Conclusion: In overall, when skilled and unskilled skiers were compared, to make a good turn, it is required to turn according to the radius of turn by reducing weight, concerning the CG displacement. Regarding the CG-trajectory differences, the edge angle should be adjusted via proper inclination angulation. In addition, a skier should be more leaned toward the inside of a turn when they make a long turn. In terms of skiing velocity, it is needed to reduce friction on snow through the edging and pivoting of the radius or turn according to curvature and controlling ski pressure. Regarding a lower limb joint angle, it is important to make an up move by increasing ankle and knee angles instead of keeping the upper body straight during an up motion.

• Journal of the Korea institute for structural maintenance and inspection
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• v.26 no.1
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• pp.73-80
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• 2022

In this study, details of NRC beam-column connections were developed in which beam and columns pre-assembled in factories using steel angles were bolted on site. The developed joint details are NRC-J type and NRC-JD type. NRC-J type is a method of tensile joining with TS bolts to the side and lower surfaces of the side plate of the NRC column and the end plate of the NRC beam. NRC-JD type has a rigid joint with high-strength bolts between the NRC beam and the side of the NRC column for shear, and with lap splices of reinforcing bar penetrating the joint and the beam main reinforcement for bending. For the seismic performance evaluation of the joint, three specimens were tested: an NRC-J specimen and NRC-JD specimen with NRC beam-column joint details, and an RC-J specimen with RC beam-column joint detail. As a result of the repeated lateral load test, the final failure mode of all specimens was the bending fracture of the beam at the beam-column interface. Compared to the RC-J specimen, the maximum strength of the specimen by the positive force was 10.1% and 29.6% higher in the NRC-J specimen and the NRC-JD specimen, respectively. Both NRC joint details were evaluated to secure ductility of 0.03 rad or more, the minimum total inter-story displacement angle required for the composite intermediate moment frame according to the KDS standard (KDS 41 31 00). At the slope by relative storey displacemet of 5.7%, the NRC-J specimen and the NRC-JD specimen had about 34.8% and 61.1% greater cumulative energy dissipation capacity than the RC specimen. The experimental strength of the NRC beam-column connection was evaluated to be 30% to 53% greater than the theoretical strength according to the KDS standard formula, and the standard formula evaluated the joint performance as a safety side.

• Archives of Plastic Surgery
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• v.35 no.6
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• pp.751-754
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• 2008

Purpose: Delayed rupture of flexor pollicis longus as a sequelae of the plate inserted for distal radius fracture is a very rare. This is the first case reported and published in Korea. Methods: A 48 years old female patient visited hospital, complaining flexor disturbance of interphalangeal joint of left thumb, which suddenly occurred without any external wound. We found that she had received operation of fixing plate for fracture of left distal radius 10 years ago. As operational opinion, we have checked that flexor pollicis longus tendon has been ruptured with oblique ways being stimulated by extended plate to palmar side over long period. Results: Authors performed tenorrhaphy of flexor pollicis longus without tendon graft and presented a successful active flexion of the left thumb interphalangeal joint 1 year after the operation. Conclusion: If the extruded part of the end plate is observed during the operation or follow-up, it is considered to be necessary to get rid of the plate as early as possible after the fracture healing.